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Randomized Controlled Trial
. 2019 Nov 29;14(1):405.
doi: 10.1186/s13018-019-1412-6.

A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial

Bura Sindhupakorn  1 , Piya-On Numpaisal  2 , Suwittaya Thienpratharn  2 , Darawan Jomkoh  2
Affiliations
Randomized Controlled Trial

A home visit program versus a non-home visit program in total knee replacement patients: a randomized controlled trial

Bura Sindhupakorn et al. J Orthop Surg Res. .

Abstract

Background: The goals in total knee replacement (TKR) are pain relief, restore functions, and improve quality of life. Surgical outcomes were not related to patients' satisfaction. Low 1-year WOMAC especially in the first 6 weeks and painful TKR related to patient dissatisfied. To improve satisfaction, we created the home visit program (TKR-H) after hospital discharge. INHOMESSS was the rationale for home visit activities.

Methods: We recruited 52 TKRs. Four TKRs were excluded. We used simple randomization for 24 patients as a home visit (TKR-H) and 24 patients as a non-home visit (TKR). Patients were evaluated by general demographics, pain intensity scores (VAS), range of motion (ROM), WOMAC, knee scores, and functional scores as a primary objective. A duration for gait aid independent and patient's satisfaction score as secondary objective. The study was 6 weeks after surgery.

Results: TKR-H and TKR had significant differences in the mean of WOMAC score (88.29 ± 10.66 vs. 68.00 ± 12.47, respectively, P < 0.001), pain score (VAS) (6.25 ± 10.13 vs. 35.67 ± 22.05, respectively, P < 0.001), knee score (81.67 ± 10.08 vs. 68.38 ± 6.45, respectively, P < 0.001), functional score (77.83 ± 4.22 vs. 73.70 ± 7.48, respectively, P = 0.037), and range of motion (107.71 ± 8.47 vs. 98.17 ± 9.57, respectively, P = 0.001). The patient's satisfaction score in TKR-H group (4.71 ± 0.46) was significantly higher than the TKR group (4.13 ± 0.45) (P < 0.001) and time to gait aid independent (2.75 ± 0.99 vs. 3.71 ± 1.23, respectively, P = 0.005).

Conclusion: Our TKR-H showed better clinical outcomes and satisfaction than non-home visit. The rationale in TKR-H improves satisfaction after total knee replacement.

Trial registration: TCTR20190514001.

Keywords: Home visit program; Non-home visit program; Total knee replacement.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
CONSORT 2010 flow diagram
Fig. 2
Fig. 2
Summarized percentage of patient’s satisfaction between TKR-H and TKR
See this image and copyright information in PMC

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References

    1. Ethgen O, Bruyere O, Richy F, et al. Health related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg Ser A. 2004;86(5):963–974. doi: 10.2106/00004623-200405000-00012. - DOI - PubMed
    1. NIH Consensus Statement on total knee replacement. [No authors listed] NIH Consens State Sci Statements. 2003;20(1):1-34. - PubMed
    1. Lavernia Carlos J., Guzman Jose F., Gachupin-Garcia Andrea. Cost Effectiveness and Quality of Life in Knee Arthroplasty. Clinical Orthopaedics and Related Research. 1997;345:134–139. doi: 10.1097/00003086-199712000-00018. - DOI - PubMed
    1. Kennedy DM, Stratford PW, Wessel J, Gollish JD, Penney D. Assessing stability and change of four performance measures: a longitudinal study evaluating outcome following total hip and knee arthroplasty. BMC Musculoskelet Disord. 2005;6:article 3. doi: 10.1186/1471-2474-6-3. - DOI - PMC - PubMed
    1. Lavernia J, D’Apuzzo MR, Hernandez VH, Lee DJ, Rossi MD. Postdischarge costs in arthroplasty surgery. J Arthroplasty. 2006;21(6, supplement 2):144–150. doi: 10.1016/j.arth.2006.05.003. - DOI - PubMed

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