arthroplasty; hip; knee; osteoarthritis; quality of life
Abstract :
[en] Objective To measure and identify the determinants of the outcomes after hip/knee arthroplasty (HA/KA) in patients with osteoarthritis during the first postsurgical year. Design In this prospective observational study, we evaluated the preoperative and postoperative (3, 6, and 12 months) outcomes of 626 patients who underwent HA (346 with median age 65 years, 59% female) or KA (280 with median age 66.5 years, 54% female) between 2008 and 2013. Generic and specific tools were used to measure health-related quality of life (HRQoL) and utility. Good outcome was defined as an improvement in WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) greater than or equal to the minimal important difference (MID). Regressions were performed to evaluate the relationship between preoperative and postoperative measures and evolution of WOMAC/good outcome. Results We observed an almost systematic improvement of all parameters for up to 12 months, but especially at the 3-month follow-up. The low number of comorbidities and the absence of postoperative complications were the common determinants of improvement of WOMAC total score after 12 months. Other parameters (background of the joint, preoperative function and length of hospital stay in KA group; place of discharge in HA group) affected the evolution of WOMAC scores. 87.09% of HA and 73.06% of KA patients experienced a good outcome. A small number of comorbidities, a worse preoperative function, a shortened hospital stay (KA only), and an absence of early postoperative complications (HA only) significantly predicted a good outcome. Conclusions Intermediate HRQoL following HA or KA improved quickly from preoperative levels for all instruments. More than 70% of patients achieved a good outcome defined as improved pain, stiffness and disability and the predictors are slightly close.
Disciplines :
General & internal medicine
Author, co-author :
Neuprez, Audrey ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Neuprez, Arnaud ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
KAUX, Jean-François ; Centre Hospitalier Universitaire de Liège - CHU > Service de médecine de l'appareil locomoteur
KURTH, William ; Centre Hospitalier Universitaire de Liège - CHU > Service de chirurgie de l'appareil locomoteur
DANIEL, Christophe ; Centre Hospitalier Universitaire de Liège - CHU > Service de chirurgie de l'appareil locomoteur
THIRION, Thierry ; Centre Hospitalier Universitaire de Liège - CHU > Service de chirurgie de l'appareil locomoteur
HUSKIN, Jean-Pierre ; Centre Hospitalier Universitaire de Liège - CHU > Chirurgie appareil locomoteur
Gillet, Philippe ; Université de Liège - ULiège > Département des sciences cliniques > Chirurgie de l'appareil locomoteur
Bruyère, Olivier ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Reginster, Jean-Yves ; Université de Liège - ULiège > Département des sciences de la santé publique > Santé publique, Epidémiologie et Economie de la santé
Language :
English
Title :
Early Clinically Relevant Improvement in Quality of Life and Clinical Outcomes 1 Year Postsurgery in Patients with Knee and Hip Joint Arthroplasties.
Publication date :
April 2018
Journal title :
Cartilage
ISSN :
1947-6035
eISSN :
1947-6043
Publisher :
SAGE Publications, Thousand Oaks, United States - California
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