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Symptoms of osteoarthritis influence mental and physical health differently before and after joint replacement surgery: A prospective study
BACKGROUND: Patient-reported outcomes are increasingly used in evaluations of joint replacement surgery, but it is unclear if symptoms of osteoarthritis (i.e., pain and dysfunction) influence health perceptions similarly before and after surgery. METHODS: In this prospective study based on a hospita...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6553858/ https://www.ncbi.nlm.nih.gov/pubmed/31170228 http://dx.doi.org/10.1371/journal.pone.0217912 |
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author | Perneger, Thomas V. Hannouche, Didier Miozzari, Hermès H. Lübbeke, Anne |
author_facet | Perneger, Thomas V. Hannouche, Didier Miozzari, Hermès H. Lübbeke, Anne |
author_sort | Perneger, Thomas V. |
collection | PubMed |
description | BACKGROUND: Patient-reported outcomes are increasingly used in evaluations of joint replacement surgery, but it is unclear if symptoms of osteoarthritis (i.e., pain and dysfunction) influence health perceptions similarly before and after surgery. METHODS: In this prospective study based on a hospital-based arthroplasty registry, patients with primary total hip or knee arthroplasty (THA, N = 990, and TKA, N = 907) completed the WOMAC Pain and Function scales, and the SF12 Physical and Mental Component Scores (PCS and MCS), before surgery and one year later. Associations between WOMAC and SF12 scales were examined using mixed linear regression models. RESULTS: All patient-reported outcomes improved following total joint arthroplasty, but the associations between symptom scales and global health perceptions were altered. Mental health scores at a given level of pain or function were lower after surgery than before, by about 4–5 points, a clinically meaningful and statistically significant difference. In contrast, the associations between WOMAC scales and the PCS remained stable. These findings were observed in both cohorts of patients. CONCLUSIONS: After total joint arthroplasty, mental health scores were lower than would have been expected given the symptomatic improvement. This suggests that relationships between patient-reported outcomes are context-dependent, and that care should be exerted when interpreting changes in patient-reported outcomes over time. |
format | Online Article Text |
id | pubmed-6553858 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-65538582019-06-17 Symptoms of osteoarthritis influence mental and physical health differently before and after joint replacement surgery: A prospective study Perneger, Thomas V. Hannouche, Didier Miozzari, Hermès H. Lübbeke, Anne PLoS One Research Article BACKGROUND: Patient-reported outcomes are increasingly used in evaluations of joint replacement surgery, but it is unclear if symptoms of osteoarthritis (i.e., pain and dysfunction) influence health perceptions similarly before and after surgery. METHODS: In this prospective study based on a hospital-based arthroplasty registry, patients with primary total hip or knee arthroplasty (THA, N = 990, and TKA, N = 907) completed the WOMAC Pain and Function scales, and the SF12 Physical and Mental Component Scores (PCS and MCS), before surgery and one year later. Associations between WOMAC and SF12 scales were examined using mixed linear regression models. RESULTS: All patient-reported outcomes improved following total joint arthroplasty, but the associations between symptom scales and global health perceptions were altered. Mental health scores at a given level of pain or function were lower after surgery than before, by about 4–5 points, a clinically meaningful and statistically significant difference. In contrast, the associations between WOMAC scales and the PCS remained stable. These findings were observed in both cohorts of patients. CONCLUSIONS: After total joint arthroplasty, mental health scores were lower than would have been expected given the symptomatic improvement. This suggests that relationships between patient-reported outcomes are context-dependent, and that care should be exerted when interpreting changes in patient-reported outcomes over time. Public Library of Science 2019-06-06 /pmc/articles/PMC6553858/ /pubmed/31170228 http://dx.doi.org/10.1371/journal.pone.0217912 Text en © 2019 Perneger et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Perneger, Thomas V. Hannouche, Didier Miozzari, Hermès H. Lübbeke, Anne Symptoms of osteoarthritis influence mental and physical health differently before and after joint replacement surgery: A prospective study |
title | Symptoms of osteoarthritis influence mental and physical health differently before and after joint replacement surgery: A prospective study |
title_full | Symptoms of osteoarthritis influence mental and physical health differently before and after joint replacement surgery: A prospective study |
title_fullStr | Symptoms of osteoarthritis influence mental and physical health differently before and after joint replacement surgery: A prospective study |
title_full_unstemmed | Symptoms of osteoarthritis influence mental and physical health differently before and after joint replacement surgery: A prospective study |
title_short | Symptoms of osteoarthritis influence mental and physical health differently before and after joint replacement surgery: A prospective study |
title_sort | symptoms of osteoarthritis influence mental and physical health differently before and after joint replacement surgery: a prospective study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6553858/ https://www.ncbi.nlm.nih.gov/pubmed/31170228 http://dx.doi.org/10.1371/journal.pone.0217912 |
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