No difference in health-related quality of life in hip osteoarthritis compared to degenerative lumbar instability at pre- and 1-year postoperatively: A prospective study of 101 patients

Juul, Ole; Sigmundsson, F.; Ovesen, Ole; Andersen, Mikkel; Ernst, Carsten; Thomsen, Karsten

doi:10.1080/17453670610012935

Cited by 7 publications

(3 citation statements)

References 24 publications

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“…The functional outcome after 3 months in the THR group was in accordance with the results of other studies with a longer follow-up period (Bachmeier et al 2001, Juul et al 2006, Quintana et al 2005. This indicates that the main improvements after THR are seen rather early in late-phase rehabilitation.…”

Section: Discussionsupporting

confidence: 81%

Self-reported functional outcome after primary total hip replacement treated with two different periopera-tive regimes: A follow-up study involving 61 patients

2008

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Background and purpose Fast-track surgery has been reported to improve rehabilitation outcome after major surgery, with length of hospitalization and muscle strength as outcome measures. We assessed the effect of optimization of perioperative care during admission on self-reported functional outcome, and compared patient status 6 months after THR with an age-matched healthy cohort.Patients and methods 79 THR patients were randomized to optimized perioperative care (OPC) or conventional perioperative care (CPC). 61 patients fulfilled the requirements of the study protocol. Endpoint outcome was measured by SF-36 and WOMAC. To compare functional outcome in the THR group with that in healthy controls, we used data from a representative sample of 4,098 non-institutionalized Danish adults collected by the Danish National Institute of Public Health.Results We found similar improvements in SF-36 and WOMAC scores for the OPC and CPC groups postoperatively, except for the total WOMAC score and the WOMAC subscore "function"-in which the CPC group did statistically significantly better. The OPC and CPS groups had similar score levels. 6 months after surgery, THR patients scored higher overall in the general health subscale and lower in three physical subscales of SF-36 compared to age-matched healthy controls.Interpretation We found no evidence for the effect of optimization strategies during admission on selfreported functional outcome after THR. Although THR patients improved considerably after treatment, their

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Section: Discussionsupporting

confidence: 81%

Self-reported functional outcome after primary total hip replacement treated with two different periopera-tive regimes: A follow-up study involving 61 patients

2008

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“…In a similar study, Juul et al [37] reported comparable improvements in SF-36 results at one year between patients who underwent hip arthroplasty and others treated with lumbar spinal fusion. Added to that, the group of patients who underwent hip arthroplasty displayed a higher improvement percentage than did the remaining cohorts that were intervened.…”

Section: Discussionmentioning

confidence: 77%

Spinal fusion achieves similar two-year improvement in HRQoL as total hip and total knee replacement. A prospective, multicentric and observational study

Irimia¹,

Tomé-Bermejo²,

Piñera-Parrilla

et al. 2019

SICOT-J

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Introduction: Total hip and knee arthroplasty (THA/TKA) are surgical procedures with proven benefits. Although the literature reports outcomes of fusion of the lumbar spine comparable to those of THA/TKA in general health-related quality-of-life (HRQoL) questionnaires, functional assessment is nevertheless needed for these results to be of use in clinical practice and management. Aim of our study was to prove that lumbar spinal fusion has similar if not better outcomes than THA/TKA using intervention-specific HRQoL questionnaires and functional assessment questionnaires. Materials and methods: Observational, ambispective, multicentre study of three cohorts undergoing lumbar spinal fusion (n = 115), THA (n = 119) and TKA (n = 253). Patients were evaluated using the Short-Form-12 (SF-12), Harris–Hip-Score, Hospital for Special Surgery Scale (HSS) and Oswestry Low Back Pain Disability questionnaires. A minimum follow-up of two years was conducted. Results: The SF-12 showed significant improvement in all groups. The SF-12 physical component summary score indicated a more severe pre-operative status (p = 0.031) in the THA cohort. The mental component summary score indicated a less severe pre-operative status in the TKA cohort (p = 0.008) and greater post-operative improvement in the TKA and THA cohorts across follow-up (six months p = 0.021; one year p = 0.012; two years p = 0.042). Functional assessment indicated greater pre-operative disability in the THA group. At two years of follow-up, functional improvement according to the Harris, HSS and Oswestry questionnaires were 152.01%, 50.07% and 41.14% respectively. Conclusions: This study demonstrates that lumbar spinal fusion and total knee and hip arthroplasty are comparable in terms of functional improvement when thoroughly studied with health, quality-of-life and functional assessment questionnaires.

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“…Previous research on mental health status in OA concentrated either on assessing mental health status before and after TJA [11–16] [17–22] or on evaluating how the presence of poor preoperative mental health or of depression impacted postoperative pain and function [7, 23–25], [26–28]. However, to the best of our knowledge, the relationship between degree of pain and function improvement and mental health improvement after THA has not been well studied.…”

Section: Introductionmentioning

confidence: 99%

Improvement in mental health following total hip arthroplasty: the role of pain and function

Nguyen

Perneger

Franklin

et al. 2019

BMC Musculoskelet Disord

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Background Mental health has been shown to improve after total hip arthroplasty (THA). Little is known about the role of pain and function in this context. We assessed whether change in mental health was associated with improvement in pain and function 1 year post-surgery. Methods This prospective study included patients enrolled in a THA registry from 2010 to 2014. We examined the mental component score (MCS) before and 1 year post-surgery, and 1-year change, in association with Western Ontario McMaster Universities (WOMAC) pain and function scores. All scores were normalized, ranging from 0 to 100 (larger score indicating better outcome). Analyses were adjusted for potential confounders. Results Our study included 610 participants, of which 53% were women. Descriptive statistics are as follows: the average (SD) for age (years) was 68.5 (11.8), and for BMI was 26.9 (4.9). In addition, the MCS average (SD) at baseline was 44.7 (11.2), and at 1-year after THA was 47.5 (10.5). The average change from baseline to 1-year post-THA in MCS was 2.8 (95% CI: 1.9, 3.6), for an effect size of 0.26. As for the WOMAC pain score, the average change from baseline to 1-year post-THA was 44.2 (95%CI: 42.4, 46.0), for an effect size of 2.5. The equivalent change in WOMAC function was 38.1 (95% CI: 36.2, 40.0), for an effect size of 2.0. Results from multivariable analysis controlling for covariates showed that an improvement of 10 points in the 1-year change in pain score resulted in a 0.78 point (95%: CI 0.40, 1.26) increase in the 1-year change in MCS, whereas a 10-point improvement in the 1-year change in function was associated with a 0.94 point (95% CI: 0.56, 1.32) increase. Conclusions Mental health significantly improved from baseline to 1-year post-THA. Greater improvement in pain and function was associated with greater improvement in mental health 1 year post-THA.

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No difference in health-related quality of life in hip osteoarthritis compared to degenerative lumbar instability at pre- and 1-year postoperatively: A prospective study of 101 patients

Cited by 7 publications

References 24 publications

Self-reported functional outcome after primary total hip replacement treated with two different periopera-tive regimes: A follow-up study involving 61 patients

Self-reported functional outcome after primary total hip replacement treated with two different periopera-tive regimes: A follow-up study involving 61 patients

Spinal fusion achieves similar two-year improvement in HRQoL as total hip and total knee replacement. A prospective, multicentric and observational study

Improvement in mental health following total hip arthroplasty: the role of pain and function

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