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Large variability in recommendations for return to daily life activities after knee arthroplasty among Dutch hospitals and clinics: a cross-sectional study.
Acta Orthopaedica ( IF 3.7 ) Pub Date : 2022-06-20 , DOI: 10.2340/17453674.2022.3168
A Carlien Straat 1 , Denise J M Smit 2 , Pieter Coenen 3 , Gino M M J Kerkhoffs 4 , Johannes R Anema 3 , P Paul F M Kuijer 5
Affiliation  

BACKGROUND AND PURPOSE Recommendations concerning the return to daily life activities, including work and sport, after knee arthroplasty (KA) are essential for setting realistic patient expectations. Fulfillment of these expectations contributes to more satisfaction and enhanced recovery after KA. However, scientific evidence for such recommendations is limited, and recommendations are often based only on healthcare professionals' expert opinions. We summarized the current recommendations regarding return to daily life activities provided by Dutch hospitals and clinics to KA patients. MATERIAL AND METHODS Recommendations of 43 Dutch hospitals and clinics were identified, representing the advice provided to 70% of the total Dutch KA patients. Recommendations were retrieved from content from websites (n = 8), brochures (n = 40), and mobile phone applications (n = 9). RESULTS Recommendations for 24 daily life activities were identified. Individual hospitals and clinics provided recommendations for, on average, 9 (0-15) of these activities. Recommendations varied greatly. For example, recommendations regarding when to resume cycling after KA were provided by 36 of the 43 hospitals and clinics and varied from 3 weeks to 3 months. INTERPRETATION Recommendations for return to daily life activities are often missing and vary considerably between Dutch hospitals and clinics. These findings show the need for more uniformity across healthcare providers regarding recommendations for postoperative return to daily life activities.

中文翻译:

荷兰医院和诊所膝关节置换术后恢复日常生活活动的建议差异很大:一项横断面研究。

背景和目的 关于膝关节置换术 (KA) 后恢复日常生活活动(包括工作和运动)的建议对于设定切合实际的患者期望至关重要。满足这些期望有助于提高 KA 后的满意度和恢复。然而,此类建议的科学证据有限,而且建议通常仅基于医疗保健专业人员的专家意见。我们总结了目前荷兰医院和诊所向 KA 患者提供的关于恢复日常生活活动的建议。材料和方法 确定了 43 家荷兰医院和诊所的建议,占荷兰 KA 患者总数的 70%。从网站 (n = 8)、小册子 (n = 40)、和手机应用程序 (n = 9)。结果 确定了 24 项日常生活活动的建议。个别医院和诊所平均为其中的 9 (0-15) 项活动提供了建议。建议差异很大。例如,43 家医院和诊所中有 36 家提供了关于 KA 后何时恢复骑自行车的建议,时间从 3 周到 3 个月不等。解释 恢复日常生活活动的建议通常缺失,并且在荷兰医院和诊所之间差异很大。这些发现表明,在术后恢复日常生活活动的建议方面,医疗保健提供者之间需要更加统一。个别医院和诊所平均为其中的 9 (0-15) 项活动提供了建议。建议差异很大。例如,43 家医院和诊所中有 36 家提供了关于 KA 后何时恢复骑自行车的建议,时间从 3 周到 3 个月不等。解释 恢复日常生活活动的建议通常缺失,并且在荷兰医院和诊所之间差异很大。这些发现表明,在术后恢复日常生活活动的建议方面,医疗保健提供者之间需要更加统一。个别医院和诊所平均为其中的 9 (0-15) 项活动提供了建议。建议差异很大。例如,43 家医院和诊所中有 36 家提供了关于 KA 后何时恢复骑自行车的建议,时间从 3 周到 3 个月不等。解释 恢复日常生活活动的建议通常缺失,并且在荷兰医院和诊所之间差异很大。这些发现表明,在术后恢复日常生活活动的建议方面,医疗保健提供者之间需要更加统一。解释 恢复日常生活活动的建议通常缺失,并且在荷兰医院和诊所之间差异很大。这些发现表明,在术后恢复日常生活活动的建议方面,医疗保健提供者之间需要更加统一。解释 恢复日常生活活动的建议通常缺失,并且在荷兰医院和诊所之间差异很大。这些发现表明,在术后恢复日常生活活动的建议方面,医疗保健提供者之间需要更加统一。
更新日期:2022-06-20
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