Social determinants associated to chronic pain after total knee arthroplasty

Rodrigo Núñez-Cortés, Claudio Chamorro, Maritza Ortega-Palavecinos, Gustavo Mattar, Orlando Paredes, Álvaro Besoaín-Saldaña, Carlos Cruz-Montecinos

Resultado de la investigación: Article

1 Cita (Scopus)

Resumen

Aim of the study: Analyze the association between social health determinants (SHD) and chronic post-surgical pain (CPSP) after total knee arthroplasty (TKA). Method: A cross-sectional study was performed in 58 TKA patients. The subjects were classified in two groups: with (n = 22) or without (n = 36) CPSP. SHD considered were gender, age, educational level, economic income, and labour conditions. Results: Significant differences were found concerning educational level when comparing subjects with or without CPSP, with a low educational level of 22.4% and 19%, respectively. 15.5% of patients with persistent pain had a high educational level compared with 43.1% of the patients without persistent pain (p = 0.032). No significant differences were found for the other categories (p > 0.05). The odds ratio (95% confidence interval) was 3.28 (1.09–9.93) for lower educational level compared with high educational level. Discussion: CPSP must be considered a severe health problem. In addition to SDH, there are multiple factors associated with chronic pain after TKA that must be considered for an effective treatment. Conclusions: Patients with lower educational level showed a three-time higher association to develop CPSP. Considering SHD could be of relevance when elaborating new interventions or health strategies and more specialized counseling for patients with persistent pain after TKA.

Idioma originalEnglish
Páginas (desde-hasta)2767-2771
Número de páginas5
PublicaciónInternational Orthopaedics
Volumen43
N.º12
DOI
EstadoPublished - 1 dic 2019

Huella dactilar

Knee Replacement Arthroplasties
Chronic Pain
Pain
Social Determinants of Health
Health
Counseling
Cross-Sectional Studies
Odds Ratio
Economics
Confidence Intervals

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Citar esto

Núñez-Cortés, R., Chamorro, C., Ortega-Palavecinos, M., Mattar, G., Paredes, O., Besoaín-Saldaña, Á., & Cruz-Montecinos, C. (2019). Social determinants associated to chronic pain after total knee arthroplasty. International Orthopaedics, 43(12), 2767-2771. https://doi.org/10.1007/s00264-019-04370-6
Núñez-Cortés, Rodrigo ; Chamorro, Claudio ; Ortega-Palavecinos, Maritza ; Mattar, Gustavo ; Paredes, Orlando ; Besoaín-Saldaña, Álvaro ; Cruz-Montecinos, Carlos. / Social determinants associated to chronic pain after total knee arthroplasty. En: International Orthopaedics. 2019 ; Vol. 43, N.º 12. pp. 2767-2771.
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abstract = "Aim of the study: Analyze the association between social health determinants (SHD) and chronic post-surgical pain (CPSP) after total knee arthroplasty (TKA). Method: A cross-sectional study was performed in 58 TKA patients. The subjects were classified in two groups: with (n = 22) or without (n = 36) CPSP. SHD considered were gender, age, educational level, economic income, and labour conditions. Results: Significant differences were found concerning educational level when comparing subjects with or without CPSP, with a low educational level of 22.4{\%} and 19{\%}, respectively. 15.5{\%} of patients with persistent pain had a high educational level compared with 43.1{\%} of the patients without persistent pain (p = 0.032). No significant differences were found for the other categories (p > 0.05). The odds ratio (95{\%} confidence interval) was 3.28 (1.09–9.93) for lower educational level compared with high educational level. Discussion: CPSP must be considered a severe health problem. In addition to SDH, there are multiple factors associated with chronic pain after TKA that must be considered for an effective treatment. Conclusions: Patients with lower educational level showed a three-time higher association to develop CPSP. Considering SHD could be of relevance when elaborating new interventions or health strategies and more specialized counseling for patients with persistent pain after TKA.",
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Núñez-Cortés, R, Chamorro, C, Ortega-Palavecinos, M, Mattar, G, Paredes, O, Besoaín-Saldaña, Á & Cruz-Montecinos, C 2019, 'Social determinants associated to chronic pain after total knee arthroplasty', International Orthopaedics, vol. 43, n.º 12, pp. 2767-2771. https://doi.org/10.1007/s00264-019-04370-6

Social determinants associated to chronic pain after total knee arthroplasty. / Núñez-Cortés, Rodrigo; Chamorro, Claudio; Ortega-Palavecinos, Maritza; Mattar, Gustavo; Paredes, Orlando; Besoaín-Saldaña, Álvaro; Cruz-Montecinos, Carlos.

En: International Orthopaedics, Vol. 43, N.º 12, 01.12.2019, p. 2767-2771.

Resultado de la investigación: Article

TY - JOUR

T1 - Social determinants associated to chronic pain after total knee arthroplasty

AU - Núñez-Cortés, Rodrigo

AU - Chamorro, Claudio

AU - Ortega-Palavecinos, Maritza

AU - Mattar, Gustavo

AU - Paredes, Orlando

AU - Besoaín-Saldaña, Álvaro

AU - Cruz-Montecinos, Carlos

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Aim of the study: Analyze the association between social health determinants (SHD) and chronic post-surgical pain (CPSP) after total knee arthroplasty (TKA). Method: A cross-sectional study was performed in 58 TKA patients. The subjects were classified in two groups: with (n = 22) or without (n = 36) CPSP. SHD considered were gender, age, educational level, economic income, and labour conditions. Results: Significant differences were found concerning educational level when comparing subjects with or without CPSP, with a low educational level of 22.4% and 19%, respectively. 15.5% of patients with persistent pain had a high educational level compared with 43.1% of the patients without persistent pain (p = 0.032). No significant differences were found for the other categories (p > 0.05). The odds ratio (95% confidence interval) was 3.28 (1.09–9.93) for lower educational level compared with high educational level. Discussion: CPSP must be considered a severe health problem. In addition to SDH, there are multiple factors associated with chronic pain after TKA that must be considered for an effective treatment. Conclusions: Patients with lower educational level showed a three-time higher association to develop CPSP. Considering SHD could be of relevance when elaborating new interventions or health strategies and more specialized counseling for patients with persistent pain after TKA.

AB - Aim of the study: Analyze the association between social health determinants (SHD) and chronic post-surgical pain (CPSP) after total knee arthroplasty (TKA). Method: A cross-sectional study was performed in 58 TKA patients. The subjects were classified in two groups: with (n = 22) or without (n = 36) CPSP. SHD considered were gender, age, educational level, economic income, and labour conditions. Results: Significant differences were found concerning educational level when comparing subjects with or without CPSP, with a low educational level of 22.4% and 19%, respectively. 15.5% of patients with persistent pain had a high educational level compared with 43.1% of the patients without persistent pain (p = 0.032). No significant differences were found for the other categories (p > 0.05). The odds ratio (95% confidence interval) was 3.28 (1.09–9.93) for lower educational level compared with high educational level. Discussion: CPSP must be considered a severe health problem. In addition to SDH, there are multiple factors associated with chronic pain after TKA that must be considered for an effective treatment. Conclusions: Patients with lower educational level showed a three-time higher association to develop CPSP. Considering SHD could be of relevance when elaborating new interventions or health strategies and more specialized counseling for patients with persistent pain after TKA.

KW - Arthroplasty

KW - Knee

KW - Pain

KW - Post-surgical pain

KW - Social determinants of health

KW - Total knee replacement

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U2 - 10.1007/s00264-019-04370-6

DO - 10.1007/s00264-019-04370-6

M3 - Article

C2 - 31321463

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VL - 43

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EP - 2771

JO - International Orthopaedics

JF - International Orthopaedics

SN - 0341-2695

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Núñez-Cortés R, Chamorro C, Ortega-Palavecinos M, Mattar G, Paredes O, Besoaín-Saldaña Á y otros. Social determinants associated to chronic pain after total knee arthroplasty. International Orthopaedics. 2019 dic 1;43(12):2767-2771. https://doi.org/10.1007/s00264-019-04370-6