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Open Access 01-12-2024 | Hip-TEP | Research

Patients’ experience on pain outcomes after hip arthroplasty: insights from an information tool based on registry data

Authors: Gianluca Fabiano, Sophie Cole, Christophe Barea, Stéphane Cullati, Thomas Agoritsas, Nils Gutacker, Alan Silman, Didier Hannouche, Anne Lübbeke, Rafael Pinedo-Villanueva

Published in: BMC Musculoskeletal Disorders | Issue 1/2024

Abstract

Background

Arthroplasty registries are rarely used to inform encounters between clinician and patient. This study is part of a larger one which aimed to develop an information tool allowing both to benefit from previous patients’ experience after total hip arthroplasty (THA). This study focuses on generating the information tool specifically for pain outcomes.

Methods

Data from the Geneva Arthroplasty Registry (GAR) about patients receiving a primary elective THA between 1996 and 2019 was used. Selected outcomes were identified from patient and surgeon surveys: pain walking, climbing stairs, night pain, pain interference, and pain medication. Clusters of patients with homogeneous outcomes at 1, 5, and 10 years postoperatively were generated based on selected predictors evaluated preoperatively using conditional inference trees (CITs).

Results

Data from 6,836 THAs were analysed and 14 CITs generated with 17 predictors found significant (p < 0.05). Baseline WOMAC pain score, SF-12 self-rated health (SRH), number of comorbidities, SF-12 mental component score, and body mass index (BMI) were the most common predictors. Outcome levels varied markedly by clusters whilst predictors changed at different time points for the same outcome. For example, 79% of patients with good to excellent SRH and less than moderate preoperative night pain reported absence of night pain at 1 year after THA; in contrast, for those with fair/poor SHR this figure was 50%. Also, clusters of patients with homogeneous levels of night pain at 1 year were generated based on SRH, Charnley, WOMAC night and pain scores, whilst those at 10 years were based on BMI alone.

Conclusions

The information tool generated under this study can provide prospective patients and clinicians with valuable and understandable information about the experiences of “patients like them” regarding their pain outcomes.

Available only for authorised users

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Title: Patients’ experience on pain outcomes after hip arthroplasty: insights from an information tool based on registry data
Authors: Gianluca Fabiano
Sophie Cole
Christophe Barea
Stéphane Cullati
Thomas Agoritsas
Nils Gutacker
Alan Silman
Didier Hannouche
Anne Lübbeke
Rafael Pinedo-Villanueva
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Hip-TEP
Hip-TEP
Published in: BMC Musculoskeletal Disorders / Issue 1/2024
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-024-07357-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Patients’ experience on pain outcomes after hip arthroplasty: insights from an information tool based on registry data

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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