Prevalence and Determinants of Fatigue Following Total Knee Replacement: A Longitudinal Cohort Study

被引:10
|
作者
Hodges, Alison [1 ]
Harmer, Alison R. [1 ]
Dennis, Sarah [1 ]
Nairn, Lillias [1 ]
March, Lyn [2 ]
Crosbie, Jack [1 ]
Crawford, Ross [3 ]
Parker, David [4 ]
Fransen, Marlene [1 ]
机构
[1] Univ Sydney, Lidcombe, NSW, Australia
[2] Univ Sydney, St Leonards, NSW, Australia
[3] Queensland Univ Technol, Brisbane, Qld, Australia
[4] Sydney Orthopaed Res Inst, Chatswood, NSW, Australia
关键词
RHEUMATOID-ARTHRITIS; OSTEOARTHRITIS; FIBROMYALGIA; ARTHROPLASTY; ADULTS; PAIN; QUESTIONNAIRE; COMORBIDITY; ASSOCIATION; POPULATION;
D O I
10.1002/acr.22861
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. To evaluate the prevalence and determinants of clinically important fatigue before and up to 12 months after total knee replacement (TKR) surgery. Methods. This study was a secondary analysis of a prospective cohort study conducted among 422 patients (ages 4574 years) undergoing primary TKR for osteoarthritis (OA) who participated in the Maximum Recovery After Knee Replacement randomized clinical trial. Assessments were carried out before, and at 6 weeks, 6 months, and 12 months after surgery. Self-reported fatigue was assessed on a 10-cm visual analog scale. Patients also completed a number of questionnaires evaluating knee pain, activity limitations, psychological well-being, comorbidity, and physical activity. Linear regression analyses were conducted to explore 6- and 12-month cross-sectional and longitudinal associations with self-reported fatigue. Results. Clinically important fatigue (>= 6.7 of 10) was reported by 145 patients (34%) before surgery, decreasing to 14%, 12%, and 8% at 6 weeks, 6 months, and 12 months after surgery, respectively. In multivariate analyses, muscle strength was strongly associated with fatigue at 6 months, and knee pain, activity limitations, number of comorbidities, and lack of energy were strongly associated with fatigue at both 6 and 12 months after TKR surgery. Female sex, number of comorbidities, depression, and fatigue were all early predictors of fatigue 12 months after TKR. Conclusion. Among patients undergoing TKR for OA, clinically important fatigue is considerably prevalent both before and for at least 6 months after surgery. Identifying and addressing early predictors of ongoing fatigue has the potential to improve the quality of life following TKR surgery.
引用
收藏
页码:1434 / 1442
页数:9
相关论文
共 50 条
  • [1] Prevalence and determinants of physical activity and sedentary behaviour before and up to 12 months after total knee replacement: a longitudinal cohort study
    Hodges, Alison
    Harmer, Alison R.
    Dennis, Sarah
    Nairn, Lillias
    March, Lyn
    Crawford, Ross
    Parker, David
    Fransen, Marlene
    [J]. CLINICAL REHABILITATION, 2018, 32 (09) : 1271 - 1283
  • [2] Prevalence and determinants of physical activity, sedentary behaviour and fatigue five years after total knee replacement
    Hodges, Alison
    Harmer, Alison R.
    Dennis, Sarah
    March, Lyn
    Crawford, Ross
    Parker, David
    [J]. CLINICAL REHABILITATION, 2022, 36 (11) : 1524 - 1538
  • [3] Determinants of quality of life following total knee replacement.
    Katz, JN
    Wright, EA
    Mahomed, NN
    Fossel, AH
    Losina, E
    [J]. ARTHRITIS AND RHEUMATISM, 2005, 52 (09): : S658 - S658
  • [4] Determinants of anterior knee pain following total knee replacement: a systematic review
    van Jonbergen, Hans-Peter W.
    Reuver, Joost M.
    Mutsaerts, Eduard L.
    Poolman, Rudolf W.
    [J]. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2014, 22 (03) : 478 - 499
  • [5] Determinants of anterior knee pain following total knee replacement: a systematic review
    Hans-Peter W. van Jonbergen
    Joost M. Reuver
    Eduard L. Mutsaerts
    Rudolf W. Poolman
    [J]. Knee Surgery, Sports Traumatology, Arthroscopy, 2014, 22 : 478 - 499
  • [6] Prevalence of Clinically Significant Improvement Following Total Knee Replacement
    Alzahrani, Khalid
    Gandhi, Rajiv
    deBeer, Justin
    Petruccelli, Danielle
    Mahomed, Nizar
    [J]. JOURNAL OF RHEUMATOLOGY, 2011, 38 (04) : 753 - 759
  • [7] Health Related Quality of Life in Osteoarthritis Patients with Total Knee Replacement: A Longitudinal Cohort Study
    Bakshi, Amandeep Singh
    Kumar, Sanjeev
    Sahni, Girish
    Jain, Anku
    [J]. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2021, 15 (10) : RC10 - RC13
  • [8] Longitudinal Trajectories of Pain and Function Improvement Following Total Knee Replacement
    Yang, Heidi Y.
    Losina, Elena
    Lange, Jeffrey K.
    Katz, Jeffrey N.
    Collins, Jamie E.
    [J]. ACR OPEN RHEUMATOLOGY, 2019, 1 (05) : 308 - 317
  • [9] Participation Following Knee Replacement: The MOST Cohort Study
    Maxwell, Jessica L.
    Keysor, Julie J.
    Niu, Jingbo
    Singh, Jasvinder A.
    Wise, Barton L.
    Frey-Law, Laura
    Nevitt, Michael C.
    Felson, David T.
    [J]. PHYSICAL THERAPY, 2013, 93 (11): : 1467 - 1474
  • [10] Predictors of Adherence to a Step Count Intervention Following Total Knee Replacement: An Exploratory Cohort Study
    Duong, Vicky
    Dennis, Simone
    Ferreira, Manuela L.
    Heller, Gillian
    Nicolson, Philippa J. A.
    Robbins, Sarah R.
    Wang, Xia
    Hunter, David J.
    [J]. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 2022, 52 (09): : 620 - 629