What Predicts 36-Item Health Survey Version 2 After Total Hip Arthroplasty

Ieiri, Akira; Tushima, Eiki; Ishida, Kazuhiro; Abe, Satomi; Inoue, Masahiro; Masuda, Takeshi

doi:10.1016/j.apmr.2012.11.043

Cited by 5 publications

(5 citation statements)

References 36 publications

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“…In meta-analysis, the presence of social support was found to have a beneficial effect of these studies were at high risk of bias on ≥1 domain. Outcomes assessed included SF-36 or SF-12 total or subscale scores 26,31,37,45,47,48,53,56,58,59,63,69 , Nottingham Health Profile 40 , EQ-5D 41,43,50,74 , Instrumental Activity of Daily Living 42 , Indicators of the Rehabilitation Status questionnaire (IRES) pain subscale 35 , and Yale Physical Activity Score 33 . One study reported that being unmarried was associated with better self-care and transfer on the Functional Independence Measure but not locomotion 27 and another study found that a lack of family support was associated with better SF-36 Mental Component scores at 3 months 56 .…”

Section: Resultsmentioning

confidence: 99%

Association of social support with patient-reported outcomes after joint replacement: a systematic review and meta-analysis

Wylde

Kunutsor

Lenguerrand

et al. 2019

The Lancet Rheumatology

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Section: Resultsmentioning

confidence: 99%

Association of social support with patient-reported outcomes after joint replacement: a systematic review and meta-analysis

Wylde

Kunutsor

Lenguerrand

et al. 2019

The Lancet Rheumatology

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“…The same was found in a high risk of bias study [ 19 ]. Other high risk of bias studies found that overweight and obesity were associated with a 3.7 fold increased risk of implant dislocation [ 25 ], and with lower SF-36 postoperative scores [ 49 ]. Furthermore, eight studies did not find an association with BMI and different outcomes, such as 6MWT, LEFS, WOMAC, SF-36 and chronic hip pain [ 21 , 30 , 34 , 36 , 41 , 42 , 44 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…Two of these studies had low risk of bias and found that worse mental well-being was associated low OHS [ 40 ] and less change in SF-36 PCS [ 41 ]. The three other high risk of bias studies also found that worse mental well-being was associated with various worse outcomes, such as pain relief, EQ-5D, satisfaction, SF-36 and Hip disability and Osteoarthritis Outcome Score (HOOS) [ 15 , 23 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

Preoperative predictors for outcomes after total hip replacement in patients with osteoarthritis: a systematic review

Hofstede

Gademan

Vlieland

et al. 2016

BMC Musculoskelet Disord

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BackgroundThis systematic review examines which patient related factors influence functional and clinical outcomes after total hip arthroplasty (THA) in patients with hip osteoarthritis (OA).MethodsWe performed a systematic review according to the PRISMA guidelines. We searched databases and trial registries for prospective studies including OA patients who underwent primary THA. Studies with preoperative measurements on predictors, with at least 1 year follow-up were included. Risk of bias and confounding was assessed for two domains: follow-up rate and looking at independent effects.ResultsThirty-five studies were included (138,039 patients). Only nine studies (29 %) had low risk of bias for all domains thus suggesting an overall low quality of evidence. Studies were heterogeneous in the predictors tested and in the observed directions of the associations. Overall, preoperative function (13 studies (37 %), 2 with low risk of bias) and radiological OA (6 studies (17 %), 1 with low risk of bias) were predictors with the most consistent findings. Worse preoperative function and more severe radiological OA were associated with larger postoperative improvement. However, these patients never reached the level of postoperative functioning as patients with better preoperative function or less severe radiological OA. For age, gender, comorbidity, pain and quality of life the results of studies were conflicting. For BMI, some studies (n = 5, 2 with low risk of bias) found worse outcomes for patients with higher BMI. However, substantial improvement was still achieved regardless of their BMI.ConclusionThere is not enough evidence to draw succinct conclusions on preoperative predictors for postoperative outcome in THA, as results of studies are conflicting and the methodological quality is low. Results suggest to focus on preoperative function and radiological osteoarthritis to decide when THA will be most effective. The present mapping of current evidence on the relationship between patient related factors and outcomes provides better information compared to individual studies and may help to set patient expectations before surgery. In addition, these findings may contribute to discussions on how to achieve the best possible postoperative outcome for specific patient groups.Trial registrationThis systematic review was registered in Prospero, registration number RD42014009977.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-016-1070-3) contains supplementary material, which is available to authorized users.

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“…Sex, age, and preoperative quality of life are factors that appear to have an effect on patient reported outcomes after surgery. 5 – 9 In addition, conditions such as pain, 5 function, 10 , 11 comorbidity, 12 , 13 BMI, 14 – 16 and underlying diseases prior to the operation 17 , 18 seem to play a role. Furthermore, expectations before surgery 4 , 19 , 20 and socioeconomic status 21 , 22 may influence patients’ reporting postoperatively.…”

Section: Introductionmentioning

confidence: 99%

The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty

Aalund

Glassou

Hansen

2017

CIA

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BackgroundTotal hip arthroplasty (THA) is a common surgical procedure and approximately 9,500 of these surgeries are performed annually in Denmark. The operation is considered effective and successful with respect to complications, mortality, and implant survival. However, using patient-reported outcome measures, up to 10% of patients are not satisfied with the outcome of their operation. To address this, it is important to find out why some patients experience impaired outcomes after THA. The purpose of this study was to investigate the impact of age and preoperative health-related quality of life (HRQoL) on improvements in HRQoL after THA.MethodsA cohort study was conducted with follow-up at 3 and 12 months. Patients were included from September 2008 to December 2013. We analyzed 1,283 THA cases. HRQoL was measured using the EuroQol-5 Domain. Analyses were carried out with multiple linear regression and adjusted for relevant variables available in the data set.ResultsA significant positive association was found between age and HRQoL outcomes for patients who underwent THA at both 3 (β [regression coefficient] 0.0026, confidence interval [CI] 0.0013; 0.0039, p<0.001) and 12 (β 0.0020 CI 0.0008; 0.0032, p=0.001) months of follow-up. A clinically relevant change was achieved with an increase in age of 12–15 years. A significant negative association was found between preoperative HRQoL and HRQoL outcomes at both 3 (β −0.841 CI −0.886; −0.795, p<0.001) and 12 (β −0.804 CI −0.844; −0.764, p<0.001) months of follow-up.ConclusionContrary to our expectations, older patients had more improvements in HRQoL outcomes after THA. A high preoperative HRQoL seems to inhibit improvements in HRQoLs after THA.

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What Predicts 36-Item Health Survey Version 2 After Total Hip Arthroplasty

Cited by 5 publications

References 36 publications

Association of social support with patient-reported outcomes after joint replacement: a systematic review and meta-analysis

Association of social support with patient-reported outcomes after joint replacement: a systematic review and meta-analysis

Preoperative predictors for outcomes after total hip replacement in patients with osteoarthritis: a systematic review

The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty

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