The impact of waiting for total joint replacement on pain and functional status: a systematic review

T J Hoogeboom, C H M van den Ende, G van der Sluis, J Elings, J J Dronkers, A B Aiken, N L U van Meeteren

Research output: Contribution to journalReview articlepeer-review

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
Original languageEnglish
Pages (from-to)1420-1427
Number of pages8
JournalOsteoarthritis and Cartilage
Volume17
Issue number11
DOIs
Publication statusPublished - Nov 2009

Keywords

  • United States
  • aged
  • arthroplasty
  • evidence-based medicine
  • female
  • hip
  • knee
  • male
  • methods
  • middle aged
  • numerical data
  • osteoarthritis
  • pain measurement
  • patient selection
  • physiopathology
  • replacements
  • severity of illness index
  • statistics
  • time factors
  • waiting lists

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