Is gain in health-related quality of life after a total hip arthroplasty depended on the comorbidity burden? - PubMed (original) (raw)

Eva N Glassou et al. Acta Orthop. 2018 Aug.

Abstract

Background and purpose - Using patient-reported health-related quality of life (HRQoL), approximately 10% of patients report some degree of dissatisfaction after a total hip arthroplasty (THA). The preoperative comorbidity burden may play a role in predicting which patients may have limited benefit from a THA. Therefore, we examined whether gain in HRQoL measured with the EuroQol-5D (EQ-5D) at 3 and 12 months of follow-up depended on the comorbidity burden in THA patients Patients and methods - 1,582 THA patients treated at the Regional Hospital West Jutland from 2008 to 2013 were included. The comorbidity burden was collected from an administrative database and assessed with the Charlson Comorbidity Index (CCI). The CCI was divided into 3 levels: no comorbidity burden, low, and high comorbidity burden. HRQoL was measured using the EQ-5D preoperatively and at 3 and 12 months' follow-up. Association between low and high comorbidity burden compared with no comorbidity burden and gain in HRQoL was analyzed with multiple linear regression. Results - All patients, regardless of comorbidity burden, gained significantly in HRQoL. A positive association between comorbidity burden and gain in HRQoL was found at 3-month follow-up for THA patients with a high comorbidity burden (coeff: 0.09 (95% CI 0.02 - 0.16)) compared with patients with no comorbidity burden. Interpretation - A comorbidity burden prior to THA does not preclude a gain in HRQoL up to 1 year after THA.

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Study population. 1,582 of 1,843 patients with a primary total hip arthroplasty (THA) due to osteoarthritis (OA) treated at the Regional Hospital West Jutland from September 2008 to December 2013 and registered in the Danish National Patient Register (DNPR) were included in the study.

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References

    1. Anakwe R E, Jenkins P J, Moran M.. Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients. J Arthroplasty 2011; 26(2): 209–13. - PubMed
    1. Arden N K, Kiran A, Judge A, Biant L C, Javaid M K, Murray D W, Carr A J, Cooper C, Field R E.. What is a good patient reported outcome after total hip replacement? Osteoarthritis Cartilage 2011; 19(2): 155–62. - PubMed
    1. Bagaric I, Sarac H, Borovac J A, Vlak T, Bekavac J, Hebrang A.. Primary total hip arthroplasty: health related quality of life outcomes. Int Orthop 2014; 38(3): 495–501. - PMC - PubMed
    1. Berliner J L, Brodke D J, Chan V, SooHoo N F, Bozic K. J. John Charnley Award: Preoperative patient-reported outcome measures predict clinically meaningful improvement in function after THA. Clin Orthop Relat Res 2016; 474(2): 321–9. - PMC - PubMed
    1. Charlson M E, Pompei P, Ales K L, MacKenzie C R.. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987; 40(5): 373–83. - PubMed

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