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Socioeconomic status affects the Oxford knee score and short-form 12 score following total knee replacement.
Bone Joint J. 2013 Jan; 95-B(1):52-8.BJ

Abstract

We assessed the effect of social deprivation upon the Oxford knee score (OKS), the Short-Form 12 (SF-12) and patient satisfaction after total knee replacement (TKR). An analysis of 966 patients undergoing primary TKR for symptomatic osteoarthritis (OA) was performed. Social deprivation was assessed using the Scottish Index of Multiple Deprivation. Those patients that were most deprived underwent surgery at an earlier age (p = 0.018), were more likely to be female (p = 0.046), to endure more comorbidities (p = 0.04) and to suffer worse pain and function according to the OKS (p < 0.001). In addition, deprivation was also associated with poor mental health (p = 0.002), which was assessed using the mental component (MCS) of the SF-12 score. Multivariable analysis was used to identify independent predictors of outcome at one year. Pre-operative OKS, SF-12 MCS, back pain, and four or more comorbidities were independent predictors of improvement in the OKS (all p < 0.001). Pre-operative OKS and improvement in the OKS were independent predictors of dissatisfaction (p = 0.003 and p < 0.001, respectively). Although improvement in the OKS and dissatisfaction after TKR were not significantly associated with social deprivation per se, factors more prevalent within the most deprived groups significantly diminished their improvement in OKS and increased their rate of dissatisfaction following TKR.

Authors+Show Affiliations

University of Edinburgh, Department of Orthopaedics, The Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SU, UK. nickclement@doctors.org.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

23307673

Citation

Clement, N D., et al. "Socioeconomic Status Affects the Oxford Knee Score and Short-form 12 Score Following Total Knee Replacement." The Bone & Joint Journal, vol. 95-B, no. 1, 2013, pp. 52-8.
Clement ND, Jenkins PJ, MacDonald D, et al. Socioeconomic status affects the Oxford knee score and short-form 12 score following total knee replacement. Bone Joint J. 2013;95-B(1):52-8.
Clement, N. D., Jenkins, P. J., MacDonald, D., Nie, Y. X., Patton, J. T., Breusch, S. J., Howie, C. R., & Biant, L. C. (2013). Socioeconomic status affects the Oxford knee score and short-form 12 score following total knee replacement. The Bone & Joint Journal, 95-B(1), 52-8. https://doi.org/10.1302/0301-620X.95B1.29749
Clement ND, et al. Socioeconomic Status Affects the Oxford Knee Score and Short-form 12 Score Following Total Knee Replacement. Bone Joint J. 2013;95-B(1):52-8. PubMed PMID: 23307673.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Socioeconomic status affects the Oxford knee score and short-form 12 score following total knee replacement. AU - Clement,N D, AU - Jenkins,P J, AU - MacDonald,D, AU - Nie,Y X, AU - Patton,J T, AU - Breusch,S J, AU - Howie,C R, AU - Biant,L C, PY - 2013/1/12/entrez PY - 2013/1/12/pubmed PY - 2013/3/12/medline SP - 52 EP - 8 JF - The bone & joint journal JO - Bone Joint J VL - 95-B IS - 1 N2 - We assessed the effect of social deprivation upon the Oxford knee score (OKS), the Short-Form 12 (SF-12) and patient satisfaction after total knee replacement (TKR). An analysis of 966 patients undergoing primary TKR for symptomatic osteoarthritis (OA) was performed. Social deprivation was assessed using the Scottish Index of Multiple Deprivation. Those patients that were most deprived underwent surgery at an earlier age (p = 0.018), were more likely to be female (p = 0.046), to endure more comorbidities (p = 0.04) and to suffer worse pain and function according to the OKS (p < 0.001). In addition, deprivation was also associated with poor mental health (p = 0.002), which was assessed using the mental component (MCS) of the SF-12 score. Multivariable analysis was used to identify independent predictors of outcome at one year. Pre-operative OKS, SF-12 MCS, back pain, and four or more comorbidities were independent predictors of improvement in the OKS (all p < 0.001). Pre-operative OKS and improvement in the OKS were independent predictors of dissatisfaction (p = 0.003 and p < 0.001, respectively). Although improvement in the OKS and dissatisfaction after TKR were not significantly associated with social deprivation per se, factors more prevalent within the most deprived groups significantly diminished their improvement in OKS and increased their rate of dissatisfaction following TKR. SN - 2049-4408 UR - https://www.unboundmedicine.com/medline/citation/23307673/Socioeconomic_status_affects_the_Oxford_knee_score_and_short_form_12_score_following_total_knee_replacement_ L2 - https://online.boneandjoint.org.uk/doi/full/10.1302/0301-620X.95B1.29749?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -