Which patients improve most after total hip arthroplasty? Influence of patient characteristics on patient-reported outcome measures of 22,357 total hip arthroplasties in the Dutch Arthroplasty Register.


Journal

Hip international : the journal of clinical and experimental research on hip pathology and therapy
ISSN: 1724-6067
Titre abrégé: Hip Int
Pays: United States
ID NLM: 9200413

Informations de publication

Date de publication:
Sep 2021
Historique:
pubmed: 16 4 2020
medline: 1 10 2021
entrez: 16 4 2020
Statut: ppublish

Résumé

Patient-reported outcome measures (PROMs) after total hip arthroplasty (THA), can be influenced by patient characteristics (case-mix factors). We used the Dutch Arthroplasty Register (LROI) to determine the effect of case-mix on improvement of PROMs after primary THA. We included all primary THAs ( Postoperative improvement (delta-PROM) on HOOS-PS, OHS, EQ-5D, and pain relief were significantly higher in patients <60 years, in patients with female gender, a high ASA score (III-IV), a BMI >30 kg/m Patients benefiting most in terms of postoperative improvement of self-reported physical functioning, pain relief and quality of life after primary THA were young, female, with a high ASA or BMI score, and without previous operations to the hip.

Sections du résumé

BACKGROUND BACKGROUND
Patient-reported outcome measures (PROMs) after total hip arthroplasty (THA), can be influenced by patient characteristics (case-mix factors). We used the Dutch Arthroplasty Register (LROI) to determine the effect of case-mix on improvement of PROMs after primary THA.
METHODS METHODS
We included all primary THAs (
RESULTS RESULTS
Postoperative improvement (delta-PROM) on HOOS-PS, OHS, EQ-5D, and pain relief were significantly higher in patients <60 years, in patients with female gender, a high ASA score (III-IV), a BMI >30 kg/m
CONCLUSIONS CONCLUSIONS
Patients benefiting most in terms of postoperative improvement of self-reported physical functioning, pain relief and quality of life after primary THA were young, female, with a high ASA or BMI score, and without previous operations to the hip.

Identifiants

pubmed: 32290706
doi: 10.1177/1120700020913208
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

593-602

Auteurs

Rinne M Peters (RM)

Orthopaedic Surgery Department, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Orthopaedic Surgery Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Liza N van Steenbergen (LN)

Dutch Arthroplasty Register (Landelijke Registratie Orthopedische Implantaten), 's-Hertogenbosch, The Netherlands.

Roy E Stewart (RE)

Orthopaedic Surgery Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Martin Stevens (M)

Orthopaedic Surgery Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Paul C Rijk (PC)

Orthopaedic Surgery Department, Medical Center Leeuwarden, Leeuwarden, The Netherlands.

Sjoerd K Bulstra (SK)

Orthopaedic Surgery Department, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Wierd P Zijlstra (WP)

Orthopaedic Surgery Department, Medical Center Leeuwarden, Leeuwarden, The Netherlands.

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