CHRONIC PAIN AND HEALTH RELATED QUALITY OF LIFE ASSESSMENT ONE YEAR AFTER TOTAL KNEE ARTHROPLASTY
Elif Erdoğan-Öngel, Murat Öksüz, Yusuf Çakmak, Nilüfer Coşkun, Nurten Bakan
Sancaktepe Şehit Prof. Dr. İlhan Varank Education and Research Hospital, Anesthesiology and Reanimation Department, İstanbul, Turkey
Giriş: Severe pain is one of the most important reasons for total knee arthrosplasty (TKA). Even, 80-85% of patients have good results after TKA, 20% are dissatisfatied due to the pain, which affects patient health related quality of life (HRQOL). Our aims were to assess chronic pain prevalence, HRQOL, and factors associated with HRQOL in patients at least one year after TKA.
Gereç ve Yöntem: The study was a retrospective data analyze and prospective questionnaire study. Patients, who had undergone elective TKA operation for the first time between June 2019 and June 2021 in Sancaktepe Martyr Prof. Dr. Ilhan Varank Education and Training Hospital, were included the study. The identified patients were contacted by phone and asked to complete Numerical Rating Scale (NRS) for pain, Douleur Neuropathique 4 Questions (DN4) for neuropathic pain (NP), and Short Form 12 version 2 (SF-12 v2) for HRQOL questionnaires. SF-12 v2 has two components, Physical Component Summary Score (PCS) and Mental Health Component Summary Score (MCS). Demographic and peri-operative data were collected by reviewing the patients’ medical records retrospectively.
Bulgular: Of 122 patients, 105 (86%) patients accepted to take survey via telephone. According to MCS all patients showed good mental health, and we classified patients due to their PCS; low HRQOL (Group L, n=42) and high HRQOL (Group H, n=63). In demographic variables; age, body mass index, and chronic obstructive pulmonary disease were significantly higher in Group L. Post-operative NRS (p=0,007) and DN4 scores (p=0,002) were significantly high in Group L.
Tartışma ve Sonuç: Six percent of patients had chronic pain, 60% had high HRQOL after TKA, and older age, high BMI, COPD, post-operative chronic pain and post-operative NP were associated with HRQOL after TKA.
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