Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in AustraliaKey points
Objective: To explore outcomes of anterior cruciate ligament (ACL) reconstructive surgery (ACLR) between individuals using private and public healthcare. Methods: We conducted a cross-sectional study of participants, 9–36 months post-ACLR using public or private healthcare services. Multivariable li...
Saved in:
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
|
| Series: | JSAMS Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S277269672500002X |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832087417567313920 |
|---|---|
| author | Thomas J. West Andrea M. Bruder Kay M. Crossley Michael A. Girdwood Laura K. To Jamon L. Couch Mark J. Scholes Sebastian C.S. Evans Melissa J. Haberfield Christian J. Barton Ewa M. Roos Alysha De Livera Adam G. Culvenor |
| author_facet | Thomas J. West Andrea M. Bruder Kay M. Crossley Michael A. Girdwood Laura K. To Jamon L. Couch Mark J. Scholes Sebastian C.S. Evans Melissa J. Haberfield Christian J. Barton Ewa M. Roos Alysha De Livera Adam G. Culvenor |
| author_sort | Thomas J. West |
| collection | DOAJ |
| description | Objective: To explore outcomes of anterior cruciate ligament (ACL) reconstructive surgery (ACLR) between individuals using private and public healthcare. Methods: We conducted a cross-sectional study of participants, 9–36 months post-ACLR using public or private healthcare services. Multivariable linear regression assessed the association between healthcare service used (private versus public) with self-reported outcomes (Knee injury and Osteoarthritis Outcome Score (KOOS) subscales of pain, symptoms, sport/recreation, knee-related quality of life (QoL); 0–100 scale), adjusting for potential confounders. Results: A total of 314 participants were included (median age 29 years, 35 % female). One hundred and thirty-nine (44 %) underwent ACLR using private healthcare. Individuals using private healthcare for ACLR reported better post-ACLR knee-related QoL (mean difference 5.1; 95%CI 0.6 to 9.7) than individuals using public healthcare, when adjusted for available confounders. No other KOOS subscale scores (pain, symptoms, sport/recreation) differed between healthcare groups in our adjusted analysis. Conclusions: Australian young adults who underwent ACLR using private healthcare (compared to public healthcare) services reported better knee-related QoL post-operatively in this cross-sectional cohort. Sociodemographic and socioeconomic factors contributed little to the differences observed. Future research should consider potential disparities in outcomes between participants using differing healthcare services both clinically and when recruiting participants into research studies evaluating outcomes post-ACLR. |
| format | Article |
| id | doaj-art-c1336e6724b34bd091500d7c02a186ed |
| institution | Kabale University |
| issn | 2772-6967 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JSAMS Plus |
| spelling | doaj-art-c1336e6724b34bd091500d7c02a186ed2025-02-06T05:13:06ZengElsevierJSAMS Plus2772-69672025-06-015100088Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in AustraliaKey pointsThomas J. West0Andrea M. Bruder1Kay M. Crossley2Michael A. Girdwood3Laura K. To4Jamon L. Couch5Mark J. Scholes6Sebastian C.S. Evans7Melissa J. Haberfield8Christian J. Barton9Ewa M. Roos10Alysha De Livera11Adam G. Culvenor12La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, Australia; Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, Australia; Corresponding author. La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Kingsbury Drive, Bundoora, Victoria, 3086, Australia.La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, Australia; Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, Australia; Arthritis Research Canada, Vancouver, CanadaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, Australia; Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, Australia; Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, School of Allied Health, Human Services and Sport, AustraliaDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkMathematics and Statistics, School of Computing Engineering and Mathematical Sciences, La Trobe University, Melbourne, Australia; Baker Heart and Diabetes Institute, Melbourne, Australia; School of Population and Global Health, The University of Melbourne, AustraliaLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia; Australian IOC Research Centre, La Trobe University, Melbourne, AustraliaObjective: To explore outcomes of anterior cruciate ligament (ACL) reconstructive surgery (ACLR) between individuals using private and public healthcare. Methods: We conducted a cross-sectional study of participants, 9–36 months post-ACLR using public or private healthcare services. Multivariable linear regression assessed the association between healthcare service used (private versus public) with self-reported outcomes (Knee injury and Osteoarthritis Outcome Score (KOOS) subscales of pain, symptoms, sport/recreation, knee-related quality of life (QoL); 0–100 scale), adjusting for potential confounders. Results: A total of 314 participants were included (median age 29 years, 35 % female). One hundred and thirty-nine (44 %) underwent ACLR using private healthcare. Individuals using private healthcare for ACLR reported better post-ACLR knee-related QoL (mean difference 5.1; 95%CI 0.6 to 9.7) than individuals using public healthcare, when adjusted for available confounders. No other KOOS subscale scores (pain, symptoms, sport/recreation) differed between healthcare groups in our adjusted analysis. Conclusions: Australian young adults who underwent ACLR using private healthcare (compared to public healthcare) services reported better knee-related QoL post-operatively in this cross-sectional cohort. Sociodemographic and socioeconomic factors contributed little to the differences observed. Future research should consider potential disparities in outcomes between participants using differing healthcare services both clinically and when recruiting participants into research studies evaluating outcomes post-ACLR.http://www.sciencedirect.com/science/article/pii/S277269672500002XAnterior cruciate ligamentKneeReconstructionOsteoarthritisHealthcare |
| spellingShingle | Thomas J. West Andrea M. Bruder Kay M. Crossley Michael A. Girdwood Laura K. To Jamon L. Couch Mark J. Scholes Sebastian C.S. Evans Melissa J. Haberfield Christian J. Barton Ewa M. Roos Alysha De Livera Adam G. Culvenor Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in AustraliaKey points JSAMS Plus Anterior cruciate ligament Knee Reconstruction Osteoarthritis Healthcare |
| title | Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in AustraliaKey points |
| title_full | Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in AustraliaKey points |
| title_fullStr | Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in AustraliaKey points |
| title_full_unstemmed | Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in AustraliaKey points |
| title_short | Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in AustraliaKey points |
| title_sort | outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in australiakey points |
| topic | Anterior cruciate ligament Knee Reconstruction Osteoarthritis Healthcare |
| url | http://www.sciencedirect.com/science/article/pii/S277269672500002X |
| work_keys_str_mv | AT thomasjwest outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT andreambruder outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT kaymcrossley outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT michaelagirdwood outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT laurakto outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT jamonlcouch outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT markjscholes outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT sebastiancsevans outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT melissajhaberfield outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT christianjbarton outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT ewamroos outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT alyshadelivera outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints AT adamgculvenor outcomesofanteriorcruciateligamentreconstructionsurgeryfromprivateandpublichealthcareservicesinaustraliakeypoints |