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Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty

BACKGROUND: To investigate and compare the impact of primary hip (THA) and knee (TKA) arthroplasty on quality of life in patients with osteoarthritis, to determine patients’ satisfaction with total joint arthroplasty, and to detect the effect of patients’ demographic and clinical characteristics on...

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Autores principales: Dailiana, Zoe H., Papakostidou, Ippolyti, Varitimidis, Sokratis, Liaropoulos, Lycurgos, Zintzaras, Elias, Karachalios, Theofilos, Michelinakis, Emmanuel, Malizos, Konstantinos N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660648/
https://www.ncbi.nlm.nih.gov/pubmed/26612135
http://dx.doi.org/10.1186/s12891-015-0814-9
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author Dailiana, Zoe H.
Papakostidou, Ippolyti
Varitimidis, Sokratis
Liaropoulos, Lycurgos
Zintzaras, Elias
Karachalios, Theofilos
Michelinakis, Emmanuel
Malizos, Konstantinos N.
author_facet Dailiana, Zoe H.
Papakostidou, Ippolyti
Varitimidis, Sokratis
Liaropoulos, Lycurgos
Zintzaras, Elias
Karachalios, Theofilos
Michelinakis, Emmanuel
Malizos, Konstantinos N.
author_sort Dailiana, Zoe H.
collection PubMed
description BACKGROUND: To investigate and compare the impact of primary hip (THA) and knee (TKA) arthroplasty on quality of life in patients with osteoarthritis, to determine patients’ satisfaction with total joint arthroplasty, and to detect the effect of patients’ demographic and clinical characteristics on outcome. METHODS: Three hundred seventy eight (378) patients with hip (174) and knee (204) osteoarthritis undergoing total joint arthroplasty (174 THA-204 TKA) were assessed pre- and post-operatively (6 weeks, 3, 6, and 12 months) using the Western Ontario and McMaster Osteoarthritis Index (WOMAC) and Centre for Epidemiological Studies Depression Scale (CES-D10). The patients’ satisfaction with the results of total joint arthroplasty was also assessed. Differences were analyzed using general linear model for repeated measures. RESULTS: The one-year response rate was 97 % for THA and 90 % for TKA. WOMAC and CES-D10 scores improved significantly after one year for both THA and TKA (P < 0.0001). The improvement in WOMAC total score was significantly greater for TKA patients (P < 0.0001 at 12 months). WOMAC pain and stiffness improved earlier for THA (6 weeks), while TKA had equivalent improvements at 3 and 6 months respectively. Both THA/TKA displayed significant improvement of WOMAC function at 3 months but TKA had greater improvement. Age, body mass index, residence, education and social support were not significant predictors of quality of life after total joint arthroplasty. One year postoperatively 88 % of patients were satisfied. CONCLUSIONS: WOMAC and CES-D10 improved significantly one year postoperatively. Although pain and stiffness improved earlier in THA, functional improvement was inferior in THA compared to TKA.
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spelling pubmed-46606482015-11-27 Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty Dailiana, Zoe H. Papakostidou, Ippolyti Varitimidis, Sokratis Liaropoulos, Lycurgos Zintzaras, Elias Karachalios, Theofilos Michelinakis, Emmanuel Malizos, Konstantinos N. BMC Musculoskelet Disord Research Article BACKGROUND: To investigate and compare the impact of primary hip (THA) and knee (TKA) arthroplasty on quality of life in patients with osteoarthritis, to determine patients’ satisfaction with total joint arthroplasty, and to detect the effect of patients’ demographic and clinical characteristics on outcome. METHODS: Three hundred seventy eight (378) patients with hip (174) and knee (204) osteoarthritis undergoing total joint arthroplasty (174 THA-204 TKA) were assessed pre- and post-operatively (6 weeks, 3, 6, and 12 months) using the Western Ontario and McMaster Osteoarthritis Index (WOMAC) and Centre for Epidemiological Studies Depression Scale (CES-D10). The patients’ satisfaction with the results of total joint arthroplasty was also assessed. Differences were analyzed using general linear model for repeated measures. RESULTS: The one-year response rate was 97 % for THA and 90 % for TKA. WOMAC and CES-D10 scores improved significantly after one year for both THA and TKA (P < 0.0001). The improvement in WOMAC total score was significantly greater for TKA patients (P < 0.0001 at 12 months). WOMAC pain and stiffness improved earlier for THA (6 weeks), while TKA had equivalent improvements at 3 and 6 months respectively. Both THA/TKA displayed significant improvement of WOMAC function at 3 months but TKA had greater improvement. Age, body mass index, residence, education and social support were not significant predictors of quality of life after total joint arthroplasty. One year postoperatively 88 % of patients were satisfied. CONCLUSIONS: WOMAC and CES-D10 improved significantly one year postoperatively. Although pain and stiffness improved earlier in THA, functional improvement was inferior in THA compared to TKA. BioMed Central 2015-11-26 /pmc/articles/PMC4660648/ /pubmed/26612135 http://dx.doi.org/10.1186/s12891-015-0814-9 Text en © Dailiana et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Dailiana, Zoe H.
Papakostidou, Ippolyti
Varitimidis, Sokratis
Liaropoulos, Lycurgos
Zintzaras, Elias
Karachalios, Theofilos
Michelinakis, Emmanuel
Malizos, Konstantinos N.
Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty
title Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty
title_full Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty
title_fullStr Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty
title_full_unstemmed Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty
title_short Patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty
title_sort patient-reported quality of life after primary major joint arthroplasty: a prospective comparison of hip and knee arthroplasty
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660648/
https://www.ncbi.nlm.nih.gov/pubmed/26612135
http://dx.doi.org/10.1186/s12891-015-0814-9
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