The role of pain and functional impairment in the decision to recommend total joint replacement in hip and knee osteoarthritis: an international cross-sectional study of 1909 patients. Report of the OARSI-OMERACT Task Force on total joint replacement

Autor: Gossec, L., Paternotte, S., Maillefert, J.F., Combescure, C., Conaghan, P.G., Davis, A.M., Gunther, K.P., Hawker, G., Hochberg, M., Katz, J.N., Kloppenburg, M., Lim, K., Lohmander, L.S., Mahomed, N.N., March, L., Pavelka, K., Punzi, L., Roos, E.M., Sanchez-Riera, L., Singh, J.A., Suarez-Almazor, M.E., Dougados, M., OARSI-OMERACT Task Force Total Art
Přispěvatelé: Université Paris Descartes - Faculté de Médecine (UPD5 Médecine), Université Paris Descartes - Paris 5 (UPD5), APHP, Rheumatology B Department, Service de Rhumatologie (CHU de Dijon), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Division of Clinical Epidemiology (DCE), Geneva University Hospital (HUG), Section of Musculoskeletal Diseasee, University of Leeds & NIHR Leeds Musculoskeletal Biomedical Research Unit, Division of Health Care and Outcomes Research and Arthritis and Community, Research and Evaluation Unit, Toronto, Department of Orthopaedic Surgery, Université Catholique de Louvain (UCL), Division of Rheumatology, Department of Medicine, Women's College Hospital, University of Toronto, Division of Rheumatology & Clinical Immunology, Department of Orthopedic Surgery, Harvard Medical School [Boston] (HMS), Department of Rheumatology, Leiden University Medical Center, Leiden, The Netherlands, St Vincent's Hospital & Western Hospital, Melbourne, Department of Orthopaedics, Lund University, Lund, Sweden, Division of Orthopaedic Surgery, University of Toronto, Institute of Bone and Joint Research, The University of Sydney, Institute of Rheumatology, University Prague, Rheumatology Unit, Universita degli Studi di Padova, Institute of Sports and Clinical Biomechanics, University of Southern Denmark (SDU), Birmingham VA Medical Center, University of Alabama [Tuscaloosa] (UA), Section of Rheumatology, The University of Texas Health Science Center at Houston (UTHealth), Service de rhumatologie [CHU Cochin], Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-CHU Cochin [AP-HP], Cognition, Action, et Plasticité Sensorimotrice [Dijon - U1093] (CAPS), Université de Bourgogne (UB)-Institut National de la Santé et de la Recherche Médicale (INSERM), Collier, Jean-Yves, Université Catholique de Louvain = Catholic University of Louvain (UCL), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université Paris Descartes - Faculté de Médecine ( UPD5 Médecine ), Université Paris Descartes - Paris 5 ( UPD5 ) -Université Paris Descartes - Paris 5 ( UPD5 ), Université Paris Descartes - Paris 5 ( UPD5 ), Cognition, Action, et Plasticité Sensorimotrice [Dijon - U1093] ( CAPS ), Université de Bourgogne ( UB ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ), Division of Clinical Epidemiology ( DCE ), Geneva University Hospital ( HUG ), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand ( CHU Dijon ), Université Catholique de Louvain ( UCL ), Harvard Medical School, Boston, The University of Sydney [Sydney], UNIVERSITY OF SOUTHERN DENMARK, University of Alabama [Tuscaloosa] ( UA ), University of Texas at Houston [Houston] ( UTHealth ), Assistance publique - Hôpitaux de Paris (AP-HP)-CHU Cochin [AP-HP]
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Male
SURGERY
medicine.medical_treatment
Arthroplasty
Replacement
Hip
Osteoarthritis
Severity of Illness Index
Osteoarthritis
Hip
RADIOGRAPHIC FEATURES
Disability Evaluation
0302 clinical medicine
Medicine
Outpatient clinic
Orthopedics and Sports Medicine
030212 general & internal medicine
PREDICTORS
Arthroplasty
Replacement
Knee
Pain Measurement/methods
Pain/diagnosis
Pain Measurement
ddc:616
ASSOCIATION
Osteoarthritis
Knee
Middle Aged
3. Good health
PRIORITIZATION
TRIALS
[ SCCO.NEUR ] Cognitive science/Neuroscience
Female
Osteoarthritis
Hip/physiopathology/surgery
musculoskeletal diseases
medicine.medical_specialty
Joint replacement
Symptom
Decision Making
Biomedical Engineering
Pain
Article
03 medical and health sciences
Rheumatology
Severity of illness
PHYSICAL-FUNCTION
Humans
Knee
ARTHROPLASTY
Rheumatology and Autoimmunity
Aged
030203 arthritis & rheumatology
Hip surgery
Hip
Osteoarthritis
Knee/physiopathology/surgery
business.industry
[SCCO.NEUR]Cognitive science/Neuroscience
Gold standard
[SCCO.NEUR] Cognitive science/Neuroscience
OUTCOME MEASURE
Knee Hip Osteoarthritis Joint replacement Surgery Symptom radiographic features physical-function outcome measure arthroplasty severity surgery trials prioritization association predictors
medicine.disease
Arthroplasty
SEVERITY
Cross-Sectional Studies
Orthopedic surgery
Physical therapy
Surgery
business
Zdroj: Osteoarthritis and Cartilage, Vol. 19, No 2 (2011) pp. 147-54
Osteoarthritis and Cartilage
Osteoarthritis and Cartilage, Elsevier, 2011, 19, pp.147-154
Osteoarthritis and Cartilage, Elsevier, 2011, 19, pp.147--154. ⟨10.1016/j.joca.2010.10.025⟩
Gossec, L, Paternotte, S, Maillefert, J F, Pelissier Combescure, H C, Conaghan, P G, Davis, T M, Gunther, K-P, Hawker, G, Hochberg, M, Katz, J N, Kloppenburg, M, Lim, K, Lohmander, L S, Mahomed, N N, March, L, Pavelka, K, Punzi, L, Roos, E M, Sanchez-Riera, L, Singh, J A, Suarez-Almazor, M E, Dougados, M & for the OARSI-OMERACT Task Force “total articular replacement as outcome measure in OA” 2011, ' The role of pain and functional impairment in the decision to recommend total joint replacement in hip and knee osteoarthritis: an international cross-sectional study of 1909 patients. Report of the OARSI-OMERACT Task Force on total joint replacement ', Osteoarthritis and Cartilage, vol. 19, no. 2, pp. 147-154 . https://doi.org/10.1016/j.joca.2010.10.025
Osteoarthritis and Cartilage, Elsevier, 2011, 19, pp.147--154. 〈10.1016/j.joca.2010.10.025〉
Osteoarthritis and Cartilage; 19(2), pp 147-154 (2011)
Osteoarthritis and Cartilage, 19(2), 147-154
ISSN: 1063-4584
1522-9653
DOI: 10.1016/j.joca.2010.10.025⟩
Popis: Import JabRef | WosArea Orthopedics; Rheumatology; International audience; Objective: To assess the pain and functional disability levels corresponding to an indication for total joint replacement (TJR) in hip and knee osteoarthritis (OA). Methods: Design: International cross-sectional study in 10 countries. Patients: Consecutive outpatients with definite hip or knee OA attending an orthopaedic outpatient clinic. Gold standard measure for recommendation for TJR: Surgeon's decision that TJR is justified. Outcome measures: Pain (ICOAP: intermittent and constant osteoarthritis pain, 0-100) and functional impairment (HOOS-PS/KOOS-PS: Hip/Knee injury and Osteoarthritis Outcome Score Physical function Short-form, 0-100). Analyses: Comparison of patients with vs without surgeons' indication for TJR. Receiver Operating Characteristic (ROC) curve analyses and logistic regression were applied to determine cut points of pain and disability defining recommendation for TJR. Results: In all, 1909 patients were included (1130 knee/779 hip OA). Mean age was 66.4 [standard deviation (SD) 10.9] years, 58.1% were women; 628/1130 (55.6%) knee OA and 574/779 (73.7%) hip OA patients were recommended for TJR. Although patients recommended for TJR (yes vs no) had worse symptom levels [pain, 55.5 (95% confidence interval 54.2, 56.8) vs. 44.9 (43.2, 46.6), and functional impairment, 59.8 (58.7, 60.9) vs. 50.9 (49.3, 52.4), respectively, both P inf 0.0001]. there was substantial overlap in symptom levels between groups, even when adjusting for radiographic joint status. Thus, it was not possible to determine cut points for pain and function defining 'requirement for TJR'. Conclusion: Although symptom levels were higher in patients recommended for TJR, pain and functional disability alone did not discriminate between those who were and were not considered to need TJR by the orthopaedic surgeon. (C) 2010 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.
Databáze: OpenAIRE
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