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Archives of Orthopaedic and Trauma Surgery

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01-11-2012 | Orthopaedic Outcome Assessment

Health-related quality of life after total knee or hip replacement for osteoarthritis: a 7-year prospective study

Authors: O. Bruyère, O. Ethgen, A. Neuprez, B. Zégels, Ph. Gillet, J.-P. Huskin, J.-Y. Reginster

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2012

Abstract

Objective

To assess health-related quality of life (HRQOL) in a prospective study with 7 years of follow-up in 49 consecutive patients who underwent a total joint replacement because of osteoarthritis.

Methods

Generic HRQOL was assessed with the short-form 36 (SF-36) and specific HRQOL with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).

Results

Out of the 39 subjects who have completed the 7 years of follow-up of this study, 22 (56.4 %) underwent a hip replacement surgery and the other 17 (43.6 %) a knee replacement. Six months after surgery, a significant improvement, compared to preoperative scores, was observed in two of the eight dimensions of the SF-36 (i.e. physical function and pain). The same dimensions, pain and physical function, at the same time, 6 months after surgery, measured by the WOMAC, showed a significant improvement as well, but there was no significant change in the stiffness score. From 6 months to the end of follow-up, changes in SF-36 scores showed a significant improvement in physical function (p = 0.008), role-physical (p = 0.004) and role-emotional (p = 0.01) while all scores of the WOMAC improved (p < 0.001 for pain, p < 0.001 for stiffness and p < 0.01 for physical function).

Conclusion

The improvements observed in HRQOL at short term after surgery, are at least maintained over a 7-year follow-up period.

Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster JY (2004) Health-related quality of life in total hip and total knee arthroplasty. A qualitative and systematic review of the literature. J Bone Joint Surg 86-A(5):963–974PubMed

Nilsdotter AK, Isaksson F (2010) Patient relevant outcome 7 years after total hip replacement for OA—a prospective study. BMC Musculoskelet Disord 11:47PubMedCrossRef

Nilsdotter AK, Petersson IF, Roos EM, Lohmander LS (2003) Predictors of patient relevant outcome after total hip replacement for osteoarthritis: a prospective study. Ann Rheum Dis 62(10):923–930PubMedCrossRef

Kiebzak GM, Campbell M, Mauerhan DR (2002) The SF-36 general health status survey documents the burden of osteoarthritis and the benefits of total joint arthroplasty: but why should we use it? Am J Manag Care 8(5):463–474PubMed

Boutron I, Poiraudeau S, Ravaud JF, Baron G, Revel M, Nizard R et al (2003) Disability in adults with hip and knee arthroplasty: a French national community based survey. Ann Rheum Dis 62(8):748–754PubMedCrossRef

Nilsdotter AK, Toksvig-Larsen S, Roos EM (2009) A 5 year prospective study of patient-relevant outcomes after total knee replacement. Osteoarthr Cartil 17(5):601–606PubMedCrossRef

Rat AC, Guillemin F, Osnowycz G, Delagoutte JP, Cuny C, Mainard D et al (2010) Total hip or knee replacement for osteoarthritis: mid- and long-term quality of life. Arthr Care Res 62(1):54–62CrossRef

Nunez M, Lozano L, Nunez E, Segur JM, Sastre S, Macule F et al (2009) Total knee replacement and health-related quality of life: factors influencing long-term outcomes. Arthr Rheum 61(8):1062–1069CrossRef

Leplege A, Ecosse E, Verdier A, Perneger TV (1998) The French SF-36 Health Survey: translation, cultural adaptation and preliminary psychometric evaluation. J Clin Epidemiol 51(11):1013–1023PubMedCrossRef

10.

Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW (1988) Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 15(12):1833–1840PubMed

11.

Torrance GW, Thomas WH, Sackett DL (1972) A utility maximization model for evaluation of health care programs. Health Serv Res 7(2):118–133PubMed

12.

13.

Rat AC, Guillemin F, Osnowycz G, Delagoutte JP, Cuny C, Mainard D et al (2010) Total hip or knee replacement for osteoarthritis: mid- and long-term quality of life. Arthr Care Res (Hoboken) 62(1):54–62CrossRef

14.

15.

Chana R, Shenava Y, Nicholl AP, Lusted FJ, Skinner PW, Gibb PA (2008) Five- to 8-year results of the uncemented Duracon total knee arthroplasty system. J Arthroplasty 23(5):677–682PubMedCrossRef

16.

Bourne RB, McCalden RW, MacDonald SJ, Mokete L, Guerin J (2007) Influence of patient factors on TKA outcomes at 5 to 11 years followup. Clin Orthop Relat Res 464:27–31PubMed

17.

Baumann C, Rat AC, Mainard D, Cuny C, Guillemin F (2011) Importance of patient satisfaction with care in predicting osteoarthritis-specific health-related quality of life one year after total joint arthroplasty. Qual Life Res Int J Qual Life Aspects Treat Care Rehabilit 20(10):1581–1588CrossRef

18.

Cushnaghan J, Bennett J, Reading I, Croft P, Byng P, Cox K et al (2009) Long-term outcome following total knee arthroplasty: a controlled longitudinal study. Ann Rheum Dis 68(5):642–647PubMedCrossRef

19.

Cushnaghan J, Coggon D, Reading I, Croft P, Byng P, Cox K et al (2007) Long-term outcome following total hip arthroplasty: a controlled longitudinal study. Arthr Rheum 57(8):1375–1380CrossRef

20.

Bozic KJ, Chiu VW, Slover JD, Immerman I, Kahn JG (2011) Health state utility in patients with osteoarthritis of the hip and total hip arthroplasty. J Arthroplasty 26(6):129–132 e1–2PubMedCrossRef

21.

Griffin DR, Parsons N, Mohtadi NG, Safran MR (2012) A short version of the International Hip Outcome Tool (iHOT-12) for use in routine clinical practice. Arthroscopy 28(5):611–616 quiz 6–8PubMedCrossRef

22.

Mohtadi NG, Griffin DR, Pedersen ME, Chan D, Safran MR, Parsons N et al (2012) The Development and validation of a self-administered quality-of-life outcome measure for young, active patients with symptomatic hip disease: the International Hip Outcome Tool (iHOT-33). Arthroscopy 28(5):595–605 (quiz 6–10 e1)PubMedCrossRef

23.

Picavet HS (2001) National health surveys by mail or home interview: effects on response. J Epidemiol Community Health 55(6):408–413PubMedCrossRef

24.

Greidanus NV, Peterson RC, Masri BA, Garbuz DS (2011) Quality of life outcomes in revision versus primary total knee arthroplasty. J Arthroplasty 26(4):615–620

25.

Saenz Gonzalez, de Tejada M, Escobar A, Herrera C, Garcia L, Aizpuru F, Sarasqueta C (2010) Patient expectations and health-related quality of life outcomes following total joint replacement. Value Health 13(4):447–454CrossRef

26.

Mahomed NN, Liang MH, Cook EF, Daltroy LH, Fortin PR, Fossel AH et al (2002) The importance of patient expectations in predicting functional outcomes after total joint arthroplasty. J Rheumatol 29(6):1273–1279PubMed

27.

Fortin PR, Penrod JR, Clarke AE, St-Pierre Y, Joseph L, Belisle P et al (2002) Timing of total joint replacement affects clinical outcomes among patients with osteoarthritis of the hip or knee. Arthr Rheum 46(12):3327–3330CrossRef

28.

Escobar A, Quintana JM, Gonzalez M, Bilbao A, Ibanez B (2009) Waiting list management: priority criteria or first-in first-out? A case for total joint replacement. J Eval Clin Pract 15(4):595–601PubMedCrossRef

29.

Hirvonen J, Tuominen U, Seitsalo S, Lehto M, Paavolainen P, Hietaniemi K et al (2009) The effect of waiting time on health-related quality of life, pain, and physical function in patients awaiting primary total hip replacement: a randomized controlled trial. Value Health 12(6):942–947PubMedCrossRef

Title: Health-related quality of life after total knee or hip replacement for osteoarthritis: a 7-year prospective study
Authors: O. Bruyère
O. Ethgen
A. Neuprez
B. Zégels
Ph. Gillet
J.-P. Huskin
J.-Y. Reginster
Publication date: 01-11-2012
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2012
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-012-1583-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Health-related quality of life after total knee or hip replacement for osteoarthritis: a 7-year prospective study

Abstract

Objective

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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