オカザキ　ケン   KEN OKAZAKI   岡崎　賢    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Assessing the Validity of a New Prediction Model for Patient Satisfaction After Total Knee Arthroplasty: A Retrospective Cross-Sectional Study.
掲載誌名	正式名：Orthopedic research and reviews 略　 称：Orthop Res Rev ISSNコード：11791462/11791462
掲載区分	国外
巻・号・頁	12,pp.133-137
著者・共著者	Itou Junya, Itoh Masafumi, Kuwashima Umito, Okazaki Ken
担当区分	最終著者,責任著者
発行年月	2020
概要	Purpose:Previously, a simplified model using statistically selected questionnaires from various patients reported outcome measures (PROMs) was proposed to predict patient satisfaction after total knee arthroplasty (TKA). However, this simple and useful model needs to be validated across ethnic and cultural differences. The objective of this study was to evaluate the utility of this predictive model in Japanese patients.Patients and Methods:Of all knees treated using primary TKA at our institution between August 2017 and June 2018, this study involved 50 knees of 48 patients (11 men, 37 women) to whom the predictive model was applied preoperatively and from whom PROMs were obtained at least 1 year postoperatively. To evaluate PROMs, patients completed the KSS and the Forgotten Joint Score-12. Correlations were analyzed between preoperatively predicted postoperative patient satisfaction and actual postoperative patient satisfaction, as well as each PROM.Results:KSS satisfaction improved from 15.6 ± 6.1 preoperatively to 27.8 ± 8.3 postoperatively, with satisfaction reported for 41 knees (82%). The preoperatively predicted postoperative patient satisfaction score was 26.3 ± 4.6, with no significant correlation with actual postoperative score (r = 0.05, p = 0.72). The difference between preoperatively predicted patient satisfaction and actual postoperative patient satisfaction was positively correlated with the score for question 9 of the Pain Catastrophizing Scale, among other instruments constituting the predictive model.Conclusion:Our data suggest that the predictive model had a low predictive value and that it had limited applicability to Japanese patients. The results also suggest that a tendency toward catastrophic thinking is associated with discrepancy between preoperatively predicted postoperative patient satisfaction and actual postoperative patient satisfaction. The predictive model has low utility and needs some modification.
DOI	10.2147/ORR.S271253
PMID	32982488