When does patient function "Plateau" after total joint arthroplasty? A cohort study.
Minimum clinically important difference
Patient reported outcome measures
Plateau
Total Joint Arthroplasty
Journal
International orthopaedics
ISSN: 1432-5195
Titre abrégé: Int Orthop
Pays: Germany
ID NLM: 7705431
Informations de publication
Date de publication:
15 Jul 2024
15 Jul 2024
Historique:
received:
17
05
2024
accepted:
02
07
2024
medline:
15
7
2024
pubmed:
15
7
2024
entrez:
15
7
2024
Statut:
aheadofprint
Résumé
With over 100,000 procedures completed per year, hip and knee arthroplasty are two of the most common surgical procedures performed in Canada. There has been literature indicating that patient reported outcome measures (PROM) will start to plateau between six and 12 months. The purpose of this paper was to analyze the trajectory of PROMs following total hip and knee arthroplasty (THA and TKA), as well as assess the impact of any potential confounders on this trajectory. The central research question was: At what point do PROMS plateau among patients that undergo elective THA and TKA? This study was a retrospective analysis of data from a prospective database. Patients were eligible if they had undergone an elective, primary THA/TKA with Oxford Scores recorded pre-operatively, and at least at two of the following four time points: six weeks, six months, one year, and two years. Mean pre-operative Oxford scores were 18.0 (7.8) for THA, and 20.1 (7.5) for TKA. For both THA and TKA, there were statistically significant interval improvements in Oxford scores from six weeks [THA: 33.8 (7.9)/TKA: 28.7 (7.8)] to six months [THA: 40.2 (7.3)/TKA: 35.9 (8.3)], and from six months to one year [THA: 41.0 (7.3)/TKA: 37.3 (8.4)], but not from one to two years [THA: 40.0 (8.5)/TKA: 36.4 (9.6)]. Patients undergoing either primary THA or TKA can expect clinically meaningful improvements in the first six months after surgery. Beyond this time point, there is a plateau in PROMs. These findings are important for both setting patient expectations in pre-operative discussions, and allowing surgeons to have a realistic understanding of their patients' expected post-operative course.
Identifiants
pubmed: 39007939
doi: 10.1007/s00264-024-06248-8
pii: 10.1007/s00264-024-06248-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s) under exclusive licence to SICOT aisbl.
Références
Maradit Kremers H, Larson DR, Crowson CS, Kremers WK, Washington RE, Steiner CA et al (2015) Prevalence of Total Hip and Knee Replacement in the United States. J Bone Joint Surg Am 97(17):1386–97 ( http://www.ncbi.nlm.nih.gov/pubmed/26333733%5Cn )
Canadian Institute for Health Information. Hip and Knee Replacements in Canada: CJRR Annual Report, 2020–2021 — (Updated September 2022). Ottawa, ON.
Ayers DC (2017) Implementation of patient-reported outcome measures in total knee arthroplasty. J Am Acad Orthop Surg 25(Suppl 1):S48–S50. https://doi.org/10.5435/JAAOS-D-16-00631
doi: 10.5435/JAAOS-D-16-00631
pubmed: 27941415
Franklin PD, Lewallen D, Bozic K, Hallstrom B, Jiranek W, Ayers DC (2014) Implementation of patient-reported outcome measures in US total joint replacement registries: Rationale, status, and plans. J Bone Jt Surg 96(Suppl 1):104–9. https://doi.org/10.2106/JBJS.N.00328
doi: 10.2106/JBJS.N.00328
Rolfson O, Eresian Chenok K, Bohm E, Lübbeke A, Denissen G, Dunn J et al (2016) Patient-reported outcome measures in arthroplasty registries: Report of the Patient-Reported Outcome Measures Working Group of the International Society of Arthroplasty Registries: Part II. Overview and rationale for patient-reported outcome measures. Acta Orthop 87(Suppl 1):9–23. https://doi.org/10.1080/17453674.2016.1181816
doi: 10.1080/17453674.2016.1181816
pubmed: 27228230
pmcid: 4937770
Stabenau HF, Becher RD, Gahbauer EA, Leo-Summers L, Allore HG, Gill TM (2018) Functional trajectories before and after major surgery in older adults. Ann Surg 268(6):911
doi: 10.1097/SLA.0000000000002659
pubmed: 29356710
Rolfson O, Rothwell A, Sedrakyan A, Chenok KE, Bohm E, Bozic KJ et al (2011) Use of patient-reported outcomes in the context of different levels of data. J Bone Jt Surg 93(Suppl 3):66–71. https://doi.org/10.2106/JBJS.K.01021
doi: 10.2106/JBJS.K.01021
Gwynne-Jones DP, Sullivan T, Wilson R, Abbott JH (2020) The Relationship Between Preoperative Oxford Hip and Knee Score and Change in Health-Related Quality of Life After Total Hip and Total Knee Arthroplasty: Can It Help Inform Rationing Decisions? Arthroplast Today 6(3):585–589. https://doi.org/10.1016/j.artd.2020.04.0096(3)
doi: 10.1016/j.artd.2020.04.0096(3)
pubmed: 32995405
pmcid: 7502579
Ghomrawi HMK, Lee L, Nwachukwu BU, Jain D, Wright T, Padgett D et al (2020) Preoperative Expectations Associated With Postoperative Dissatisfaction After Total Knee Arthroplasty: A Cohort Study. J Am Acad Orthop Surg 28(4):e145–e150. https://doi.org/10.5435/JAAOS-D-18-00785
doi: 10.5435/JAAOS-D-18-00785
pubmed: 31192886
pmcid: 8362614
Ng CY, Ballantyne JA, Brenkel IJ (2007) Quality of life and functional outcome after primary total hip replacement: A five-year follow-up. J Bone Jt Surg 89(7):868–73. https://doi.org/10.1302/0301-620X.89B7.18482
doi: 10.1302/0301-620X.89B7.18482
Ramkumar PN, Navarro SM, Haeberle HS, Ng M, Piuzzi NS, Spindler KP (2018) No Difference in Outcomes 12 and 24 Months After Lower Extremity Total Joint Arthroplasty: A Systematic Review and Meta-Analysis. J Arthroplasty 33:2322–9
doi: 10.1016/j.arth.2018.02.056
pubmed: 29567000
Dainty JR, Smith TO, Clark EM, Whitehouse MR, Price AJ, MacGregor AJ (2021) Trajectories of pain and function in the first five years after total hip and knee arthroplasty an analysis of patient reported outcome data from the national Joint registry. Bone Joint J 103(6):1111–1118. https://doi.org/10.1302/0301-620X.103B6.BJJ-2020-1437.R1
doi: 10.1302/0301-620X.103B6.BJJ-2020-1437.R1
pubmed: 34058866
Murray DW, Fitzpatrick R, Rogers K, Pandit H, Beard DJ, Carr AJ et al (2007) The use of the Oxford hip and knee scores. J Bone Jt Surg 89(8):1010–4. https://doi.org/10.1302/0301-620X.89B8.19424
doi: 10.1302/0301-620X.89B8.19424
Neufeld ME, Masri BA (2019) Can the Oxford Knee and Hip Score identify patients who do not require total knee or hip arthroplasty? Bone Joint J 101(6_Supple_B):23–30. https://doi.org/10.1302/0301-620X.101B6.BJJ-2018-1460.R1
doi: 10.1302/0301-620X.101B6.BJJ-2018-1460.R1
pubmed: 31146569
Alzahrani K, Gandhi R, DeBeer J, Petruccelli D, Mahomed N (2011) Prevalence of clinically significant improvement following total knee replacement. J Rheumatol 38(4):753
doi: 10.3899/jrheum.100233
pubmed: 21239743
Zhou Z, Yew KSA, Arul E, Chin PL, Tay KJD, Lo NN et al (2015) Knee Surg Sports Traumatol Arthrosc 23(6):1729
doi: 10.1007/s00167-014-3212-1
pubmed: 25178534
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP (2007) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet 370(9596):1453
doi: 10.1016/S0140-6736(07)61602-X
Beard DJ, Harris K, Dawson J, Doll H, Murray DW, Carr AJ et al (2015) Meaningful changes for the Oxford hip and knee scores after joint replacement surgery. J Clin Epidemiol 68(1):73
doi: 10.1016/j.jclinepi.2014.08.009
pubmed: 25441700
pmcid: 4270450
Dossett HG, Chesser MS (2017) Improving Care and Reducing Length of Stay in Patients Undergoing Total Knee Replacement. Fed Pract 34(10):38
pubmed: 30766237
pmcid: 6370412
Zusmanovich M, Kester BS, Schwarzkopf R (2018) Postoperative Complications of Total Joint Arthroplasty in Obese Patients Stratified by BMI. J Arthroplasty 33(3):856–864. https://doi.org/10.1016/j.arth.2017.09.067
doi: 10.1016/j.arth.2017.09.067
pubmed: 29089223
Ward DT, Metz LN, Horst PK, Kim HT, Kuo AC (2015) Complications of Morbid Obesity in Total Joint Arthroplasty: Risk Stratification Based on BMI. J Arthroplasty 30(9):42
doi: 10.1016/j.arth.2015.03.045
pubmed: 26117070
Busato A, Röder C, Herren S, Eggli S (2008) Influence of high BMI on functional outcome after total hip arthroplasty. Obes Surg 18(5):595
doi: 10.1007/s11695-007-9412-8
pubmed: 18369684
Derek T, Cooke V (1999) Osteotomy and osteoarthritis. Orthop Clin North Am 30(2):191–207
Collins JE, Donnell-Fink LA, Yang HY, Usiskin IM, Lape EC, Wright J et al (2017) Effect of Obesity on Pain and Functional Recovery following Total Knee Arthroplasty. J Bone Jt Surg 99(21):1812–1818. https://doi.org/10.2106/JBJS.17.00022
doi: 10.2106/JBJS.17.00022
Buirs LD, van Beers LWAH, Scholtes VAB, Pastoors T, Sprague S, Poolman RW (2016) Predictors of physical functioning after total hip arthroplasty: a systematic review. BMJ Open 6(9):e010725. https://doi.org/10.1136/bmjopen-2015-010725
doi: 10.1136/bmjopen-2015-010725
pubmed: 27601486
pmcid: 5020746
van Egmond JC, Verburg H, Vehmeijer SBW, Mathijssen NMC (2015) Early follow-up after primary total knee and total hip arthroplasty with rapid recovery: Focus groups. Acta Orthop Belg 81(3):447
pubmed: 26435240
Austin MS, Urbani BT, Fleischman AN, Fernando ND, Purtill JJ, Hozack WJ et al (2017) Formal physical therapy after total hip arthroplasty is not required: A randomized controlled trial. J Bone Jt Surg 99(8):648–655. https://doi.org/10.2106/JBJS.16.00674
doi: 10.2106/JBJS.16.00674
de Beer J, Petruccelli D, Adili A, Piccirillo L, Wismer D, Winemaker M (2012) Patient Perspective Survey of Total Hip vs Total Knee Arthroplasty Surgery. J Arthroplasty 27(6):865–9. https://doi.org/10.1016/j.arth.2011.12.031
doi: 10.1016/j.arth.2011.12.031
pubmed: 22333864
Bisson LJ, Kluczynski MA, Lindborg CM, Rauh MA, DiPaola MJ, Haider MN et al (2021) The Association Between Patient Satisfaction and Mode of Visit (Telemedicine Versus In-Person) in a Large Orthopaedic Practice During the COVID-19 Pandemic Lockdown: A Retrospective Study. J Am Acad Orthop Surg Glob Res Rev 5(9):e21
pmcid: 8460223