Patient satisfaction and total hip arthroplasty: a review

Okafor, Lauren; Chen, Antonia F.

doi:10.1186/s42836-019-0007-3

Cited by 81 publications

(56 citation statements)

References 60 publications

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“…According to specialized studies, HA has proven to be successful in the treatment of functionally decompensated hip osteoarthritis, leading to pain relief and improved functionality. Patients, who have undergone HA, in terms of the clinical image-quality of life relationship, went through the following situations that need to be managed: reduced quality of life due to pain and disabilities during the preoperative period, increased quality of life due to no restrictions during the immediate postoperative period and individual adaptation of each patient to the prosthesis [23,24].…”

Section: Discussionmentioning

confidence: 99%

Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty

Marcu

Negruț

Uivaraseanu

et al. 2021

JPM

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(1) Background: Hip arthroplasty (HA) is a surgery that replaces the damaged hip joint with an artificial implant called a hip prosthesis. The increase in life expectancy correlated with the population aging level, to which the increase in the number of prosthetic interventions among the young population is added, translates to the imperative need to analyze the quality of life beyond the immediate postoperative period. Strict adherence to an individualized rehabilitation program (IRP), and adapted to each patient, is followed by an improved quality of life. The main goal is the recovery of the patient with HA. This study was aimed to demonstrate that an IRP, represented by physical therapy associated with occupational therapy, improves the quality of life of patients with HA; (2) Methods: In this study, conducted between 2019 and 2021, 50 patients with HA were divided into two groups: study group—group A (25 subjects compliant with the IRP) and control group—group B (25 subjects, non-compliance with the IRP). To evaluate the two study groups, we monitored the evolution of the modified Harris hip score (mHHS) in both hips (arthroplasty hip (AH), contra lateral hip (CH)), for four months, respectively 30 days before the surgery (T0) and at 90 days after the surgery (T1); (3) Results: We notice significant differences in mHHS values at 90 days-T1 after surgery, both on AH in favor of subjects from group A vs. group B (p = 0.030) and on CH, where mHHS values were statistically higher in group A compared to group B (p < 0.001). The results of our study outline at T1 moment, both on the AH (p = 0.030) and on the CH (p < 0.001), the fact that mHHS values were statistically higher in patients included in group A compared to group B. In terms of the results for mHHS, comparing AH with CH, it is noted that the number of subjects who had a good or excellent mHHS result in group A versus group B is statistically significant in the case of CH (group A: 23 (92%) vs. group B: 11 (44%), p = 0.039); (4) Conclusions: The study reveals clear advantages of HA in both hips, both in subjects who complied with the IRP and those who did not comply; the higher therapeutic benefits of IRP are outlined at the level of CH compared to AH; in patients who comply with the IRP, the mHHS parameters that have improved in both CH and AH are pain, leaning, and shoes and socks activities; in addition, limping was reduced in CH.

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Section: Discussionmentioning

confidence: 99%

Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty

Marcu

Negruț

Uivaraseanu

et al. 2021

JPM

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“…Okafor et al [28] performed a systematic review of patient satisfaction and total hip arthroplasty. The studied factors included patient expectations, age, gender, pain, length of stay, and comorbidities before the surgery.…”

Section: Discussionmentioning

confidence: 99%

“…However, the results are inconclusive. The authors hypothesize that patients with multiple comorbidities experience a high rate of complications, and it can contribute to poor satisfaction after THA [28].…”

Section: Discussionmentioning

confidence: 99%

Modified frailty index as a predictor of the long-term functional result in patients undergoing primary total hip arthroplasty

Pulik¹,

Jaśkiewicz²,

Sarzyńska³

et al. 2020

Reumatologia

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Objectives: Total hip arthroplasty (THA) is a well-approved method for the treatment of end-stage osteoarthritis (OA). Due to rising life expectancy, elderly patients burdened with multimorbidity are subjected to THA. Some of these patients present significant depletion of physiological reserves, which is described as the frailty syndrome. This study aims to assess the influence of frailty on the THA outcomes in OA patients. Material and methods: A single-center observational study was conducted to investigate the effect of frailty measured by the modified frailty index-5 (mFI-5) and modified frailty index-11 (mFI-11) on the long-term post-THA outcomes. The analysis included 597 initially screened patients subjected to unilateral, primary THA due to hip OA. The outcomes were assessed during a follow-up visit 3 years after THA. The primary outcome measures were patient-reported (the Western Ontario and McMaster Universities Osteoarthritis Index-WOMAC) and physician-reported scales (the Harris Hip Score-HHS). The secondary outcome measures were the length of hospital stay (LOS), pain complaints, complications, and satisfaction. A correlation analysis was performed (Spearman's R). Results: Three hundred sixty-five patients met the eligibility criteria, including 57.26% women (n = 209) and 42.74% men (n = 156). The mean age was 65.11 ±12.12 years. Patients with high values of mFI-5 (r = 0.19; p < 0.05) and mFI-11 (r = 0.22; p < 0.01) achieved less satisfactory functional outcomes after THA (WOMAC). After age adjustment, mFI-11 (r = 0.17; p < 0.05) was a better predictor of functional outcome (WOMAC) than mFI-5 was (r = 0.15; p = 0.07). The mFI-5 (r = 0.25; p < 0.001) and mFI-11 (r = 0.29; p < 0.001) correlated with longer LOS. Conclusions: The modified frailty index-5 (mFI-5) and modified frailty index-11 (mFI-11) are useful tools to identify patients subjected to THA at a high risk of poor functioning after the procedure. They can be used in preoperative counseling before obtaining informed consent to support surgical decision-making. To our knowledge, this is the first study investigating the impact of the mFI on long-term postoperative functional results in OA treated with THA.

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“…Registry') was created in 2005 to identify patient risk factors for poor response to surgery and to identify gaps in the uptake of evidence-based practice. [8][9][10][11] It captures relevant data on elective arthroplasty surgery of the hip and knee, including utilisation rates, outcomes, changes in patient characteristics over time, complication rates and economic cost. The Registry aims to: (1) provide a better understanding of the demographic and clinical characteristics of arthroplasty recipients, (2) detail all aspects of the surgical procedure, (3) monitor the safety and efficacy of arthroplasty surgery, (4) provide data on the performance of individual surgeons, (5) drive quality improvement within St Vincent's and generate evidence which is generalisable to the national and international patient population, and (6) allow for comparisons between this institutional registry and other arthroplasty registries.…”

Section: Open Accessmentioning

confidence: 99%

Cohort profile: the St Vincent’s Melbourne Arthroplasty Outcomes (SMART) Registry, a pragmatic prospective database defining outcomes in total hip and knee replacement patients

et al. 2021

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PurposeThe St Vincent’s Melbourne Arthroplasty Outcomes (SMART) Registry is an institutional clinical registry housed at a tertiary referral hospital in Australia. The SMART Registry is a pragmatic prospective database, which was established to capture a broad range of longitudinal clinical and patient-reported outcome data to facilitate collaborative research that will improve policy and practice relevant to arthroplasty surgery for people with advanced arthritis of the hip or knee. The purpose of this cohort profile paper is to describe the rationale for the SMART Registry’s creation, its methods, baseline data and future plans for the Registry. A full compilation of the data is provided as a reference point for future collaborators.ParticipantsThe SMART Registry cohort comprises over 13 000 consecutive arthroplasty procedures in more than 10 000 patients who underwent their procedure at St Vincent’s Hospital Melbourne, since January 1998. Participant recruitment, data collection and follow-up is ongoing and currently includes up to 20 years follow-up data.Findings to dateSMART Registry data are used for clinical audit and feedback, as well as for a broad range of research including epidemiological studies, predictive statistical modelling and health economic evaluations. At the time of writing, there were 46 publications from SMART Registry data, with contributions from more than 67 coauthors.Future plansWith the recent linking of the SMART Registry with Medicare Benefits Schedule and Pharmaceutical Benefits Scheme data through the Australian Institute of Health and Welfare, research into prescribing patterns and health system utilisation is currently underway. The SMART Registry is also being updated with the Clavien-Dindo classification of surgical complications.

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Patient satisfaction and total hip arthroplasty: a review

Cited by 81 publications

References 60 publications

Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty

Benefits of Combining Physical Therapy with Occupational Therapy in Hip Arthroplasty

Modified frailty index as a predictor of the long-term functional result in patients undergoing primary total hip arthroplasty

Cohort profile: the St Vincent’s Melbourne Arthroplasty Outcomes (SMART) Registry, a pragmatic prospective database defining outcomes in total hip and knee replacement patients

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