A multivariable adjusted model exploring prognostic factors for patient-reported outcomes at 5 years for the exercise therapy plus delayed reconstruction group
KOOS-pain | KOOS-symptoms | KOOS-sport/rec | KOOS-QOL | |||||||||
Effect | 95% CI | p Value | Effect | 95% CI | p Value | Effect | 95% CI | p Value | Effect | 95% CI | p Value | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline cartilage defect | 2.7 | −11.2 to 16.5 | 0.68 | 0.0 | −23.1 to 23.1 | 1.00 | 12.7 | −19.8 to 45.3 | 0.41 | 8.9 | −19.1 to 36.8 | 0.50 |
Baseline meniscus damage | 14.3 | 0.7 to 27.9 | 0.04 | 4.4 | −18.4 to 27.2 | 0.68 | 27.4 | −3.8 to 58.7 | 0.08 | 22.8 | −5.0 to 50.5 | 0.10 |
Baseline osteochondral lesion | 6.2 | −5.8 to 18.2 | 0.28 | 3.2 | −16.7 to 23.2 | 0.73 | 2.9 | −25.1 to 31.0 | 0.82 | 1.3 | −23.0 to 25.5 | 0.91 |
Baseline extension deficit | −1.4 | −13.2 to 10.3 | 0.79 | 2.9 | −16.8 to 22.6 | 0.76 | 4.5 | −22.5 to 31.5 | 0.72 | −1.2 | −25.2 to 22.9 | 0.92 |
Graft/contralateral ACL rupture | −33.7 | −52.5 to −14.9 | 0.002 | −29.1 | −60.6 to 2.4 | 0.07 | −71.0 | −114.3 to −27.7 | 0.004 | −67.4 | −105.7 to −29.2 | 0.002 |
1 non-ACL surgery* | −4.3 | −16.3 to 7.8 | 0.45 | −5.4 | −25.5 to 14.7 | 0.57 | −14.2 | −42.3 to 13.9 | 0.29 | −7.1 | −31.5 to 17.4 | 0.54 |
≥2 non-ACL surgeries* | 6.2 | −10.1 to 22.5 | 0.42 | 6.2 | −20.9 to 33.2 | 0.63 | 0.2 | −40.0 to 40.4 | 0.99 | 7.6 | −24.8 to 40.0 | 0.62 |
SF-36 MCS at baseline | −0.2 | −0.4 to 0.1 | 0.17 | −0.2 | −0.7 to 0.2 | 0.23 | −0.2 | −0.8 to 0.4 | 0.56 | −0.4 | −0.9 to 0.2 | 0.16 |
KOOS4 baseline | −0.2 | −0.7 to 0.3 | 0.35 | 0.1 | −0.6 to 0.9 | 0.70 | −0.3 | −1.3 to 0.8 | 0.60 | −0.4 | −1.3 to 0.6 | 0.39 |
Rehabilitation visits | −0.1 | −0.3 to 0.0 | 0.12 | −0.1 | −0.3 to 0.2 | 0.48 | −0.1 | −0.4 to 0.3 | 0.74 | −0.1 | −0.4 to 0.2 | 0.53 |
*No non-ACL surgeries was used as a reference category in multivariable analysis.
Effect (regression coefficient): the estimate of the average change in a KOOS subscale (scores range from 0 (worst) to 100 (best)) that corresponds to a 1-unit change in the prognostic factor (1-unit=1 point on a 0–100 scale for KOOS4 and SF-36 MCS). All estimates are adjusted for sex, age, smoking, education level and preinjury activity level. Crude unadjusted estimates are presented in see online supplementary appendix. Non-ACL surgery: total number of knee surgery events not performed in the same surgical session as ACL reconstruction or revision. KOOS and SF-36 scores range from 0 (worst) to 100 (best).
Statistically significant effects (p<0.05) are highlighted in bold.
KOOS4, a mean score from four Knee injury and Osteoarthritis Outcome Score subscales (pain, symptoms, sport/rec and QOL); MCS, Mental Component Score; SF-36, 36-item Short-Form.