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Patient knowledge and beliefs about knee osteoarthritis after ACL injury and reconstruction

Patient knowledge and beliefs about knee osteoarthritis after ACL injury and reconstruction
Patient knowledge and beliefs about knee osteoarthritis after ACL injury and reconstruction
Objective: To explore 1) patients' knowledge and beliefs about osteoarthritis (OA) and OA risk following anterior cruciate ligament (ACL) injury, 2) extent to which information about these risks is provided by health professionals, and 3) associations amongst participant characteristics, knowledge and risk beliefs and health professional advice.

Methods: A custom-designed survey was conducted in Australian and American adults who sustained an ACL injury, with or without reconstruction, one to five years prior. The survey comprised three sections: 1) participant characteristics, 2) knowledge about OA and OA risk, and 3) health professional advice.

Results: Complete datasets from 233 eligible respondents were analyzed. Most (n=164, 70%) rated themselves as being at greater risk of OA than healthy peers, although only 56% (n=130) were able to identify the correct OA definition. While most agreed that ACL (n=168, 73%) and/or meniscal injuries (n=181, 78%) increase the risk of OA, 65% (n=152) believed that ACL reconstruction reduced the risk of OA or did not know. Twenty seven percent (n=62) recalled discussing their OA risk with a health professional. Participants who were female, younger, had a lower body mass index or higher physical activity level were more likely to recognise meniscal tears and meniscectomy as risk factors of OA. History of professional advice was associated with beliefs about increased OA risks.

Conclusion: Patients sustaining an ACL injury require better education from health professionals about OA as a disease entity and their elevated risk of OA, irrespective of whether they undergo surgical reconstruction or not. This article is protected by copyright. All rights reserved.
anterior cruciate ligament, health risk knowledge, survey, knee injury
0004-3591
1-26
Bennell, Kim
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Van Ginckel, Ans
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Kean, Crystal O.
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Nelligan, Rachel K.
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French, Simon D.
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Stokes, Maria
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Pietrosimone, Brian
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Blackburn, Troy
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Batt, Mark
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Hunter, David J.
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Spiers, Libby
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Hinman, Rana S.
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Bennell, Kim
824f89ff-f401-4cd5-aa2c-c7e5e952fbf3
Van Ginckel, Ans
6288212c-ff26-497d-b064-478dede55819
Kean, Crystal O.
2b267dae-7dbc-4800-9c39-f33838fa1624
Nelligan, Rachel K.
1338dd52-599a-46f8-9d65-063880d6ea5a
French, Simon D.
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Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
Pietrosimone, Brian
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Blackburn, Troy
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Batt, Mark
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Hunter, David J.
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Spiers, Libby
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Hinman, Rana S.
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Bennell, Kim, Van Ginckel, Ans, Kean, Crystal O., Nelligan, Rachel K., French, Simon D., Stokes, Maria, Pietrosimone, Brian, Blackburn, Troy, Batt, Mark, Hunter, David J., Spiers, Libby and Hinman, Rana S. (2015) Patient knowledge and beliefs about knee osteoarthritis after ACL injury and reconstruction. Arthritis & Rheumatism, 1-26. (doi:10.1002/acr.22794). (In Press)

Record type: Article

Abstract

Objective: To explore 1) patients' knowledge and beliefs about osteoarthritis (OA) and OA risk following anterior cruciate ligament (ACL) injury, 2) extent to which information about these risks is provided by health professionals, and 3) associations amongst participant characteristics, knowledge and risk beliefs and health professional advice.

Methods: A custom-designed survey was conducted in Australian and American adults who sustained an ACL injury, with or without reconstruction, one to five years prior. The survey comprised three sections: 1) participant characteristics, 2) knowledge about OA and OA risk, and 3) health professional advice.

Results: Complete datasets from 233 eligible respondents were analyzed. Most (n=164, 70%) rated themselves as being at greater risk of OA than healthy peers, although only 56% (n=130) were able to identify the correct OA definition. While most agreed that ACL (n=168, 73%) and/or meniscal injuries (n=181, 78%) increase the risk of OA, 65% (n=152) believed that ACL reconstruction reduced the risk of OA or did not know. Twenty seven percent (n=62) recalled discussing their OA risk with a health professional. Participants who were female, younger, had a lower body mass index or higher physical activity level were more likely to recognise meniscal tears and meniscectomy as risk factors of OA. History of professional advice was associated with beliefs about increased OA risks.

Conclusion: Patients sustaining an ACL injury require better education from health professionals about OA as a disease entity and their elevated risk of OA, irrespective of whether they undergo surgical reconstruction or not. This article is protected by copyright. All rights reserved.

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Accepted/In Press date: 17 November 2015
Keywords: anterior cruciate ligament, health risk knowledge, survey, knee injury
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 385363
URI: http://eprints.soton.ac.uk/id/eprint/385363
ISSN: 0004-3591
PURE UUID: 0b0095ec-cf6a-4089-ae83-7c4af8ed966c
ORCID for Maria Stokes: ORCID iD orcid.org/0000-0002-4204-0890

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Date deposited: 19 Jan 2016 11:56
Last modified: 17 Dec 2019 01:49

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Contributors

Author: Kim Bennell
Author: Ans Van Ginckel
Author: Crystal O. Kean
Author: Rachel K. Nelligan
Author: Simon D. French
Author: Maria Stokes ORCID iD
Author: Brian Pietrosimone
Author: Troy Blackburn
Author: Mark Batt
Author: David J. Hunter
Author: Libby Spiers
Author: Rana S. Hinman

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