11. QUALITY OF LIFE IN PATIENTS AFTER UNDERGOING TOTAL KNEE ARTHROPLASTY AT VIET DUC HOSPITAL 2025
Main Article Content
Abstract
Objective: This study aimed to describe and analyze the factors associated with health-related quality of life among patients six months after undergoing total knee arthroplasty at Viet Duc University Hospital in 2025.
Subject and methods: A descriptive cross-sectional study was conducted on a sample of 108 patients who had undergone total knee arthroplasty. The WHOQOL-BREF instrument was utilized to assess. Relevant sociodemographic and clinical factors were also collected to examine their association with health-related quality of life.
Results: The mean health-related quality of life score of patients after total knee arthroplasty was 60.62 ± 4.25. Among the domains, the highest health-related quality of life score was observed in the social relationships domain (65.97 ± 2.31), followed by the environment domain (63.19 ± 6.06), the physical health domain (57.97 ± 8.38), and the lowest was the psychological domain (55.36 ± 5.35). Factors including age, education level, comorbidities, anxiety, depression, pain, joint stiffness, and difficulty in performing daily activities were found to be significantly associated with the health-related quality of life of patients six months after total knee arthroplasty.
Conclusion: Total knee arthroplasty can improve the health-related quality of life of patients with osteoarthritis. Information on factors-especially those that are significantly associated with health-related quality of life after surgery-can be considered to guide treatment based on individual patient characteristics. A better understanding of health-related quality of life and its associated factors can provide valuable insights into the effectiveness of interventions and lead to improved patient care.
Article Details
Keywords
Quality of life, related factors, total knee arthroplasty.
References
[2] Trần N.A, Nguyễn T.N.L. Phác đồ chẩn đoán và điều trị các bệnh cơ xương khớp thường gặp. Nhà xuất bản Giáo dục Việt Nam, 2005.
[3] Ngô Q.H và cộng sự. Đánh giá kết quả thay khớp gối toàn phần điều trị thoái hóa khớp gối tại Bệnh viện Quân y 175. Tạp chí Y Dược thực hành 175, 2023, 28 (9).
[4] Askari A et al. Predictors of health-related quality of life after total knee arthroplasty: a case-control study. Scientific Reports, 2024, 14 (1): p. 14176.
[5] Chang J et al. Patient-Reported Quality of Life Before and After Total Knee Arthroplasty: A Multicenter Observational Study. Patient Prefer Adherence, 2022, 16: p. 737-748.
[6] Casper D.S et al. Unicompartmental Knee Arthroplasty Provides Significantly Greater Improvement in Function than Total Knee Arthroplasty Despite Equivalent Satisfaction for Isolated Medial Compartment Osteoarthritis. J Arthroplasty, 2019, 34 (8): p. 1611-1616.
[7] Hannan A et al. Prevalence of Post-Surgical Pain and Quality of Life After Total Knee Replacement: Post-Surgical Pain and Quality of Life After Total Knee Replacement. Pakistan Journal of Health Sciences, 2024, 5 (10): p. 136-141.
[8] Leem S.H et al. Quality of life of persons after total knee replacement surgery. Physical Therapy Rehabilitation Science, 2019, 8: p. 170-174.
[9] Ingleshwar A et al. Psychosocial Determinants of Total Knee Arthroplasty Outcomes 2 Years After Surgery. In arthritis and rheumatism, 2013. Wiley-blackwell 111 River st, Hoboken 07030-5774, NJ USA.
[10] Kornilov N et al. Higher physical activity and lower pain levels before surgery predict non-improvement of knee pain 1 year after TKA, 2018, 26: p. 1698-1708.
[11] Al Thaher Y et al. Health-Related Quality of Life and Outcome after Total Knee Replacement: Results from a Cross-Sectional Survey in Jordan. Adv Orthop, 2021: p. 5506809.
[12] Bakshi A et al. Health Related Quality of Life in Osteoarthritis Patients with Total Knee Replacement: A Longitudinal Cohort Study. Journal of Clinical and Diagnostic Research, 2021.
[13] Woo B.J et al, Improvements in functional outcome and quality of life are not sustainable for patients ≥ 68 years old 10 years after total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2021, 29 (10): p. 3330-3336.
[14] Shetty S et al. Factors determinant of quality of life after total knee arthroplasty in knee osteoarthritis: A systematic review. Journal of Bodywork and Movement Therapies, 2024, 40: p. 1588-1604.
[15] Desmeules F et al. Determinants of pain, functional limitations and health-related quality of life six months after total knee arthroplasty: results from a prospective cohort study, 2013, 5: p. 1-11.
[16] Snell D.L et al. Associations between comorbidity and quality of life outcomes after total joint replacement. Qual Life Res, 2021. 30 (1): p. 137-144.
[17] Siviero P et al. Quality of life outcomes in patients undergoing knee replacement surgery: longitudinal findings from the QPro-Gin study. BMC Musculoskelet Disord, 2020, 21 (1): p. 436.
[18] Zhou Y.Y et al. Education level has an effect on the recovery of total knee arthroplasty: a retrospective study. BMC Musculoskelet Disord, 2022, 23 (1): p. 1072.
[19] Bindawas S.M. Total knee arthroplasty status and patient-reported, knee-related quality of life over a 4-year follow-up period: data from the osteoarthritis initiative. Patient Prefer Adherence, 2018, 12: p. 477-482.
[20] Charles Lozoya S et al. Obesity, depression and factors associated to the quality of life in total knee arthroplasty. Cir Cir, 2020, 88 (2): p. 143-149.
[21] Jiménez Ortiz M et al. Do preoperative anxiety and depression influence the outcome of knee arthroplasty? Reumatol Clin (Engl Ed), 2020, 16 (3): p. 216-221.
[22] Hiyama Y.T et al. Wada, Association between disease-specific anxiety at discharge and functional outcome in patients after total knee arthroplasty. Knee, 2019, 26 (2): p. 477-483.
[23] Heijbel S et al. Patient-Reported Anxiety or Depression Increased the Risk of Dissatisfaction Despite Improvement in Pain or Function Following Total Knee Arthroplasty: A Swedish Register-Based Observational Study of 8,745 Patients. The Journal of Arthroplasty, 2024, 39 (11): p. 2708-2713.
[24] Seagrave K.G et al. Association between pre-operative anxiety and/or depression and outcomes following total hip or knee arthroplasty, 2021, 29 (1): p. 2309499021992605.
[25] Sunadi A et al. Kurniawati, Factors Correlated with the Quality of Life after Total Knee Arthroplasties: A Literature Review. Malays Orthop J, 2024, 18 (1): p. 1-10.
[26] da Silva R.R et al. Quality of life after total knee arthroplasty: systematic review. Rev Bras Ortop, 2014, 49 (5): p. 520-7.
[27] Brandes M et al. Changes in physical activity and health-related quality of life during the first year after total knee arthroplasty. Arthritis Care Res (Hoboken), 2011, 63 (3): p. 328-34.