Deprivation and outcome of total knee replacement.
Deprivation correlates with poor health and psychosocial variables can affect the symptoms of knee arthritis. Our aim was to determine the effect of deprivation on the level of knee function and health-related quality of life at the time of arthroplasty and 12 months after total knee replacement. From our database of over 2500 knee replacements, we analysed both clinical and quality of life outcome measures. We analysed the relationship between deprivation (by Townsend score), knee function (Knee Society Score) and health-related quality of life (Nottingham Health Profile) before total knee replacement (TKR) and at 12 months post-operation. There was no significant correlation between Townsend score, Knee Society Score and Nottingham Health Profile preoperatively or at 12 months after knee replacement, thus showing that there was no association between deprivation and the severity of knee arthritis at the time of joint replacement nor was there a relationship between deprivation and the short-term outcome from total knee replacement.
Department of Orthopaedics, Freeman Hospital, Freeman Road, High Heaton, Newcastle upon Tyne NE7 7DN, UK. james.murray@doctors.org.uk
James R D
JR
Murray
Paul D
PD
Birdsall
J Lester
JL
Sher
David J
DJ
Deehan
D001168:Arthritis / Q000523:psychology / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D011446:Prospective Studies; D011610:Psychosocial Deprivation; D011788:Quality of Life; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D006113:United Kingdom