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Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis

Introduction: The Girdlestone resection arthroplasty (GRA) is a salvage procedure for a recurrent or persistent prosthetic joint infection of the hip. This procedure negatively impacts the functional outcome and presumably also diminishes health status (HS) and quality of life (QOL). However, studie...

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Autores principales: Vincenten, Cornelis M., Den Oudsten, Brenda L., Bos, Pieter K., Bolder, Stefan B.T., Gosens, Taco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ivyspring International Publisher 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367196/
https://www.ncbi.nlm.nih.gov/pubmed/30755842
http://dx.doi.org/10.7150/jbji.28390
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author Vincenten, Cornelis M.
Den Oudsten, Brenda L.
Bos, Pieter K.
Bolder, Stefan B.T.
Gosens, Taco
author_facet Vincenten, Cornelis M.
Den Oudsten, Brenda L.
Bos, Pieter K.
Bolder, Stefan B.T.
Gosens, Taco
author_sort Vincenten, Cornelis M.
collection PubMed
description Introduction: The Girdlestone resection arthroplasty (GRA) is a salvage procedure for a recurrent or persistent prosthetic joint infection of the hip. This procedure negatively impacts the functional outcome and presumably also diminishes health status (HS) and quality of life (QOL). However, studies investigating the QOL after GRA are lacking. This cross-sectional study compares patients with a Girdlestone situation after an infected total hip prosthesis with a normative population with regard to HS and QOL. Methods: Patients with a permanent GRA were suitable to be enrolled in the study. Subjects completed the World Health Organization Quality of life (WHOQOL-BREF) and the EuroQol 5 dimension 3 level version (EQ-5D-3L). Scores were compared with data from the normal population, from patients with a lower limb amputations and data from patients with a myocardial infarction. Results: Sixty-three patients who underwent GRA between January 2000 and March 2017 completed the questionnaire. The median time between the GRA and competing the questionnaire was 48 months (4 -436). All WHOQOL-BREF domain scores were significantly lower in GRA patients compared to the normative data (p<0.001), patients with myocardial infarction or lower limb amputation. EQ-5D-3L results showed that HS was significantly impaired in GRA patients when compared to normative data (p<0.001) and also impaired when compared to data from lower limb amputations and myocardial infarctions. Conclusion: HS and QOL scores in patients with a permanent Girdlestone situation after an infected hip prosthesis are significantly lower than Dutch normative scores. Patients with a permanent Girdlestone situation scored even lower on HS than patients with a lower limb amputation or a myocardial infarction.
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spelling pubmed-63671962019-02-12 Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis Vincenten, Cornelis M. Den Oudsten, Brenda L. Bos, Pieter K. Bolder, Stefan B.T. Gosens, Taco J Bone Jt Infect Research Paper Introduction: The Girdlestone resection arthroplasty (GRA) is a salvage procedure for a recurrent or persistent prosthetic joint infection of the hip. This procedure negatively impacts the functional outcome and presumably also diminishes health status (HS) and quality of life (QOL). However, studies investigating the QOL after GRA are lacking. This cross-sectional study compares patients with a Girdlestone situation after an infected total hip prosthesis with a normative population with regard to HS and QOL. Methods: Patients with a permanent GRA were suitable to be enrolled in the study. Subjects completed the World Health Organization Quality of life (WHOQOL-BREF) and the EuroQol 5 dimension 3 level version (EQ-5D-3L). Scores were compared with data from the normal population, from patients with a lower limb amputations and data from patients with a myocardial infarction. Results: Sixty-three patients who underwent GRA between January 2000 and March 2017 completed the questionnaire. The median time between the GRA and competing the questionnaire was 48 months (4 -436). All WHOQOL-BREF domain scores were significantly lower in GRA patients compared to the normative data (p<0.001), patients with myocardial infarction or lower limb amputation. EQ-5D-3L results showed that HS was significantly impaired in GRA patients when compared to normative data (p<0.001) and also impaired when compared to data from lower limb amputations and myocardial infarctions. Conclusion: HS and QOL scores in patients with a permanent Girdlestone situation after an infected hip prosthesis are significantly lower than Dutch normative scores. Patients with a permanent Girdlestone situation scored even lower on HS than patients with a lower limb amputation or a myocardial infarction. Ivyspring International Publisher 2019-01-01 /pmc/articles/PMC6367196/ /pubmed/30755842 http://dx.doi.org/10.7150/jbji.28390 Text en © Ivyspring International Publisher This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) license (https://creativecommons.org/licenses/by-nc/4.0/). See http://ivyspring.com/terms for full terms and conditions.
spellingShingle Research Paper
Vincenten, Cornelis M.
Den Oudsten, Brenda L.
Bos, Pieter K.
Bolder, Stefan B.T.
Gosens, Taco
Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis
title Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis
title_full Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis
title_fullStr Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis
title_full_unstemmed Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis
title_short Quality of life and health status after Girdlestone resection arthroplasty in patients with an infected total hip prosthesis
title_sort quality of life and health status after girdlestone resection arthroplasty in patients with an infected total hip prosthesis
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367196/
https://www.ncbi.nlm.nih.gov/pubmed/30755842
http://dx.doi.org/10.7150/jbji.28390
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