Negative Association of Subclinical Hypothyroidism on Improvement in Patient-Reported Outcomes After Total Knee Arthroplasty
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http://hdl.handle.net/10045/123574
Title: | Negative Association of Subclinical Hypothyroidism on Improvement in Patient-Reported Outcomes After Total Knee Arthroplasty |
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Authors: | Gonzalez-Navarro, Blanca | Gonzalez-Parreño, Santiago | Perez-Aznar, Adolfo | Miralles Muñoz, Francisco A. | Lizaur-Utrilla, Alejandro | Vizcaya-Moreno, M. Flores |
Research Group/s: | Enfermería Clínica (EC) |
Center, Department or Service: | Universidad de Alicante. Departamento de Enfermería |
Keywords: | Subclinical hypothyroidism | Total knee arthroplasty | Patient-reported outcome | Functional outcome | Depression |
Knowledge Area: | Enfermería |
Issue Date: | 1-Feb-2022 |
Publisher: | Elsevier |
Citation: | The Journal of Arthroplasty. 2022, 37(5): 864-868. https://doi.org/10.1016/j.arth.2022.01.073 |
Abstract: | Background: The purpose of this study is to analyze the potential influence of subclinical hypothyroidism (SCH) on improvement in patient-reported outcome measures following primary total knee arthroplasty. Methods: A prospective, comparative cohort study between 92 SCH and 90 euthyroid patients was performed. Patients were followed up to 5 postoperative years. Patient-reported outcome measure was assessed by the Western Ontario and McMaster Universities Osteoarthritis Index questionnaire. The Knee Society Scores were used for functional evaluation, and 5-point Likert scale for patient satisfaction. The Hospital Anxiety and Depression scale was also used. Results: All outcome scores significantly improved from preoperative to final follow-up in both groups (P = .001). There were no significant differences between groups in Knee Society Scores (P = .057) at the final follow-up, but Western Ontario and McMaster Universities Osteoarthritis Index scores were significantly lower in the SCH group (P = .015). Likewise, the patient satisfaction rate was significant lower in the SCH group (0.010). Conclusion: SCH patients have a slower functional recovery than euthyroid patients, and trended toward lower improvements in patient-reported scores. Depression was the most important negative factor. The findings of this study can provide the surgeon with an important information for better counseling the SCH patients. |
URI: | http://hdl.handle.net/10045/123574 |
ISSN: | 0883-5403 (Print) | 1532-8406 (Online) |
DOI: | 10.1016/j.arth.2022.01.073 |
Language: | eng |
Type: | info:eu-repo/semantics/article |
Rights: | © 2022 Elsevier Inc. |
Peer Review: | si |
Publisher version: | https://doi.org/10.1016/j.arth.2022.01.073 |
Appears in Collections: | INV - Enfermería Clínica - Artículos de Revistas |
Files in This Item:
File | Description | Size | Format | |
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Gonzalez-Navarro_etal_2022_JArthroplasty_final.pdf | Versión final (acceso restringido) | 214,49 kB | Adobe PDF | Open Request a copy |
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