Der Einfluss von präoperativem Funktionsstatus und Schmerz auf das patientenzentrierte Frühergebnis nach Hüftendoprothesen-Implantation

Kessler, S.; Mattes, Thomas; Cakir, Balkan; Reichel, H.; Käfer, Wolfram

doi:10.1055/s-2007-965668

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…Lack of gender-pain associations in our study is similar to many studies [10,11,13,14], but in contrast to others [7,9,12]. Higher odds of use of NSAIDs and opioid medications in women versus men with primary THA is similar to higher analgesic use reported for women in national cohorts of patients in US and Sweden [35,36]; our study extends this finding to THA cohorts.…”

Section: Discussionsupporting

confidence: 91%

“…Lastly, the lack of association of older age with pain outcomes confirmed similar findings in studies of primary THA [6,7,10,11], in contrast to others [9,12-14]. Again, it is interesting that age associations we noted in post-TKA outcomes from the same dataset were not true for post-THA [22].…”

Section: Discussionsupporting

confidence: 88%

“…Some studies have reported that female gender is associated with worse pain outcomes post-primary THA [7,9,12], while other studies found no gender association [10,11,13,14]. Similarly, younger age was associated with more pain 1-15 years post-THA [9,12-14], while others found no difference in pain outcomes by age, at 6-12 months [6,7,10,11,15]. A recent systematic review assessing prognostic factors for patient outcomes in THA studies up to 2001 reported that female gender was associated with less post-operative pain, after THA [16].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of pain and use of pain medications following primary Total Hip Arthroplasty (THA): 5,707 THAs at 2-years and 3,289 THAs at 5-years

Singh

Lewallen

2010

BMC Musculoskelet Disord

143

149

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BackgroundStudy pain and use of pain medications and their predictors after primary Total Hip Arthroplasty (THA).MethodsWe examined whether gender, age (reference, < = 60 yrs), body mass index (BMI; reference, <25 kg/m2)), comorbidity measured by Deyo-Charlson index (5-point increase), anxiety and depression predict moderate-severe hip pain and use of pain medications 2- and 5-years after primary THA. Multivariable logistic regression adjusted for these predictors and distance from medical center, operative diagnosis, American Society of Anesthesiologists (ASA) score and implant type.ResultsModerate-severe pain was reported by 8.1% at 2-years and 10.8% at 5-years. Significant predictors of moderate-severe pain at 2-year follow-up were [Odds ratio (95% confidence interval)]: BMI 35-39.9, 1.8 (1.2,2.8); BMI > = 40, 1.7 (1.0,2.9); depression, 2.1 (1.4,3.0). Moderate-severe pain at 5-years was more common in patients with higher BMI: 25-29.9, 1.5 (1.1,2.1); 30-34.9, 1.8 (1.2,2.6); 35-39.9, 1.9 (1.2,3.1); and > = 40, 3.1 (1.7,5.7).Significant predictors of NSAID use were [Odds ratio (95% confidence interval)]: female gender at 2- and 5-years, 1.4 (1.1,1.7) and 1.4 (1.1,1.8); BMI 35-39.9 at 2-years, 1.9 (1.4, 2.6) and 30-34.9 at 2-years, 1.7 (1.2,2.4); and depression at 5-years, 1.8 (1.2,2.8).Significant predictors of opioid medication use were [Odds ratio (95% confidence interval)]: female gender at 2- and 5-years, 2.0 (1.1,3.0) and 2.4 (1.4,4.0); BMI 30-34.9 at 2-years, 2.0 (1.0,3.9); and depression at 2-years, 2.0 (1.1,3.7).ConclusionsHigher BMI and depression impacted moderate-severe pain; and female gender, higher BMI and depression predicted use of pain medications at 2- and 5-years post-primary THA.

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