Postoperative Care Navigation for Total Knee Arthroplasty Patients: A Randomized Controlled Trial.

ABSTRACT:

Objective

To establish the efficacy of motivational interviewing-based postoperative care navigation in improving functional status after total knee arthroplasty (TKA) and to identify subgroups likely to benefit from the intervention.

Methods

We conducted a parallel randomized controlled trial in TKA recipients with 2 arms: postoperative care with frequent followup by a care navigator or usual care. The primary outcome was the difference between the arms in Western Ontario and McMaster Universities Osteoarthritis Index function score change, over 6 months postsurgery. We performed a preplanned subgroup analysis of differential efficacy by obesity and exploratory subgroup analyses on sex and pain catastrophizing.

Results

We enrolled 308 subjects undergoing TKA for oste

SUBMITTER: Losina E 

PROVIDER: S-EPMC5480617 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature