Title
The impact of waiting for total joint replacement on pain and functional status: A systematic review
Author
Hoogeboom, T.J.
van den Ende, C.H.M.
van der Sluis, G.
Elings, J.
Dronkers, J.J.
Aiken, A.B.
van Meeteren, N.L.U.
TNO Kwaliteit van Leven
Publication year
2009
Abstract
Objective: To systematically describe changes in pain and functioning in patients with osteoarthritis (OA) awaiting total joint replacement (TJR), and to assess determinants of this change. Methods: MEDLINE®, EMBASE, CINAHL® and Cochrane Database were searched through June 2008. The reference lists of eligible publications were reviewed. Studies that monitored pain and functioning in patients with hip or knee OA during the waiting list for TJR were analyzed. Data were collected with a pre-specified collection tool. Methodological quality was assessed and a best-evidence analysis was performed to summarize results. Results: Fifteen studies, of which two were of high quality, were included and involved 788 hip and 858 knee patients (mean age 59-72 and main wait 42-399 days). There was strong evidence that pain (in hip and knee OA) and self-reported functioning (in hip OA) do not deteriorate during a <180 days wait. Conflicting evidence was established for the change on self-reported functioning in patients with knee OA waiting <180 days. Moreover, strong evidence was found for an association between the female gender and intensified pain. Conclusion: Patients with OA do not experience deterioration in pain or self-reported functional status whilst waiting <180 days for TJR. Changes over a longer waiting period are unclear. To strengthen and complement the present evidence, further high-quality studies are needed, in which preferably also performance-based measures are used. © 2009 Osteoarthritis Research Society International.
Subject
Health
Leefomgeving en gezondheid
Functional status
Natural course
Osteoarthritis
Pain
Total joint replacement
Waiting list
To reference this document use:
http://resolver.tudelft.nl/uuid:e0382a52-1406-48e4-9863-b530505f726a
DOI
https://doi.org/10.1016/j.joca.2009.05.008
TNO identifier
242129
ISSN
1063-4584
Source
Osteoarthritis and Cartilage, 17 (11), 1420-1427
Document type
article