Long-Term Patient-Related Quality of Life after Knee Periprosthetic Joint Infection.

periprosthetic joint infection psychological outcomes quality of life revision arthroplasty

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
25 Feb 2021
Historique:
received: 01 02 2021
revised: 19 02 2021
accepted: 22 02 2021
entrez: 6 3 2021
pubmed: 7 3 2021
medline: 7 3 2021
Statut: epublish

Résumé

We aimed to evaluate the impact of knee periprosthetic joint infection (PJI) by assessing the patients' long-term quality of life and explicitly their psychological wellbeing after successful treatment. Thirty-six patients with achieved eradication of infection after knee PJI were included. Quality of life was evaluated with the EQ-5D and SF-36 outcome instruments as well as with an ICD-10 based symptom rating (ISR) and compared to normative data. At a follow-up of 4.9 ± 3.5 years the mean SF-36 score was 24.82 ± 10.0 regarding the physical health component and 46.16 ± 13.3 regarding the mental health component compared to German normative values of 48.36 ± 9.4 ( PJI patients still suffer from significantly lower quality of life compared to normative data, even years after surgically successful treatment. Future clinical studies should focus on patient-related outcome measures. Newly emerging treatment strategies, prevention methods, and interdisciplinary approaches should be implemented to improve the quality of life of PJI patients.

Sections du résumé

BACKGROUND BACKGROUND
We aimed to evaluate the impact of knee periprosthetic joint infection (PJI) by assessing the patients' long-term quality of life and explicitly their psychological wellbeing after successful treatment.
METHODS METHODS
Thirty-six patients with achieved eradication of infection after knee PJI were included. Quality of life was evaluated with the EQ-5D and SF-36 outcome instruments as well as with an ICD-10 based symptom rating (ISR) and compared to normative data.
RESULTS RESULTS
At a follow-up of 4.9 ± 3.5 years the mean SF-36 score was 24.82 ± 10.0 regarding the physical health component and 46.16 ± 13.3 regarding the mental health component compared to German normative values of 48.36 ± 9.4 (
CONCLUSION CONCLUSIONS
PJI patients still suffer from significantly lower quality of life compared to normative data, even years after surgically successful treatment. Future clinical studies should focus on patient-related outcome measures. Newly emerging treatment strategies, prevention methods, and interdisciplinary approaches should be implemented to improve the quality of life of PJI patients.

Identifiants

pubmed: 33668957
pii: jcm10050907
doi: 10.3390/jcm10050907
pmc: PMC7956307
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Nike Walter (N)

Department for Trauma Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.
Department for Psychosomatic Medicine, University Medical Center Regensburg, 93053 Regensburg, Germany.

Markus Rupp (M)

Department for Trauma Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.

Katja Hierl (K)

Department for Trauma Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.

Matthias Koch (M)

Department for Trauma Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.

Maximilian Kerschbaum (M)

Department for Trauma Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.

Michael Worlicek (M)

Department for Trauma Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.

Volker Alt (V)

Department for Trauma Surgery, University Medical Center Regensburg, 93053 Regensburg, Germany.

Classifications MeSH