Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty: A Prospective Multicenter Cohort Study

Yvonne van Zaanen; Tessa Siertsema; Arthur J Kievit; Rutger C I van Geenen; Thijs M J Pahlplatz; Marco J M Hoozemans; Leendert Blankevoort; Matthias U Schafroth; Daniel Haverkamp; Ton M J S Vervest; Dirk H P W Das; Vanessa A Scholtes; P Paul F M Kuijer

doi:10.1016/j.apmr.2023.05.004

Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty: A Prospective Multicenter Cohort Study

Yvonne van Zaanen, Tessa Siertsema, Arthur J Kievit, Rutger C I van Geenen, Thijs M J Pahlplatz, Marco J M Hoozemans, Leendert Blankevoort, Matthias U Schafroth, Daniel Haverkamp, Ton M J S Vervest, Dirk H P W Das, Vanessa A Scholtes, P Paul F M Kuijer

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

OBJECTIVE: To investigate whether preoperative expectations regarding performing work-related knee-straining activities were associated with being dissatisfied 6 months after total knee arthroplasty (TKA) among working patients, and, to identify prognostic factors for being dissatisfied with performing these work-related knee-straining activities.

DESIGN: Multicenter prospective cohort study.

SETTING: Orthopedic surgery departments of 7 hospitals in the Netherlands.

PARTICIPANTS: A consecutive sample of 175 working patients who were on the waiting list for TKA (median age 59 years, 53% women) and intended to return to work (N=175).

INTERVENTIONS: Not applicable.

MAIN OUTCOME MEASURE(S): Dissatisfaction with performing work-related knee-straining activities 6 months postoperative was measured using the Work Osteoarthritis or joint-Replacement Questionnaire (score range 0-100). The clinically relevant cut-off points for being satisfied and dissatisfied were ≥71 and ≤50, respectively.

RESULTS: Thirty-three patients (19%) were dissatisfied with performing work-related knee-straining activities 6 months after TKA. Patients who expected to be dissatisfied preoperative had a 5.1 times higher odds (95% CI 1.7-15.5) of being dissatisfied 6 months postoperatively compared with patients who expected to be satisfied preoperative. Regression analyses revealed that only patients' expectations were prognostic for being dissatisfied 6 months postoperatively rather than age, pain level, or having a knee-straining job.

CONCLUSIONS: Two in 10 working patients are dissatisfied with performing work-related knee-straining activities 6 months after TKA. Only preoperative patients' expectations appeared prognostic. Therefore, we should better prepare working patients with low expectations by managing their preoperative expectations and improving their performance of work-related knee-straining activities in rehabilitation.

Original language	English
Pages (from-to)	2051-2058
Journal	Archives of Physical Medicine and Rehabilitation
Volume	104
Issue number	12
Early online date	2 Jun 2023
DOIs	https://doi.org/10.1016/j.apmr.2023.05.004
Publication status	Published - Dec 2023

Bibliographical note

Funding

Disclosures: The authors declare the following financial interests/personal relations which may be considered as potential competing interests: grants from ASR National Insurance Company, ZonMw poortwachter by Paul Kuijer, Associate Editor Scandinavian Journal of Work Environment and Health by Paul Kuijer, consulting fees from Zimmer Biomet by Rutger van Geenen, leadership role in the Dutch (NVBF) and International Association of Physiotherapists in Occupational Health and Ergonomics (IFPOHE) by Yvonne van Zaanen. The other authors have nothing to disclose.

Funders	Funder number
ASR National Insurance Company
ZonMw

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van Zaanen, Y., Siertsema, T., Kievit, A. J., van Geenen, R. C. I., Pahlplatz, T. M. J., Hoozemans, M. J. M., Blankevoort, L., Schafroth, M. U., Haverkamp, D., Vervest, T. M. J. S., Das, D. H. P. W., Scholtes, V. A., & Kuijer, P. P. F. M. (2023). Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty: A Prospective Multicenter Cohort Study. Archives of Physical Medicine and Rehabilitation, 104(12), 2051-2058. https://doi.org/10.1016/j.apmr.2023.05.004

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title = "Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty: A Prospective Multicenter Cohort Study",

abstract = "OBJECTIVE: To investigate whether preoperative expectations regarding performing work-related knee-straining activities were associated with being dissatisfied 6 months after total knee arthroplasty (TKA) among working patients, and, to identify prognostic factors for being dissatisfied with performing these work-related knee-straining activities.DESIGN: Multicenter prospective cohort study.SETTING: Orthopedic surgery departments of 7 hospitals in the Netherlands.PARTICIPANTS: A consecutive sample of 175 working patients who were on the waiting list for TKA (median age 59 years, 53% women) and intended to return to work (N=175).INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURE(S): Dissatisfaction with performing work-related knee-straining activities 6 months postoperative was measured using the Work Osteoarthritis or joint-Replacement Questionnaire (score range 0-100). The clinically relevant cut-off points for being satisfied and dissatisfied were ≥71 and ≤50, respectively.RESULTS: Thirty-three patients (19%) were dissatisfied with performing work-related knee-straining activities 6 months after TKA. Patients who expected to be dissatisfied preoperative had a 5.1 times higher odds (95% CI 1.7-15.5) of being dissatisfied 6 months postoperatively compared with patients who expected to be satisfied preoperative. Regression analyses revealed that only patients' expectations were prognostic for being dissatisfied 6 months postoperatively rather than age, pain level, or having a knee-straining job.CONCLUSIONS: Two in 10 working patients are dissatisfied with performing work-related knee-straining activities 6 months after TKA. Only preoperative patients' expectations appeared prognostic. Therefore, we should better prepare working patients with low expectations by managing their preoperative expectations and improving their performance of work-related knee-straining activities in rehabilitation.",

author = "{van Zaanen}, Yvonne and Tessa Siertsema and Kievit, {Arthur J} and {van Geenen}, {Rutger C I} and Pahlplatz, {Thijs M J} and Hoozemans, {Marco J M} and Leendert Blankevoort and Schafroth, {Matthias U} and Daniel Haverkamp and Vervest, {Ton M J S} and Das, {Dirk H P W} and Scholtes, {Vanessa A} and Kuijer, {P Paul F M}",

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doi = "10.1016/j.apmr.2023.05.004",

language = "English",

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journal = "Archives of Physical Medicine and Rehabilitation",

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van Zaanen, Y, Siertsema, T, Kievit, AJ, van Geenen, RCI, Pahlplatz, TMJ, Hoozemans, MJM, Blankevoort, L, Schafroth, MU, Haverkamp, D, Vervest, TMJS, Das, DHPW, Scholtes, VA & Kuijer, PPFM 2023, 'Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty: A Prospective Multicenter Cohort Study', Archives of Physical Medicine and Rehabilitation, vol. 104, no. 12, pp. 2051-2058. https://doi.org/10.1016/j.apmr.2023.05.004

Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty: A Prospective Multicenter Cohort Study. / van Zaanen, Yvonne; Siertsema, Tessa; Kievit, Arthur J et al.
In: Archives of Physical Medicine and Rehabilitation, Vol. 104, No. 12, 12.2023, p. 2051-2058.

Research output: Contribution to Journal › Article › Academic › peer-review

TY - JOUR

T1 - Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty

T2 - A Prospective Multicenter Cohort Study

AU - van Zaanen, Yvonne

AU - Siertsema, Tessa

AU - Kievit, Arthur J

AU - van Geenen, Rutger C I

AU - Pahlplatz, Thijs M J

AU - Hoozemans, Marco J M

AU - Blankevoort, Leendert

AU - Schafroth, Matthias U

AU - Haverkamp, Daniel

AU - Vervest, Ton M J S

AU - Das, Dirk H P W

AU - Scholtes, Vanessa A

AU - Kuijer, P Paul F M

PY - 2023/12

Y1 - 2023/12

N2 - OBJECTIVE: To investigate whether preoperative expectations regarding performing work-related knee-straining activities were associated with being dissatisfied 6 months after total knee arthroplasty (TKA) among working patients, and, to identify prognostic factors for being dissatisfied with performing these work-related knee-straining activities.DESIGN: Multicenter prospective cohort study.SETTING: Orthopedic surgery departments of 7 hospitals in the Netherlands.PARTICIPANTS: A consecutive sample of 175 working patients who were on the waiting list for TKA (median age 59 years, 53% women) and intended to return to work (N=175).INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURE(S): Dissatisfaction with performing work-related knee-straining activities 6 months postoperative was measured using the Work Osteoarthritis or joint-Replacement Questionnaire (score range 0-100). The clinically relevant cut-off points for being satisfied and dissatisfied were ≥71 and ≤50, respectively.RESULTS: Thirty-three patients (19%) were dissatisfied with performing work-related knee-straining activities 6 months after TKA. Patients who expected to be dissatisfied preoperative had a 5.1 times higher odds (95% CI 1.7-15.5) of being dissatisfied 6 months postoperatively compared with patients who expected to be satisfied preoperative. Regression analyses revealed that only patients' expectations were prognostic for being dissatisfied 6 months postoperatively rather than age, pain level, or having a knee-straining job.CONCLUSIONS: Two in 10 working patients are dissatisfied with performing work-related knee-straining activities 6 months after TKA. Only preoperative patients' expectations appeared prognostic. Therefore, we should better prepare working patients with low expectations by managing their preoperative expectations and improving their performance of work-related knee-straining activities in rehabilitation.

AB - OBJECTIVE: To investigate whether preoperative expectations regarding performing work-related knee-straining activities were associated with being dissatisfied 6 months after total knee arthroplasty (TKA) among working patients, and, to identify prognostic factors for being dissatisfied with performing these work-related knee-straining activities.DESIGN: Multicenter prospective cohort study.SETTING: Orthopedic surgery departments of 7 hospitals in the Netherlands.PARTICIPANTS: A consecutive sample of 175 working patients who were on the waiting list for TKA (median age 59 years, 53% women) and intended to return to work (N=175).INTERVENTIONS: Not applicable.MAIN OUTCOME MEASURE(S): Dissatisfaction with performing work-related knee-straining activities 6 months postoperative was measured using the Work Osteoarthritis or joint-Replacement Questionnaire (score range 0-100). The clinically relevant cut-off points for being satisfied and dissatisfied were ≥71 and ≤50, respectively.RESULTS: Thirty-three patients (19%) were dissatisfied with performing work-related knee-straining activities 6 months after TKA. Patients who expected to be dissatisfied preoperative had a 5.1 times higher odds (95% CI 1.7-15.5) of being dissatisfied 6 months postoperatively compared with patients who expected to be satisfied preoperative. Regression analyses revealed that only patients' expectations were prognostic for being dissatisfied 6 months postoperatively rather than age, pain level, or having a knee-straining job.CONCLUSIONS: Two in 10 working patients are dissatisfied with performing work-related knee-straining activities 6 months after TKA. Only preoperative patients' expectations appeared prognostic. Therefore, we should better prepare working patients with low expectations by managing their preoperative expectations and improving their performance of work-related knee-straining activities in rehabilitation.

U2 - 10.1016/j.apmr.2023.05.004

DO - 10.1016/j.apmr.2023.05.004

M3 - Article

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SN - 0003-9993

VL - 104

SP - 2051

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JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

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van Zaanen Y, Siertsema T, Kievit AJ, van Geenen RCI, Pahlplatz TMJ, Hoozemans MJM et al. Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty: A Prospective Multicenter Cohort Study. Archives of Physical Medicine and Rehabilitation. 2023 Dec;104(12):2051-2058. Epub 2023 Jun 2. doi: 10.1016/j.apmr.2023.05.004

Only Low Patients' Expectations Are Prognostic for Dissatisfaction With Performing Work-Related Knee-Straining Activities After Total Knee Arthroplasty: A Prospective Multicenter Cohort Study

Abstract

Bibliographical note

Funding

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