Does Total Hip or Knee Arthroplasty Have an Effect on the Patients' Functional or Behavioral Outcome and Health-Related Quality of Life of the Affected Partners?
arthroplasty
habitual activity
osteoarthritis
quality of life
spouses
Journal
The Journal of arthroplasty
ISSN: 1532-8406
Titre abrégé: J Arthroplasty
Pays: United States
ID NLM: 8703515
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
24
06
2020
revised:
28
07
2020
accepted:
31
08
2020
pubmed:
29
9
2020
medline:
1
5
2021
entrez:
28
9
2020
Statut:
ppublish
Résumé
Spouses are the primary caregivers of patients living with osteoarthritis (OA). Little is known about how the quality of life (QoL) of OA patients' partners change after total joint replacement surgery (TJR). Preoperative health status and 12-month postoperative outcomes were evaluated and compared in 24 couples using the Short-Form 36 (SF-36), knee or hip specific Osteoarthritis Outcome Score (OOS) and accelerometry for the assessment of habitual physical activity (PA) and sedentary behavior (SB). Correlations between the changes in the patients' OOS subscales scores, habitual activity, and their partners' SF-36 scores were calculated. Following TJR the patients' OOS subscale scores showed positive changes (P < .001). The SF-36 physical component summary (PCS) score improved (P < .001), while the mental component summary (MCS) score as well as PA and SB remained unchanged (P ≥ .093). Their partners' PCS, MCS, and SB did not change (P ≥ .286), whereas the PA even decreased (P = .027). Correlation analyses showed positive results for the changes in the patients' OOS subscale pain and the changes in their partners' MCS (r = 0.355, P = .048) as well as the changes in the patients' OOS subscale activities of daily living and the changes in the PCS of their partners (r = 0.406, P = .027). In contrast to the results described above, changes in the patients' PA were negatively correlated with changes in their partners' PCS (r = -0.389, P = .033). TJR has a positive influence on QoL but not the habitual activity of OA patients. Their partners, on the other hand, show no changes in QoL and even a slight decrease in habitual activity.
Sections du résumé
BACKGROUND
Spouses are the primary caregivers of patients living with osteoarthritis (OA). Little is known about how the quality of life (QoL) of OA patients' partners change after total joint replacement surgery (TJR).
METHODS
Preoperative health status and 12-month postoperative outcomes were evaluated and compared in 24 couples using the Short-Form 36 (SF-36), knee or hip specific Osteoarthritis Outcome Score (OOS) and accelerometry for the assessment of habitual physical activity (PA) and sedentary behavior (SB). Correlations between the changes in the patients' OOS subscales scores, habitual activity, and their partners' SF-36 scores were calculated.
RESULTS
Following TJR the patients' OOS subscale scores showed positive changes (P < .001). The SF-36 physical component summary (PCS) score improved (P < .001), while the mental component summary (MCS) score as well as PA and SB remained unchanged (P ≥ .093). Their partners' PCS, MCS, and SB did not change (P ≥ .286), whereas the PA even decreased (P = .027). Correlation analyses showed positive results for the changes in the patients' OOS subscale pain and the changes in their partners' MCS (r = 0.355, P = .048) as well as the changes in the patients' OOS subscale activities of daily living and the changes in the PCS of their partners (r = 0.406, P = .027). In contrast to the results described above, changes in the patients' PA were negatively correlated with changes in their partners' PCS (r = -0.389, P = .033).
CONCLUSION
TJR has a positive influence on QoL but not the habitual activity of OA patients. Their partners, on the other hand, show no changes in QoL and even a slight decrease in habitual activity.
Identifiants
pubmed: 32981772
pii: S0883-5403(20)30975-X
doi: 10.1016/j.arth.2020.08.066
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
885-891Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.