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Total knee arthroplasty: good agreement of clinical severity scores between patients and consultants.

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  • المؤلفون: Ebinesan AD;Ebinesan AD; Sarai BS; Walley G; Bridgman S; Maffulli N
  • المصدر:
    BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2006 Jul 31; Vol. 7, pp. 61. Date of Electronic Publication: 2006 Jul 31.
  • نوع النشر :
    Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: London : BioMed Central, [2000-
    • الموضوع:
      Arthroplasty, Replacement, Knee*/methods ; Health Care Rationing* ; Patient Selection* ; Severity of Illness Index*; Osteoarthritis, Knee/*physiopathology ; Osteoarthritis, Knee/*surgery; Disease Progression ; Female ; Humans ; Male ; Patients ; Physicians ; Surveys and Questionnaires
    • نبذة مختصرة :
      Background: Nearly 20,000 patients per year in the UK receive total knee arthroplasty (TKA). One of the problems faced by the health services of many developed countries is the length of time patients spend waiting for elective treatment. We therefore report the results of a study in which the Salisbury Priority Scoring System (SPSS) was used by both the surgeon and their patients to ascertain whether there were differences between the surgeon generated and patient generated Salisbury Priority Scores.
      Methods: The Salisbury Priority Scoring System (SPSS) was used to assign relative priority to patients with knee osteoarthritis as part of a randomised controlled trial comparing the standard medial parapatellar approach versus the sub-vastus approach in TKA. The operating surgeons and each patient completed the SPSS at the same pre-assessment clinic. The SPSS assesses four criteria, namely progression of disease, pain or distress, disability or dependence on others, and loss of usual occupation. Crosstabs and agreement measures (Cohen's kappa) were performed.
      Results: Overall, the four SPSS criteria showed a kappa value of 0.526, 0.796, 0.813, and 0.820, respectively, showing moderate to very good agreement between the patient and the operating consultant. Male patients showed better agreement than female patients.
      Conclusion: The Salisbury Priority Scoring System is a good means of assessing patients' needs in relation to elective surgery, with high agreement between the patient and the operating surgeon.
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    • الموضوع:
      Date Created: 20060802 Date Completed: 20060921 Latest Revision: 20181113
    • الموضوع:
      20221213
    • الرقم المعرف:
      PMC1552065
    • الرقم المعرف:
      10.1186/1471-2474-7-61
    • الرقم المعرف:
      16879741