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Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head

BACKGROUND: This study examined whether use of a specific questionnaire sheet for nontraumatic osteonecrosis of the femoral head (ONFH) could affect the subclassification of ONFH compared with a conventional medical interview. MATERIAL/METHODS: Study participants consisted of 400 patients with ONFH...

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Autores principales: Hatanaka, Hiroyuki, Motomura, Goro, Ikemura, Satoshi, Sonoda, Kazuhiko, Kubo, Yusuke, Utsunomiya, Takeshi, Nakashima, Yasuharu, Yamamoto, Takuaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216562/
https://www.ncbi.nlm.nih.gov/pubmed/32364184
http://dx.doi.org/10.12659/MSM.921327
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author Hatanaka, Hiroyuki
Motomura, Goro
Ikemura, Satoshi
Sonoda, Kazuhiko
Kubo, Yusuke
Utsunomiya, Takeshi
Nakashima, Yasuharu
Yamamoto, Takuaki
author_facet Hatanaka, Hiroyuki
Motomura, Goro
Ikemura, Satoshi
Sonoda, Kazuhiko
Kubo, Yusuke
Utsunomiya, Takeshi
Nakashima, Yasuharu
Yamamoto, Takuaki
author_sort Hatanaka, Hiroyuki
collection PubMed
description BACKGROUND: This study examined whether use of a specific questionnaire sheet for nontraumatic osteonecrosis of the femoral head (ONFH) could affect the subclassification of ONFH compared with a conventional medical interview. MATERIAL/METHODS: Study participants consisted of 400 patients with ONFH who visited our hospital between February 2011 and March 2015. Data on history of systemic steroid therapy and habitual alcohol intake were obtained during a conventional medical interview at the first visit and were re-evaluated using a specific questionnaire sheet at another visit. Patients were subclassified into 4 groups: steroid-associated, alcohol-associated, steroid/alcohol-associated, or idiopathic ONFH. RESULTS: Use of the specific questionnaire sheet resulted in a 4.0% increase in the proportion of patients with a history of systemic steroid therapy, from 57.3% (n=229) to 61.3% (n=245), and a 14.3% increase for history of habitual alcohol intake, from 35.0% (n=140) to 49.3% (n=197). The proportion of patients with steroid/alcohol-associated ONFH increased from 2.5% (n=10) to 17.8% (n=71), while the proportion in the other 3 groups decreased: steroid-associated ONFH from 54.8% (n=219) to 43.5% (n=174); alcohol-associated ONFH from 32.5% (n=130) to 31.5% (n=126); and idiopathic ONFH from 10.2% (n=41) to 7.2% (n=29). Ninety-six patients (24.0%) were classified into a different subgroup based on the specific questionnaire sheet. CONCLUSIONS: The use of a specific questionnaire sheet can change the distribution of ONFH subclassifications compared with use of a conventional medical history interview. Use of a specific questionnaire sheet can allow for more detailed self-reporting regarding potential causative factors for nontraumatic ONFH, especially habitual alcohol intake.
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spelling pubmed-72165622020-05-18 Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head Hatanaka, Hiroyuki Motomura, Goro Ikemura, Satoshi Sonoda, Kazuhiko Kubo, Yusuke Utsunomiya, Takeshi Nakashima, Yasuharu Yamamoto, Takuaki Med Sci Monit Clinical Research BACKGROUND: This study examined whether use of a specific questionnaire sheet for nontraumatic osteonecrosis of the femoral head (ONFH) could affect the subclassification of ONFH compared with a conventional medical interview. MATERIAL/METHODS: Study participants consisted of 400 patients with ONFH who visited our hospital between February 2011 and March 2015. Data on history of systemic steroid therapy and habitual alcohol intake were obtained during a conventional medical interview at the first visit and were re-evaluated using a specific questionnaire sheet at another visit. Patients were subclassified into 4 groups: steroid-associated, alcohol-associated, steroid/alcohol-associated, or idiopathic ONFH. RESULTS: Use of the specific questionnaire sheet resulted in a 4.0% increase in the proportion of patients with a history of systemic steroid therapy, from 57.3% (n=229) to 61.3% (n=245), and a 14.3% increase for history of habitual alcohol intake, from 35.0% (n=140) to 49.3% (n=197). The proportion of patients with steroid/alcohol-associated ONFH increased from 2.5% (n=10) to 17.8% (n=71), while the proportion in the other 3 groups decreased: steroid-associated ONFH from 54.8% (n=219) to 43.5% (n=174); alcohol-associated ONFH from 32.5% (n=130) to 31.5% (n=126); and idiopathic ONFH from 10.2% (n=41) to 7.2% (n=29). Ninety-six patients (24.0%) were classified into a different subgroup based on the specific questionnaire sheet. CONCLUSIONS: The use of a specific questionnaire sheet can change the distribution of ONFH subclassifications compared with use of a conventional medical history interview. Use of a specific questionnaire sheet can allow for more detailed self-reporting regarding potential causative factors for nontraumatic ONFH, especially habitual alcohol intake. International Scientific Literature, Inc. 2020-05-04 /pmc/articles/PMC7216562/ /pubmed/32364184 http://dx.doi.org/10.12659/MSM.921327 Text en © Med Sci Monit, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) )
spellingShingle Clinical Research
Hatanaka, Hiroyuki
Motomura, Goro
Ikemura, Satoshi
Sonoda, Kazuhiko
Kubo, Yusuke
Utsunomiya, Takeshi
Nakashima, Yasuharu
Yamamoto, Takuaki
Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head
title Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head
title_full Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head
title_fullStr Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head
title_full_unstemmed Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head
title_short Effect of a Specific Questionnaire Sheet on Subclassification of Osteonecrosis of the Femoral Head
title_sort effect of a specific questionnaire sheet on subclassification of osteonecrosis of the femoral head
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216562/
https://www.ncbi.nlm.nih.gov/pubmed/32364184
http://dx.doi.org/10.12659/MSM.921327
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