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Clinical Rheumatology

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01-02-2021 | Ultrasound | Original Article

Assessment of patient satisfaction, functionality, and quality of life after ultrasound-guided knee intervention: a prospective study

Authors: Tejas Sheth, Oscar Mena Miranda, Beverly Johnson

Published in: Clinical Rheumatology | Issue 2/2021

Abstract

Objectives

The use of ultrasound (US) guidance for the injection and aspiration of joints has improved accuracy. The aim of this study was to determine if differences exist in the level of patient satisfaction, functionality, and the quality of life in adult patients receiving US-guided (USG) versus landmark-guided (LMG) knee procedures.

Methods

This prospective, randomized study enrolled 41 patients undergoing knee procedures to USG or LMG groups. visual analogue scale (VAS) for pain, knee injury and osteoarthritis outcome score (KOOS), and patient satisfaction score on a 5-point Likert scale were measured pre-procedure, immediate (< 30 min) and late (4–6 weeks) post-procedure.

Results

Thirty-seven patients were included in the final analysis after exclusion of 4 dropouts (18 in LMG arm, 19 in USG arm). Compared with LMG group, patients in the USG group had significantly better improvement in pain immediately (VAS 1.63 ± 1.6 (95% CI 0.91, 2.35) vs 4.05 ± 2.5 (95% CI 2.90, 4.62), p = 0.001) and later post-procedure (VAS 2.68 ± 2.0 (95% CI 1.78, 3.58) vs 6.38 ± 3.8 (95% CI 4.62, 8.14) p = 0.004) and satisfaction scores immediately (4.89 ± 0.3 (95% CI 4.76, 5.02) vs 4.11 ± 1.0 (95% CI 3.65, 4.57), p = 0.002) as well as delayed post-procedure (4.52 ± 0.9 (95% CI 4.12, 4.92) vs 3.38 ± 1.6 (95% CI 2.64, 4.12), p = 0.028).

Conclusion

USG knee procedures were associated with higher patient satisfaction, both immediately after the procedure and after 4–6 weeks compared with LMG knee procedures.

Key Points

•This prospective study is the first one to look at patient satisfaction as an outcome measure after intra-articular steroids knee injections.

•USG (US-guided) knee procedures were associated with higher patient satisfaction compared with LMG (landmark-guided) knee procedures.

•USG knee procedures resulted in greater improvement in symptoms, pain, and quality of life scales after 4–6 weeks compared with LMG knee procedures.

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Title: Assessment of patient satisfaction, functionality, and quality of life after ultrasound-guided knee intervention: a prospective study
Authors: Tejas Sheth
Oscar Mena Miranda
Beverly Johnson
Publication date: 01-02-2021
Publisher: Springer International Publishing
Keywords: Ultrasound
Ultrasound
Published in: Clinical Rheumatology / Issue 2/2021
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI: https://doi.org/10.1007/s10067-020-05254-6

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