Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Knee replacement outcome predicted by physiotherapists: a prospective cohort study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Global warming and neurological practice: systematic review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  2. Clinical relevance assessment of animal preclinical research (RAA) tool: development and explanation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Extracellular vesicles in patients in the acute phase of psychosis and after clinical improvement: an explorative study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Prognostic value of complementary biomarkers of neurodegeneration in a mixed memory clinic cohort

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Automated pupillometry to detect command following in neurological patients: a proof-of-concept study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Infographic. Benefits and harms of exercise therapy in people with multimorbidity

    Publikation: Bidrag til tidsskriftKommentar/debatForskningpeer review

  2. Placebo response and effect in randomized clinical trials: meta-research with focus on contextual effects

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

Vis graf over relationer

Background: Knee arthroplasty (KA) is commonly used for osteoarthritis of the knee joint and it is a highly successful procedure. Still, KA leaves 20% of patients dissatisfied with their outcome. The purpose of this study was to determine if a prognosis made by physiotherapists at the orthopaedic wards during the first post-operative days could predict the 6- and 12-months outcome of KA.

Methods: Physiotherapists at two orthopaedic wards in Denmark were asked to predict the 6- and 12-months outcome of the KA patients they have treated post-operatively on a 0-10 scale (10 representing the best prognosis). At 6 and 12 months post-operatively the patients answered the Oxford Knee Score (OKS), EuroQol 5D-3L and Patient Acceptable Symptom State (PASS). Multivariable logistic regression analyses were performed to assess the prediction of PASS and treatment success. We assessed predictive performance by examining measures of calibration and discrimination.

Results: A total of 361 patients were included. The models for PASS and Treatment Success showed poor to acceptable discriminative values (OR between 1.47 and 1.92 and areas under the curves of 0.62-0.73), however the calibration plots indicated significant uncertainties in the prediction.

Conclusion: Physiotherapists prognoses of recovery after KA are associated with 6- and 12-months patient reported outcomes and satisfaction but have weak predictive value. This study suggests that physiotherapists' prognoses may be useful as an additional source of information when identifying patients in need of additional post-operative care.

OriginalsprogEngelsk
Artikelnummere10838
TidsskriftPeerJ
Vol/bind9
Sider (fra-til)e10838
ISSN2167-8359
DOI
StatusUdgivet - 23 feb. 2021

ID: 64182117