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- Title
Evaluating waiting time effect on health outcomes at admission: a prospective randomized study on patients with osteoarthritis of the knee joint.
- Authors
Hirvonen, Johanna; Blom, Marja; Tuominen, Ulla; Seitsalo, Seppo; Lehto, Matti; Paavolainen, Pekka; Hietaniemi, Kalevi; Rissanen, Pekka; Sintonen, Harri
- Abstract
Aims To evaluate the effect of waiting on health-related quality of life (HRQoL), pain and physical function in patients awaiting primary total knee replacement (TKR) due to osteoarthritis. Methods Some 438 patients awaiting TKR were randomized to a short waiting time (WT) group (≤3 months) or a non-fixed WT group. In the final assessment, 310 patients (213 women) with a mean age of 68 years were included. HRQoL was measured on being placed on the waiting list and again at hospital admission using the generic 15D. Patients’ self-report pain and physical function were evaluated using a scale modified from the Knee Society Clinical Rating System. Results The median WTs for patients with short and non-fixed WT were 73 days (range 8–600 days) and 266 days (range 28–818 days), respectively. At admission, as assessed by the intention-to-treat analysis, there were no statistically significant differences between the groups in the 15D total score and disease-specific pain and function. Conclusions Our study showed that longer WT did not result in worse pre-operative HRQoL.
- Subjects
OSTEOARTHRITIS; QUALITY of life; KNEE diseases; TOTAL knee replacement; HOSPITAL care; PATIENTS
- Publication
Journal of Evaluation in Clinical Practice, 2007, Vol 13, Issue 5, p728
- ISSN
1356-1294
- Publication type
Article
- DOI
10.1111/j.1365-2753.2006.00745.x