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Patient relevant outcome 7 years after total hip replacement for OA - a prospective study.

Nilsdotter, Anna LU and Isaksson, Fredrik (2010) In BMC Musculoskeletal Disorders 11.
Abstract
BACKGROUND: To investigate prospectively the patient-relevant outcome 7 years after total hip replacement (THR) for osteoarthritis (OA). METHODS: 219 consecutive patients (120 women) with primary OA, mean age 71 (range 50-92) were assigned for THR. They were examined preoperatively, at 3, 6, 12 months, and at 4, 5 and 7 years postoperatively with the self-administered questionnaires SF-36 and WOMAC. Supplementary questions regarding postoperative complications, general co-morbidity, social circumstances and patient satisfaction were asked at the three last follow-ups. A reference group, 117 subjects (67 women), mean age 72 (range 52-92) without hip complaints were recruited from the community and investigated at the same times. RESULTS:... (More)
BACKGROUND: To investigate prospectively the patient-relevant outcome 7 years after total hip replacement (THR) for osteoarthritis (OA). METHODS: 219 consecutive patients (120 women) with primary OA, mean age 71 (range 50-92) were assigned for THR. They were examined preoperatively, at 3, 6, 12 months, and at 4, 5 and 7 years postoperatively with the self-administered questionnaires SF-36 and WOMAC. Supplementary questions regarding postoperative complications, general co-morbidity, social circumstances and patient satisfaction were asked at the three last follow-ups. A reference group, 117 subjects (67 women), mean age 72 (range 52-92) without hip complaints were recruited from the community and investigated at the same times. RESULTS: 151/170 (89%) of the patients and 65/74 (88%) of the reference group participated at the 7 year follow-up. The best postoperative result was reported one year postoperatively. At the 7 year follow up there was a significant difference between the patients and controls in SF-36 physical function (PF) and role physical (RP) but not of WOMAC function. There was no difference in frequency of co-morbid conditions between those operated and the reference group, but those operated were in greater need of walking aid (46% vs. 8% p < 0.0001) and reported more regional and widespread pain (68% vs. 53% p < 0.05). CONCLUSION: This study shows that in an unselected cohort the patients experience a similar health-related quality of life as a reference group of a similar age and sex structure 7 years after THR except for general physical function where the patients score worse. (Less)
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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Musculoskeletal Disorders
volume
11
article number
47
publisher
BioMed Central (BMC)
external identifiers
  • wos:000276441600001
  • pmid:20222962
  • scopus:77949458287
  • pmid:20222962
ISSN
1471-2474
DOI
10.1186/1471-2474-11-47
language
English
LU publication?
yes
id
35a46ff2-3262-459f-aa67-b720fe1fd151 (old id 1582272)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20222962?dopt=Abstract
date added to LUP
2016-04-04 09:41:00
date last changed
2022-04-08 04:22:44
@article{35a46ff2-3262-459f-aa67-b720fe1fd151,
  abstract     = {{BACKGROUND: To investigate prospectively the patient-relevant outcome 7 years after total hip replacement (THR) for osteoarthritis (OA). METHODS: 219 consecutive patients (120 women) with primary OA, mean age 71 (range 50-92) were assigned for THR. They were examined preoperatively, at 3, 6, 12 months, and at 4, 5 and 7 years postoperatively with the self-administered questionnaires SF-36 and WOMAC. Supplementary questions regarding postoperative complications, general co-morbidity, social circumstances and patient satisfaction were asked at the three last follow-ups. A reference group, 117 subjects (67 women), mean age 72 (range 52-92) without hip complaints were recruited from the community and investigated at the same times. RESULTS: 151/170 (89%) of the patients and 65/74 (88%) of the reference group participated at the 7 year follow-up. The best postoperative result was reported one year postoperatively. At the 7 year follow up there was a significant difference between the patients and controls in SF-36 physical function (PF) and role physical (RP) but not of WOMAC function. There was no difference in frequency of co-morbid conditions between those operated and the reference group, but those operated were in greater need of walking aid (46% vs. 8% p &lt; 0.0001) and reported more regional and widespread pain (68% vs. 53% p &lt; 0.05). CONCLUSION: This study shows that in an unselected cohort the patients experience a similar health-related quality of life as a reference group of a similar age and sex structure 7 years after THR except for general physical function where the patients score worse.}},
  author       = {{Nilsdotter, Anna and Isaksson, Fredrik}},
  issn         = {{1471-2474}},
  language     = {{eng}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Musculoskeletal Disorders}},
  title        = {{Patient relevant outcome 7 years after total hip replacement for OA - a prospective study.}},
  url          = {{https://lup.lub.lu.se/search/files/5389546/1590515.pdf}},
  doi          = {{10.1186/1471-2474-11-47}},
  volume       = {{11}},
  year         = {{2010}},
}