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首页> 外文期刊>Open Journal of Urology >Determining the Effect of Deprivation on Quality of Life after Total and Unicompartmental Knee Arthroplasty
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Determining the Effect of Deprivation on Quality of Life after Total and Unicompartmental Knee Arthroplasty

机译：确定剥夺对全室和单室膝关节置换术后生活质量的影响

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Determining the effect of deprivation on quality of life after total and unicompartmental knee arthroplasty Quality of life (QoL) following joint replacement is now a national priority, with every patient being assessed using the Oxford Knee Score. The current literature is conflicted as to whether deprivation has any effect on outcome after knee surgery. The type of surgery is another variable that may determine outcome. We set out to investigate which of these factors was a more powerful predictor of outcome. A prospective trial began where, 68 patients were telephoned, (30 TKA’s and 38 UKA’s). Each were asked a series of questions comprising the Oxford Knee Score (post operation), Imperial Knee Score (post operation), EuroQol-5D (pre and post operation) and individual deprivation questions. This was compared with the deprivation status using Townsend scores. A comparison of total and unicompartmental outcomes were also analysed including cost-effectiveness. No correlation was found between outcome and Townsend scores (p < 0.05). Age was seen to be a significant indicator of pre surgical QoL. However, a large and significant difference was found between UKA and TKA when using the EQ-5D (p < 0.05) and the Imperial Knee Score (p < 0.09). This was not reflected in the Oxford Knee Score. UKA’s were also found to be more cost-effective than TKA’s. Deprivation has no major effect on the outcome of knee surgery in London. A clear difference in efficacy exists between TKA’s and UKA’s. Sensitivity of scores needs to be addressed.
机译：确定关节置换术后整体和单室膝关节置换术后的剥夺对生活质量的影响现已成为国家优先事项，每位患者均使用牛津膝关节评分进行评估。关于剥夺对膝盖手术后的结局是否有任何影响，目前的文献存在争议。手术类型是可能决定结果的另一个变量。我们着手研究这些因素中的哪一个是更有效的预后指标。开始了一项前瞻性试验，其中给68名患者打电话（30个TKA和38个UKA）。每个人都被问到一系列问题，包括牛津膝盖得分（手术后），帝国膝盖得分（手术后），EuroQol-5D（手术前和手术后）以及个人剥夺问题。使用汤森分数将其与剥夺状态进行比较。还分析了总室和单室结局的比较，包括成本效益。结果与汤森德评分之间无相关性（p <0.05）。年龄被认为是术前QoL的重要指标。但是，使用EQ-5D（p <0.05）和英制膝关节评分（p <0.09）时，UKA和TKA之间发现了很大且显着的差异。牛津膝盖得分未反映出这一点。还发现UKA比TKA更具成本效益。在伦敦，剥夺对膝盖手术的结果没有重大影响。在TKA和UKA之间，功效存在明显差异。分数的敏感性需要解决。

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