178 Does Physical Activity Change Following Hip and Knee Replacement? An Analysis of Data from the Osteoarthritis Initiative

Smith, Toby; Hilton, Gemma; Mansfield, Michael; Mann, Charles; Sackley, Catherine

doi:10.1093/rheumatology/kew136.001

Cited by 3 publications

(4 citation statements)

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“…Nine articles provided sufficient data that were used in the meta-analysis. 11 –18 Eight articles 19–26 were not included in the meta-analysis as the data was either not appropriate to synthesise or not presented in an appropriate way for pooled analysis to take place.…”

Section: Resultsmentioning

confidence: 99%

“…17,18,27 Two studies analysed secondary data sets. 19,20 A more detailed summary of measures used is presented in Table 3.…”

Section: Resultsmentioning

confidence: 99%

“…Postoperative data captured occurred between six weeks 18 to up to one year 19,22,23,32,33 . This therefore needs to be considered when drawing conclusions from this systematic review.…”

Section: Discussionmentioning

confidence: 99%

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Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis

et al. 2016

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Objective:To determine the difference in physical activity levels before and up to one year after unilateral primary total hip replacement.Data sources:A search was performed on 13 July 2016. Studies were eligible for inclusion if they presented preoperative and up to one year postoperative measures of physical activity for patients who had undergone unilateral primary total hip replacement.Review methods:Any article that used a measure of physical activity pre and up to one year post-unilateral primary total hip replacement. Data was synthesised using a meta-analysis with 95% confidence intervals (CI), if appropriate. The Critical Appraisal Skills Programme cohort study checklist was used to assess the quality of evidence.Results:From 6024 citations, 17 studies were selected: Nine studies were analysed in a meta-analysis and eight studies were analysed qualitatively. The quality of the evidence was ‘low’ to ‘moderate’. There was no statistically significant difference in physical activity pre- to post-total hip replacement when assessed using: movement-related activity (mean difference (MD): −0.08; 95% CI: 1.60, 1.44; I2 = 0%; n = 77), percentage of 24-hours spent walking (MD: −0.21; 95% CI: −1.36, 0.93; I2 = 12%; n = 65), 6-minute walk test (MD: −60.85; 95% CI: −122.41, 0.72; I2 = 84%; n = 113) or the cardiopulmonary exercise test (MD: −0.24; 95% CI: −1.36, 0.87; I2 = 0%; n = 76).Conclusion:There is no statistically significant difference in physical activity levels before and up to one year after unilateral primary total hip replacement. However, the low to moderate methodological quality of the included articles should be taken into consideration when drawing conclusions.

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Section: Resultsmentioning

confidence: 99%

“…17,18,27 Two studies analysed secondary data sets. 19,20 A more detailed summary of measures used is presented in Table 3.…”

Section: Resultsmentioning

confidence: 99%

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Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis

et al. 2016

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“…3 This identified 17 previous trials assessing physical activity following total hip arthroplasty. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] The review indicated no clear evidence of a change in physical activity following total hip arthroplasty. Similarly in total knee arthroplasty, Kahn and Schwarzkopf 21 reported that there was no significant difference in activity levels, as measured using accelerometery, before compared to after total knee arthroplasty.…”

Section: Introductionmentioning

confidence: 99%

Changes in physical activity following total hip or knee arthroplasty: a matched case-control study from the EPIC-Norfolk cohort

et al. 2017

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Minimal change in physical activity after lower limb joint arthroplasty, but the outcome measure may be contributing to the problem: a systematic review and meta-analysis

et al. 2019

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178 Does Physical Activity Change Following Hip and Knee Replacement? An Analysis of Data from the Osteoarthritis Initiative

Cited by 3 publications

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Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis

Is there a difference in physical activity levels in patients before and up to one year after unilateral total hip replacement? A systematic review and meta-analysis

Changes in physical activity following total hip or knee arthroplasty: a matched case-control study from the EPIC-Norfolk cohort

Minimal change in physical activity after lower limb joint arthroplasty, but the outcome measure may be contributing to the problem: a systematic review and meta-analysis

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