The association between comorbidities and pain, physical function and quality of life following hip and knee arthroplasty

Autor: T. P. M. Vliet Vlieland, Marta Fiocco, R. L. Tordoir, C. Tilbury, Joost Dekker, R. Onstenk, H.M. Vermeulen, S.H.M. Verdegaal, H M J van der Linden-van der Zwaag, Rob G H H Nelissen, Wilfred F. Peter, S. B. Vehmeijer, M. Benard
Přispěvatelé: Psychiatry, Rehabilitation medicine, EMGO - Musculoskeletal health
Rok vydání: 2015
Předmět:
Male
Time Factors
Knee Joint
Cross-sectional study
Arthroplasty
Replacement
Hip
Health Status
medicine.medical_treatment
Comorbidity
Osteoarthritis
Osteoarthritis
Hip
Quality of life
Risk Factors
Surveys and Questionnaires
Prevalence
Immunology and Allergy
Medicine
Arthroplasty
Replacement
Knee
Netherlands
Pain Measurement
Pain
Postoperative
Middle Aged
Osteoarthritis
Knee
musculoskeletal system
Biomechanical Phenomena
Original Article - Observational Research
Treatment Outcome
surgical procedures
operative
Female
Hip Joint
musculoskeletal diseases
medicine.medical_specialty
Immunology
Rheumatology
Internal medicine
Humans
Aged
Retrospective Studies
Chi-Square Distribution
business.industry
Retrospective cohort study
Recovery of Function
medicine.disease
Arthroplasty
Cross-Sectional Studies
Multivariate Analysis
Quality of Life
Physical therapy
Surgery
business
Chi-squared distribution
Zdroj: Rheumatology International
Rheumatology International, 35(7), 1233-1241. Springer Verlag
Peter, W F, Dekker, J, Tilbury, C, Tordoir, R, Verdegaal, S, Onstenk, R, Benard, M, Vehmeijer, S, Fiocco, M, Vermeulen, H, van der Linden-Zwaag, H M, Nelissen, R & Vliet Vlieland, T P M 2015, ' The association between comorbidities and pain, physical function and quality of life following hip and knee arthroplasty ', Rheumatology International, vol. 35, no. 7, pp. 1233-1241 . https://doi.org/10.1007/s00296-015-3211-7
Rheumatology International, 35(7), 1233-1241
ISSN: 0172-8172
DOI: 10.1007/s00296-015-3211-7
Popis: The aim of the study was to examine the relationship between comorbidities and pain, physical function and health-related quality of life (HRQoL) after total hip arthroplasty (THA) and total knee arthroplasty (TKA). A cross-sectional retrospective survey was conducted including 19 specific comorbidities, administered in patients who underwent THA or TKA in the previous 7–22 months in one of 4 hospitals. Outcome measures included pain, physical functioning, and HRQoL. Of the 521 patients (281 THA and 240 TKA) included, 449 (86 %) had ≥1 comorbidities. The most frequently reported comorbidities (>15 %) were severe back pain; neck/shoulder pain; elbow, wrist or hand pain; hypertension; incontinence of urine; hearing impairment; vision impairment; and cancer. Only the prevalence of cancer was significantly different between THA (n = 38; 14 %) and TKA (n = 52; 22 %) (p = 0.01). The associations between a higher number of comorbidities and worse outcomes were stronger in THA than in TKA. In multivariate analyses including all comorbidities with a prevalence of >5 %, in THA dizziness in combination with falling and severe back pain, and in TKA dizziness in combination with falling, vision impairments, and elbow, wrist or hand pain was associated with worse outcomes in most of the analyses. A broad range of specific comorbidities needs to be taken into account with the interpretation of patients’ health status after THA and TKA. More research including the ascertainment of comorbidities preoperatively is needed, but it is conceivable that in particular, the presence of dizziness with falling, pain in other joints, and vision impairments should be assessed and treated in order to decrease the chance of an unfavorable outcome.
Databáze: OpenAIRE
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