Standard

Non-surgical treatment before hip and knee arthroplasty remains underutilized with low satisfaction regarding performance of work, sports, and leisure activities. / van Zaanen, Yvonne; Hoorntje, Alexander; Koenraadt, Koen L. M.; van Bodegom-Vos, Leti; Kerkhoffs, Gino M. M. J.; Waterval-Witjes, Suzanne; Boymans, Tim A. E. J.; van Geenen, Rutger C. I.; Kuijer, P. Paul F. M.

In: Acta orthopaedica, Vol. 91, No. 6, 2020, p. 717-723.

Research output: Contribution to journalArticleAcademicpeer-review

Harvard

APA

Vancouver

Author

van Zaanen, Yvonne ; Hoorntje, Alexander ; Koenraadt, Koen L. M. ; van Bodegom-Vos, Leti ; Kerkhoffs, Gino M. M. J. ; Waterval-Witjes, Suzanne ; Boymans, Tim A. E. J. ; van Geenen, Rutger C. I. ; Kuijer, P. Paul F. M. / Non-surgical treatment before hip and knee arthroplasty remains underutilized with low satisfaction regarding performance of work, sports, and leisure activities. In: Acta orthopaedica. 2020 ; Vol. 91, No. 6. pp. 717-723.

BibTeX

@article{02f14e7be49c4ba3ba17aa101818a44f,
title = "Non-surgical treatment before hip and knee arthroplasty remains underutilized with low satisfaction regarding performance of work, sports, and leisure activities",
abstract = "Background and purpose — Guidelines for managing hip and knee osteoarthritis (OA) advise extensive non-surgical treatment prior to surgery. We evaluated what percentage of hip and knee OA patients received non-surgical treatment prior to arthroplasty, and assessed patient satisfaction regarding alleviation of symptoms and performance of activities. Patients and methods — A multi-center cross-sectional study was performed in 2018 among 186 patients who were listed for hip or knee arthroplasty or had undergone surgery within the previous 6 months in the Netherlands. Questions concerned non-surgical treatments received according to the Stepped Care Strategy and were compared with utilization in 2013. Additionally, satisfaction with treatment effects for pain, swelling, stiffness, and activities of daily life, work, and sports/leisure was questioned. Results — The questionnaire was completed by 175 patients, age 66 years (range 38–84), 57% female, BMI 29 (IQR 25–33). Step 1 treatments, such as acetaminophen and lifestyle advice, were received by 79% and 60% of patients. Step 2 treatments, like exercise-based therapy and diet therapy, were received by 66% and 19%. Step 3—intra-articular injection—was received by 47%. Non-surgical treatment utilization was lower than in 2013. Nearly all treatments showed more satisfied patients regarding pain relief and fewer regarding activities of work/sports/leisure. Hip and knee OA patients were mostly satisfied with NSAIDs for all outcomes, while exercise-based therapy was rated second best. Interpretation — Despite international guideline recommendations, non-surgical treatment for hip and knee OA remains underutilized in the Netherlands. Of the patients referred for arthroplasty, more were satisfied with the effect of non-surgical treatment on pain than on work/sports/leisure participation.",
author = "{van Zaanen}, Yvonne and Alexander Hoorntje and Koenraadt, {Koen L. M.} and {van Bodegom-Vos}, Leti and Kerkhoffs, {Gino M. M. J.} and Suzanne Waterval-Witjes and Boymans, {Tim A. E. J.} and {van Geenen}, {Rutger C. I.} and Kuijer, {P. Paul F. M.}",
year = "2020",
doi = "10.1080/17453674.2020.1813440",
language = "English",
volume = "91",
pages = "717--723",
journal = "Acta orthopaedica",
issn = "1745-3674",
publisher = "Informa Healthcare",
number = "6",

}

RIS

TY - JOUR

T1 - Non-surgical treatment before hip and knee arthroplasty remains underutilized with low satisfaction regarding performance of work, sports, and leisure activities

AU - van Zaanen, Yvonne

AU - Hoorntje, Alexander

AU - Koenraadt, Koen L. M.

AU - van Bodegom-Vos, Leti

AU - Kerkhoffs, Gino M. M. J.

AU - Waterval-Witjes, Suzanne

AU - Boymans, Tim A. E. J.

AU - van Geenen, Rutger C. I.

AU - Kuijer, P. Paul F. M.

PY - 2020

Y1 - 2020

N2 - Background and purpose — Guidelines for managing hip and knee osteoarthritis (OA) advise extensive non-surgical treatment prior to surgery. We evaluated what percentage of hip and knee OA patients received non-surgical treatment prior to arthroplasty, and assessed patient satisfaction regarding alleviation of symptoms and performance of activities. Patients and methods — A multi-center cross-sectional study was performed in 2018 among 186 patients who were listed for hip or knee arthroplasty or had undergone surgery within the previous 6 months in the Netherlands. Questions concerned non-surgical treatments received according to the Stepped Care Strategy and were compared with utilization in 2013. Additionally, satisfaction with treatment effects for pain, swelling, stiffness, and activities of daily life, work, and sports/leisure was questioned. Results — The questionnaire was completed by 175 patients, age 66 years (range 38–84), 57% female, BMI 29 (IQR 25–33). Step 1 treatments, such as acetaminophen and lifestyle advice, were received by 79% and 60% of patients. Step 2 treatments, like exercise-based therapy and diet therapy, were received by 66% and 19%. Step 3—intra-articular injection—was received by 47%. Non-surgical treatment utilization was lower than in 2013. Nearly all treatments showed more satisfied patients regarding pain relief and fewer regarding activities of work/sports/leisure. Hip and knee OA patients were mostly satisfied with NSAIDs for all outcomes, while exercise-based therapy was rated second best. Interpretation — Despite international guideline recommendations, non-surgical treatment for hip and knee OA remains underutilized in the Netherlands. Of the patients referred for arthroplasty, more were satisfied with the effect of non-surgical treatment on pain than on work/sports/leisure participation.

AB - Background and purpose — Guidelines for managing hip and knee osteoarthritis (OA) advise extensive non-surgical treatment prior to surgery. We evaluated what percentage of hip and knee OA patients received non-surgical treatment prior to arthroplasty, and assessed patient satisfaction regarding alleviation of symptoms and performance of activities. Patients and methods — A multi-center cross-sectional study was performed in 2018 among 186 patients who were listed for hip or knee arthroplasty or had undergone surgery within the previous 6 months in the Netherlands. Questions concerned non-surgical treatments received according to the Stepped Care Strategy and were compared with utilization in 2013. Additionally, satisfaction with treatment effects for pain, swelling, stiffness, and activities of daily life, work, and sports/leisure was questioned. Results — The questionnaire was completed by 175 patients, age 66 years (range 38–84), 57% female, BMI 29 (IQR 25–33). Step 1 treatments, such as acetaminophen and lifestyle advice, were received by 79% and 60% of patients. Step 2 treatments, like exercise-based therapy and diet therapy, were received by 66% and 19%. Step 3—intra-articular injection—was received by 47%. Non-surgical treatment utilization was lower than in 2013. Nearly all treatments showed more satisfied patients regarding pain relief and fewer regarding activities of work/sports/leisure. Hip and knee OA patients were mostly satisfied with NSAIDs for all outcomes, while exercise-based therapy was rated second best. Interpretation — Despite international guideline recommendations, non-surgical treatment for hip and knee OA remains underutilized in the Netherlands. Of the patients referred for arthroplasty, more were satisfied with the effect of non-surgical treatment on pain than on work/sports/leisure participation.

UR - http://www.scopus.com/inward/record.url?scp=85090122191&partnerID=8YFLogxK

U2 - 10.1080/17453674.2020.1813440

DO - 10.1080/17453674.2020.1813440

M3 - Article

C2 - 32878525

VL - 91

SP - 717

EP - 723

JO - Acta orthopaedica

JF - Acta orthopaedica

SN - 1745-3674

IS - 6

ER -

ID: 13201301