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. 2019 Nov 13;2(11):e1915105. doi: 10.1001/jamanetworkopen.2019.15105

Table 2. Multivariable-Adjusted Logistic Regression Model Assessing Pre–Total Knee Arthroplasty (TKA) Factors Associated With the Slow Pain Responder Trajectorya.

Variable Full Modelb
OR (95% CI) P Value
Preoperative SF-36 MCS score, with 1-unit increase 0.98 (0.96-1.00) .02
Preoperative KOOS activities of daily living score for surgical knee, with 1-unit increase 0.97 (0.95-0.99) .007
Sex
Male 1 [Reference] NA
Female 1.13 (0.73-1.73) .58
Age, y
<65 1 [Reference] NA
≥65 0.97 (0.63-1.49) .21
BMI
<25
25-29.9 1.97 (1.00-3.84) .05
30-34.9 1.12 (0.56-2.24) .74
≥35 1.43 (0.69-2.95) .34
Race
White 1 [Reference] NA
Nonwhite 1.56 (0.70-3.49) NA
Charlson Comorbidity Index Score
0 1 [Reference] NA
1 1.25 (0.79-2.00) .34
2 1.20 (0.60-2.40) .42
≥3 0.78 (0.32-1.91) .35
Previous joint replacement surgery 0.82 (0.52-1.27) .37
No 1 [Reference] NA
Oswestry Disability Index low back pain
None 1 [Reference] NA
Mild 0.93 (0.58-1.49) .76
Moderate 0.92 (0.53-1.58) .76
Severe 0.87 (0.40-1.90) .72
Nonsurgical joints with moderate to severe pain, No.
0 1 [Reference] NA
1 0.91 (0.54-1.51) .70
2 1.17 (0.43-3.15) .76
3 0.73 (0.17-3.07) .67
Preoperative SF-36 PCS score, with 1-unit increase 1.00 (0.97-1.03) .95
Preoperative KOOS pain score for surgical knee, with 1-unit increase 1.02 (1.00-1.04) .06
Area under the receiver operating characteristic curve 0.64 NA

Abbreviations: BMI, body mass index (calculated as weight in kilograms divided by height in meters squared); KOOS, Knee Injury and Osteoarthritis Outcome Score; MCS, mental component summary; NA, not applicable; OR, odds ratio; PCS, physical component summary; SF-36, 36-Item Short Form Health Survey.

a

No evidence of multicollinearity was found because the variance inflation factors for each of the variables were 1.08 or lower (as a rule of thumb, a variable whose variance inflation factor values are greater than 10 may merit further investigation). Multivariable-adjusted logistic regression included the following factors: sex, age, BMI, race, preoperative Charlson Comorbidity Index score, previous joint replacement surgery, preoperative Oswestry Disability Index low back pain, preoperative number of nonsurgical joints with moderate to severe pain, preoperative SF-36 PCS score and MCS score, preoperative KOOS pain score for surgical knee, and KOOS activities of daily living score.

b

Only significant variables are listed in the table (significance level, P ≤ .05).