Patient resiliency before TKA associated with levels of regret postoperatively
Click Here to Manage Email Alerts
Key takeaways:
- Researchers found roughly 50% of patients reported decision regret 1 year after total knee arthroplasty.
- Patients with high preoperative resiliency had the least amount of regret 1 year postoperatively.
GRAPEVINE, Texas — Results presented at the American Association of Hip and Knee Surgeons Annual Meeting showed patients with higher resiliency prior to total knee arthroplasty had lower levels of regret postoperatively.
“Low resiliency had the highest level of moderate to severe regret at all time points, but they demonstrated the largest improvement at 1 year,” Timothy C. Horan, DO, said during his presentation. “Resiliency correlates with mental health scores the strongest, and there was a poor correlation between physical and knee-specific outcome measures.”
Horan and colleagues retrospectively collected preoperative and postoperative Brief Resilience Scale, Knee Injury and Osteoarthritis Outcome Score for Joint Replacement and Patient-Reported Outcome Measurement Information System (PROMIS)-10 Global scores, as well as postoperative Decision Regret Scale scores, among 1,269 patients who underwent primary elective TKA between 2021 and 2022.
“Preoperatively, the general population demonstrated 8% of patients were classified as having low resilience, 67% had normal resilience and 25% had high resilience,” Horan said.
According to Horan, roughly 50% of patients reported decision regret 1 year after TKA, with one-third of patients reporting mild regret and 13% of patients reporting moderate to severe regret.
“When we looked at the association between resiliency and regret, we found that at 1 month, patients demonstrating high resiliency reported the least amount of regret and this stayed static over a 1-year time course,” Horan said.
Although patients with low resiliency demonstrated the most significant amount of regret, Horan said this result improved during a 1-year time course.
“We looked at the correlation between preoperative resiliency [and] regret, as well as our PROMS,” Horan said. “Decision regret had a significant correlation with resiliency. KOOS-JR and PROMIS-10 physical scores only have a weak correlation; however, the PROMIS-10 mental scores have the strongest correlation to resiliency.”
Collapse
Horan TC, et al. Paper 27. Presented at: American Association of Hip and Knee Surgeons Annual Meeting; Nov. 2-5, 2023; Grapevine, Texas.
Read more about
Click Here to Manage Email Alerts