Is gain in health-related quality of life after a total hip arthroplasty depended on the comorbidity burden? - PubMed (original) (raw)
Is gain in health-related quality of life after a total hip arthroplasty depended on the comorbidity burden?
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.
Figures
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.
Similar articles
- Standard Comorbidity Measures Do Not Predict Patient-reported Outcomes 1 Year After Total Hip Arthroplasty.
Greene ME, Rolfson O, Gordon M, Garellick G, Nemes S. Greene ME, et al. Clin Orthop Relat Res. 2015 Nov;473(11):3370-9. doi: 10.1007/s11999-015-4195-z. Clin Orthop Relat Res. 2015. PMID: 25700999 Free PMC article. - 'Worse than death' and waiting for a joint arthroplasty.
Scott CEH, MacDonald DJ, Howie CR. Scott CEH, et al. Bone Joint J. 2019 Aug;101-B(8):941-950. doi: 10.1302/0301-620X.101B8.BJJ-2019-0116.R1. Bone Joint J. 2019. PMID: 31362549 Free PMC article. Clinical Trial. - Evaluation of health-related quality of life after total hip arthroplasty: a case-control study in the Iranian population.
Bahardoust M, Hajializade M, Amiri R, Mousazadeh F, Pisoudeh K. Bahardoust M, et al. BMC Musculoskelet Disord. 2019 Jan 31;20(1):46. doi: 10.1186/s12891-019-2428-0. BMC Musculoskelet Disord. 2019. PMID: 30704434 Free PMC article.
Cited by
- Chronic obstructive pulmonary disease is an independent risk factor for increased opioid use in total hip arthroplasty: A retrospective PearlDiver study.
Laperche J, Barrett CC, Glasser J, Yang DS, Lemme N, Garcia D, Daniels AH, Antoci V. Laperche J, et al. J Orthop. 2023 Sep 22;46:95-101. doi: 10.1016/j.jor.2023.09.010. eCollection 2023 Dec. J Orthop. 2023. PMID: 37969229 - Comorbidity and health-related quality of life in people with a chronic medical condition in randomised clinical trials: An individual participant data meta-analysis.
Butterly EW, Hanlon P, Shah ASV, Hannigan LJ, McIntosh E, Lewsey J, Wild SH, Guthrie B, Mair FS, Kent DM, Dias S, Welton NJ, McAllister DA. Butterly EW, et al. PLoS Med. 2023 Jan 17;20(1):e1004154. doi: 10.1371/journal.pmed.1004154. eCollection 2023 Jan. PLoS Med. 2023. PMID: 36649256 Free PMC article. - Development of Osteopenia During Distal Radius Fracture Recovery.
Yousaf IS, Guarino GM, Sanghavi KK, Rozental TD, Means KR Jr, Giladi AM. Yousaf IS, et al. J Hand Surg Glob Online. 2022 Sep 27;4(6):315-319. doi: 10.1016/j.jhsg.2022.09.001. eCollection 2022 Nov. J Hand Surg Glob Online. 2022. PMID: 36425381 Free PMC article. - Effects of Comorbidities on Pain and Function After Total Hip Arthroplasty.
Lan P, Chen X, Fang Z, Zhang J, Liu S, Liu Y. Lan P, et al. Front Surg. 2022 May 11;9:829303. doi: 10.3389/fsurg.2022.829303. eCollection 2022. Front Surg. 2022. PMID: 35647007 Free PMC article. - Does pre-existing morbidity influences risks and benefits of total hip replacement for osteoarthritis: a prospective study of 6682 patients from linked national datasets in England.
Ferguson R, Prieto-Alhambra D, Peat G, Delmestri A, Jordan KP, Strauss VY, Valderas JM, Walker C, Yu D, Glyn-Jones S, Silman A. Ferguson R, et al. BMJ Open. 2021 Sep 23;11(9):e046712. doi: 10.1136/bmjopen-2020-046712. BMJ Open. 2021. PMID: 34556506 Free PMC article.
References
- 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
- 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
- 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
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical