Total hip or knee replacement for osteoarthritis: Mid- and long-term quality of life
| Autor: | Christian Cuny, Cédric Baumann, Georges Osnowycz, Jean-Pierre Delagoutte, Anne-Christine Rat, Francis Guillemin, Didier Mainard |
|---|---|
| Přispěvatelé: | Centre d'investigation clinique - Epidémiologie clinique [Nancy] (CIC-EC), Centre d'investigation clinique [Nancy] (CIC), Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM), Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université de Lorraine (UL), Service de Rhumatologie [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Centre Hospitalier de l’Ouest Vosgien [Neufchâteau] (CHOV), Service de Chirurgie Orthopédique, Traumatologique et Arthroscopique [CHRU Nancy] (COTA), Centre hospitalier régional Metz-Thionville (CHR Metz-Thionville) |
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Time Factors Adolescent Arthroplasty Replacement Hip medicine.medical_treatment Population Knee replacement Osteoarthritis Hip Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Rheumatology Quality of life medicine Humans Arthroplasty Replacement Knee education ComputingMilieux_MISCELLANEOUS Aged Aged 80 and over 030203 arthritis & rheumatology Hip surgery 030222 orthopedics education.field_of_study business.industry Middle Aged Osteoarthritis Knee Arthroplasty humanities 3. Good health Treatment Outcome surgical procedures operative [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system Orthopedic surgery Cohort Quality of Life Physical therapy Female business Follow-Up Studies Cohort study |
| Zdroj: | Arthritis Care & Research = Arthritis Care and Research Arthritis Care & Research = Arthritis Care and Research, Wiley-Blackwell, 2010, 62 (1), pp.54-62. ⟨10.1002/acr.20014⟩ |
| ISSN: | 0893-7524 1529-0123 |
| DOI: | 10.1002/acr.20014⟩ |
| Popis: | Objective To compare quality of life (QOL) scores 3 and 10 years after total hip arthroplasty (THA) or total knee arthroplasty (TKA) for osteoarthritis with QOL scores in a general population, and to determine factors associated with QOL after surgery. Methods Data were obtained from 2 multicenter cohorts of patients with THA or TKA: 232 patients were recruited during 2003 (3-year cohort) and 221 patients were recruited during 1994 (10-year cohort). Preoperative data (QOL, radiograph results) and followup data (demographics, comorbidities, pain locations, environmental factors, and QOL) were collected. QOL data for the general population were obtained from a 2003 population-based survey. Results A total of 195 and 89 patients for the 3- and 10-year cohorts, respectively, were followed up; the mean age at followup was 73 years. For both of the cohorts, physical functioning and role-physical or role-emotional QOL scores were lower than those for a general population with comparable age. Scores for pain, mental health, and social dimensions were lower than those for the reference population for only the 10-year cohort. For both cohorts, increased number of comorbidities, painful locations other than THA or TKA location, and unfavorable environmental factors were associated with impaired QOL. Low preoperative QOL scores were predictive of impaired QOL at followup for only the 3-year cohort. Conclusion THA or TKA can improve QOL, but the benefits may be time limited. Addressing environmental factors and treating comorbidities and pain in locations other than the arthroplasty location could have mid- and long-term effects on the QOL of patients with THA or TKA. |
| Databáze: | OpenAIRE |
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