Psychological status affects postoperative quality of life, function, and pain after periacetabular osteotomy.

Autor:	Wagener N; Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany., Löchel J; Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany., Hipfl C; Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany., Perka C; Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany., Hardt S; Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany., Leopold VJ; Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, Berlin, Germany.
Jazyk:	angličtina
Zdroj:	Bone & joint open [Bone Jt Open] 2023 Oct 12; Vol. 4 (10), pp. 758-765. Date of Electronic Publication: 2023 Oct 12.
DOI:	10.1302/2633-1462.410.BJO-2023-0104.R1
Abstrakt:	Aims: Psychological status may be an important predictor of outcome after periacetabular osteotomy (PAO). The aim of this study was to investigate the influence of psychological distress on postoperative health-related quality of life, joint function, self-assessed pain, and sports ability in patients undergoing PAO. Methods: In all, 202 consecutive patients who underwent PAO for developmental dysplasia of the hip (DDH) at our institution from 2015 to 2017 were included and followed up at 63 months (SD 10) postoperatively. Of these, 101 with complete data sets entered final analysis. Patients were assessed by questionnaire. Psychological status was measured by Brief Symptom Inventory (BSI-18), health-related quality of life was raised with 36-Item Short Form Survey (SF-36), hip functionality was measured by the short version 0f the International Hip Outcome Tool (iHOT-12), Subjective Hip Value (SHV), and Hip Disability and Outcome Score (HOS). Surgery satisfaction and pain were assessed. Dependent variables (endpoints) were postoperative quality of life (SF-36, HOS quality of life (QoL)), joint function (iHOT-12, SHV, HOS), patient satisfaction, and pain. Psychological distress was assessed by the Global Severity Index (GSI), somatization (BSI Soma), depression (BSI Depr), and anxiety (BSI Anx). Influence of psychological status was assessed by means of univariate and multiple multivariate regression analysis. Results: In multiple multivariate regression, postoperative GSI, BSI Soma, and BSI Depr had a negative effect on postoperative SF-36 (e -2.07, -3.05, and -2.67, respectively; p < 0.001), iHOT-12 (e -1.35 and -4.65, respectively; p < 0.001), SHV (e -1.20 and -2.71, respectively; p < 0.001), HOS QoL (e -2.09 and -4.79, respectively; p < 0.001), HOS Function (e -1.00 and -3.94, respectively; p < 0.001), and HOS Sport (e -1.44 and -5.29, respectively; p < 0.001), and had an effect on postoperative pain (e 0.13 and 0.37, respectively; p < 0.001). Conclusion: Psychological distress, depression, and somatization disorders affect health-related quality of life, perceived joint function, and sports ability. Pain perception is significantly increased by somatization. However, patient satisfaction with surgery is not affected. Competing Interests: C. Perka discloses royalties or licenses and consulting fees from Zimmer, Smith & Nephew, and DePuy/Synthes, with additional consulting fees also from Link. The author also received support from meetings and/or travel from the same companies, as well as having a leadership or fiduciary role for DGOOC, the International Hip Society, Arbeitsgemeinschaft Endoprothetik, and The Bone Joint Journal, all of which is unrelated to this work. (© 2023 Author(s) et al.)
Databáze:	MEDLINE
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