Three Out of Ten Working Patients Expect No Clinical Improvement of Their Ability to Perform Work-Related Knee-Demanding Activities After Total Knee Arthroplasty: A Multicenter Study

Yvonne van Zaanen, Rutger C.I. van Geenen, Thijs M.J. Pahlplatz, Arthur J. Kievit, Marco J.M. Hoozemans, Eric W.P. Bakker, Leendert Blankevoort, Matthias U. Schafroth, Daniel Haverkamp, Ton M.J.S. Vervest, Dirk H.P.W. Das, Walter van der Weegen, Vanessa A. Scholtes, Monique H.W. Frings-Dresen, P. Paul F.M. Kuijer

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Purpose Three out of ten patients do not return to work after total knee arthroplasty (TKA). Patient expectations are suggested to play a key role. What are patients’ expectations regarding the ability to perform work-related knee-demanding activities 6 months after TKA compared to their preoperative status? Methods A multi-center cross-sectional study was performed among 292 working patients listed for TKA. The Work Osteoarthritis or joint-Replacement Questionnaire (WORQ, range 0–100, minimal important difference 13) was used to assess the preoperatively experienced and expected ability to perform work-related knee-demanding activities 6 months postoperatively. Differences between the preoperative and expected WORQ scores were tested and the most difficult knee-demanding work-related activities were described. Results Two hundred thirty-six working patients (81%) completed the questionnaire. Patients’ expected WORQ score (Median = 75, IQR 60–86) was significantly (p < 0.01) higher than their preoperative WORQ score (Median = 44, IQR 35–56). A clinical improvement in ability to perform work-related knee-demanding activities was expected by 72% of the patients, while 28% of the patients expected no clinical improvement or even worse ability to perform work-related knee-demanding activities 6 months after TKA. Of the patients, 34% expected severe difficulty in kneeling, 30% in crouching and 17% in clambering 6 months after TKA. Conclusions Most patients have high expectations, especially regarding activities involving deep knee flexion. Remarkably, three out of ten patients expect no clinical improvement or even a worse ability to perform work-related knee-demanding activities 6 months postoperatively compared to their preoperative status. Therefore, addressing patients expectations seems useful in order to assure realistic expectations regarding work activities.

Original languageEnglish
Pages (from-to)585-594
Number of pages10
JournalJournal of Occupational Rehabilitation
Volume29
Issue number3
Early online date11 Dec 2018
DOIs
Publication statusPublished - 15 Sep 2019

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Knee Replacement Arthroplasties
Multicenter Studies
Knee
Replacement Arthroplasties
Return to Work
Osteoarthritis
Cross-Sectional Studies

Keywords

  • Knee arthroplasty, total
  • Patient expectations
  • Treatment outcome
  • Vocational rehabilitation
  • Work ability

Cite this

van Zaanen, Yvonne ; van Geenen, Rutger C.I. ; Pahlplatz, Thijs M.J. ; Kievit, Arthur J. ; Hoozemans, Marco J.M. ; Bakker, Eric W.P. ; Blankevoort, Leendert ; Schafroth, Matthias U. ; Haverkamp, Daniel ; Vervest, Ton M.J.S. ; Das, Dirk H.P.W. ; van der Weegen, Walter ; Scholtes, Vanessa A. ; Frings-Dresen, Monique H.W. ; Kuijer, P. Paul F.M. / Three Out of Ten Working Patients Expect No Clinical Improvement of Their Ability to Perform Work-Related Knee-Demanding Activities After Total Knee Arthroplasty : A Multicenter Study. In: Journal of Occupational Rehabilitation. 2019 ; Vol. 29, No. 3. pp. 585-594.
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title = "Three Out of Ten Working Patients Expect No Clinical Improvement of Their Ability to Perform Work-Related Knee-Demanding Activities After Total Knee Arthroplasty: A Multicenter Study",
abstract = "Purpose Three out of ten patients do not return to work after total knee arthroplasty (TKA). Patient expectations are suggested to play a key role. What are patients’ expectations regarding the ability to perform work-related knee-demanding activities 6 months after TKA compared to their preoperative status? Methods A multi-center cross-sectional study was performed among 292 working patients listed for TKA. The Work Osteoarthritis or joint-Replacement Questionnaire (WORQ, range 0–100, minimal important difference 13) was used to assess the preoperatively experienced and expected ability to perform work-related knee-demanding activities 6 months postoperatively. Differences between the preoperative and expected WORQ scores were tested and the most difficult knee-demanding work-related activities were described. Results Two hundred thirty-six working patients (81{\%}) completed the questionnaire. Patients’ expected WORQ score (Median = 75, IQR 60–86) was significantly (p < 0.01) higher than their preoperative WORQ score (Median = 44, IQR 35–56). A clinical improvement in ability to perform work-related knee-demanding activities was expected by 72{\%} of the patients, while 28{\%} of the patients expected no clinical improvement or even worse ability to perform work-related knee-demanding activities 6 months after TKA. Of the patients, 34{\%} expected severe difficulty in kneeling, 30{\%} in crouching and 17{\%} in clambering 6 months after TKA. Conclusions Most patients have high expectations, especially regarding activities involving deep knee flexion. Remarkably, three out of ten patients expect no clinical improvement or even a worse ability to perform work-related knee-demanding activities 6 months postoperatively compared to their preoperative status. Therefore, addressing patients expectations seems useful in order to assure realistic expectations regarding work activities.",
keywords = "Knee arthroplasty, total, Patient expectations, Treatment outcome, Vocational rehabilitation, Work ability",
author = "{van Zaanen}, Yvonne and {van Geenen}, {Rutger C.I.} and Pahlplatz, {Thijs M.J.} and Kievit, {Arthur J.} and Hoozemans, {Marco J.M.} and Bakker, {Eric W.P.} and Leendert Blankevoort and Schafroth, {Matthias U.} and Daniel Haverkamp and Vervest, {Ton M.J.S.} and Das, {Dirk H.P.W.} and {van der Weegen}, Walter and Scholtes, {Vanessa A.} and Frings-Dresen, {Monique H.W.} and Kuijer, {P. Paul F.M.}",
year = "2019",
month = "9",
day = "15",
doi = "10.1007/s10926-018-9823-5",
language = "English",
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pages = "585--594",
journal = "Journal of Occupational Rehabilitation",
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van Zaanen, Y, van Geenen, RCI, Pahlplatz, TMJ, Kievit, AJ, Hoozemans, MJM, Bakker, EWP, Blankevoort, L, Schafroth, MU, Haverkamp, D, Vervest, TMJS, Das, DHPW, van der Weegen, W, Scholtes, VA, Frings-Dresen, MHW & Kuijer, PPFM 2019, 'Three Out of Ten Working Patients Expect No Clinical Improvement of Their Ability to Perform Work-Related Knee-Demanding Activities After Total Knee Arthroplasty: A Multicenter Study' Journal of Occupational Rehabilitation, vol. 29, no. 3, pp. 585-594. https://doi.org/10.1007/s10926-018-9823-5

Three Out of Ten Working Patients Expect No Clinical Improvement of Their Ability to Perform Work-Related Knee-Demanding Activities After Total Knee Arthroplasty : A Multicenter Study. / van Zaanen, Yvonne; van Geenen, Rutger C.I.; Pahlplatz, Thijs M.J.; Kievit, Arthur J.; Hoozemans, Marco J.M.; Bakker, Eric W.P.; Blankevoort, Leendert; Schafroth, Matthias U.; Haverkamp, Daniel; Vervest, Ton M.J.S.; Das, Dirk H.P.W.; van der Weegen, Walter; Scholtes, Vanessa A.; Frings-Dresen, Monique H.W.; Kuijer, P. Paul F.M.

In: Journal of Occupational Rehabilitation, Vol. 29, No. 3, 15.09.2019, p. 585-594.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Three Out of Ten Working Patients Expect No Clinical Improvement of Their Ability to Perform Work-Related Knee-Demanding Activities After Total Knee Arthroplasty

T2 - A Multicenter Study

AU - van Zaanen, Yvonne

AU - van Geenen, Rutger C.I.

AU - Pahlplatz, Thijs M.J.

AU - Kievit, Arthur J.

AU - Hoozemans, Marco J.M.

AU - Bakker, Eric W.P.

AU - Blankevoort, Leendert

AU - Schafroth, Matthias U.

AU - Haverkamp, Daniel

AU - Vervest, Ton M.J.S.

AU - Das, Dirk H.P.W.

AU - van der Weegen, Walter

AU - Scholtes, Vanessa A.

AU - Frings-Dresen, Monique H.W.

AU - Kuijer, P. Paul F.M.

PY - 2019/9/15

Y1 - 2019/9/15

N2 - Purpose Three out of ten patients do not return to work after total knee arthroplasty (TKA). Patient expectations are suggested to play a key role. What are patients’ expectations regarding the ability to perform work-related knee-demanding activities 6 months after TKA compared to their preoperative status? Methods A multi-center cross-sectional study was performed among 292 working patients listed for TKA. The Work Osteoarthritis or joint-Replacement Questionnaire (WORQ, range 0–100, minimal important difference 13) was used to assess the preoperatively experienced and expected ability to perform work-related knee-demanding activities 6 months postoperatively. Differences between the preoperative and expected WORQ scores were tested and the most difficult knee-demanding work-related activities were described. Results Two hundred thirty-six working patients (81%) completed the questionnaire. Patients’ expected WORQ score (Median = 75, IQR 60–86) was significantly (p < 0.01) higher than their preoperative WORQ score (Median = 44, IQR 35–56). A clinical improvement in ability to perform work-related knee-demanding activities was expected by 72% of the patients, while 28% of the patients expected no clinical improvement or even worse ability to perform work-related knee-demanding activities 6 months after TKA. Of the patients, 34% expected severe difficulty in kneeling, 30% in crouching and 17% in clambering 6 months after TKA. Conclusions Most patients have high expectations, especially regarding activities involving deep knee flexion. Remarkably, three out of ten patients expect no clinical improvement or even a worse ability to perform work-related knee-demanding activities 6 months postoperatively compared to their preoperative status. Therefore, addressing patients expectations seems useful in order to assure realistic expectations regarding work activities.

AB - Purpose Three out of ten patients do not return to work after total knee arthroplasty (TKA). Patient expectations are suggested to play a key role. What are patients’ expectations regarding the ability to perform work-related knee-demanding activities 6 months after TKA compared to their preoperative status? Methods A multi-center cross-sectional study was performed among 292 working patients listed for TKA. The Work Osteoarthritis or joint-Replacement Questionnaire (WORQ, range 0–100, minimal important difference 13) was used to assess the preoperatively experienced and expected ability to perform work-related knee-demanding activities 6 months postoperatively. Differences between the preoperative and expected WORQ scores were tested and the most difficult knee-demanding work-related activities were described. Results Two hundred thirty-six working patients (81%) completed the questionnaire. Patients’ expected WORQ score (Median = 75, IQR 60–86) was significantly (p < 0.01) higher than their preoperative WORQ score (Median = 44, IQR 35–56). A clinical improvement in ability to perform work-related knee-demanding activities was expected by 72% of the patients, while 28% of the patients expected no clinical improvement or even worse ability to perform work-related knee-demanding activities 6 months after TKA. Of the patients, 34% expected severe difficulty in kneeling, 30% in crouching and 17% in clambering 6 months after TKA. Conclusions Most patients have high expectations, especially regarding activities involving deep knee flexion. Remarkably, three out of ten patients expect no clinical improvement or even a worse ability to perform work-related knee-demanding activities 6 months postoperatively compared to their preoperative status. Therefore, addressing patients expectations seems useful in order to assure realistic expectations regarding work activities.

KW - Knee arthroplasty, total

KW - Patient expectations

KW - Treatment outcome

KW - Vocational rehabilitation

KW - Work ability

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U2 - 10.1007/s10926-018-9823-5

DO - 10.1007/s10926-018-9823-5

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JF - Journal of Occupational Rehabilitation

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