1.Factors Correlated with the Quality of Life after Total Knee Arthroplasties: A Literature Review
Sunadi A ; Nursalam ; Mustikasari ; Krisnana I ; Kurniawati ND
Malaysian Orthopaedic Journal 2024;18(No.1):1-10
Introduction: Total Knee Arthroplasty (TKA) has been
widely reported to improve outcomes and quality of life
(QoL) in patients with knee osteoarthritis (KOA), but there
are still 15 - 20% of patients still experience pain, physical
limitations, and other complications after TKA. Therefore, it
is necessary to identify various factors that correlate with
QoL from current evidence. The objective is to review the
literature on factors that correlate with QoL in patients who
underwent TKA.
Materials and methods: A literature search was conducted
on five databases, i.e. ProQuest, CINAHL, Medline,
Embase, and Scopus, using the following keywords: total
knee arthroplasty (TKA), post-operative, quality of life
(QoL), and outcome. There were no restrictions on the
research design.
Results: This review found 14 articles (7 prospective studies
and 7 retrospective studies) involving 15,972 patients who
underwent TKA, with an age range of 32 - 94 years. All
articles reported improvement in QoL after TKA. The review
revealed 30 factors, of which 15 factors were significantly
correlated with QoL after TKA. The factors were grouped
into four types: demographic, socioeconomic, clinical, and
psychosocial factors.
Conclusion: Information regarding factors that correlate
with QoL after TKA can be used for directing treatment and
discharge planning according to the patient's factors.