Klinische Resultate 2 Jahre nach Hüfttotalendoprothese (WOMAC/SF-36) und Vergleich mit der Normbevölkerung (SF-36)

Background and purposeThere are concerns that mental health (MH) may influence outcomes of total knee arthroplasty (TKA) or total hip arthroplasty (THA). We examined effects of poor MH before surgery on long-term outcomes of osteoarthritis-related TKA or THA in women.Patients and methodsThe data were from 9,737 middle-aged participants (47–52 years) and 9,292 older participants (73–78 years) in the Australian Longitudinal Study on Women’s Health who completed surveys between 1998 and 2013. Dates of arthroplasties were obtained from the Australian Orthopaedics Association National Joint Replacement Registry. Participants without procedures were matched with participants with procedures. Trajectories of the Short-Form 36 scores for physical functioning, bodily pain, social functioning, and mental health based on mixed modeling were plotted for participants with and without surgery (stratified according to mental health, separately for TKA and THA, and for middle-aged and older participants).ResultsIn middle-aged women with poor and good MH, TKA improved physical function and reduced bodily pain, with improvements sustained up to 10 years after surgery. TKA contributed to restoration of social function in women with good MH, but this was less clear in women with poor MH. In both MH groups, mental health appeared to be unaffected by TKA. Similar patterns were observed after THA, and in older women.InterpretationRecovery of physical and social function and reductions in pain were sustained for up to 10 years after surgery. Improvements in physical function and pain were also observed in women with poor mental health. Thus, in our view poor mental health should not be a contraindication for arthroplasty.

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“…1993, Huber et al. 2006, Busija et al. 2008); the longest duration of follow-up was 5 years (Busija et al.…”

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confidence: 99%

Improvements in physical function and pain sustained for up to 10 years after knee or hip arthroplasty irrespective of mental health status before surgery

et al. 2016

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“…SF-36[5] und weiteren zuverlässig erfasst werden. Für die Auswertung und Darstellung der Resultate werden die präund postoperativen Mittelwerte einer Patientenkohorte angegeben[6][7][8][9][10]. Bei sehr wirksamen und erfolgreichen Eingriffen wie beispielsweise der Hüfttotalendoprothese (HTP) entsteht somit der Eindruck, dass alle Patienten der untersuchten Kohorte eine Besserung erfahren haben[6][7][8][9][10].…”

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Relativer Effekt pro Patient (REPP) - Ergebnisgruppen am Beispiel der Hüfttotalendoprothese und Knietotalendoprothese

et al. 2013

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Calculation of the REPP and the subsequent allocation to outcome groups is simple. The distribution of outcomes depends on the intervention (THR results better than TKR) and the patient questionnaire used (better results with a condition-specific than a generic questionnaire). The proportion of "unchanged" and "moderate" outcomes was greater with the generic questionnaire than with the condition-specific questionnaire, while the proportion of "worse" outcomes was similar for the two instruments. Partitioning of the degree of success into sub-groups, based on the REPP, provides more information for both the patient and the orthopaedic surgeon.

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Résultats cliniques et qualité de vie après traumatisme artériel du membre supérieur

Töpel¹,

Pfister²,

Moser³

et al. 2009

Annales de Chirurgie Vasculaire

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Klinische Resultate 2 Jahre nach Hüfttotalendoprothese (WOMAC/SF-36) und Vergleich mit der Normbevölkerung (SF-36)

Cited by 9 publications

References 9 publications

Improvements in physical function and pain sustained for up to 10 years after knee or hip arthroplasty irrespective of mental health status before surgery

Improvements in physical function and pain sustained for up to 10 years after knee or hip arthroplasty irrespective of mental health status before surgery

Relativer Effekt pro Patient (REPP) - Ergebnisgruppen am Beispiel der Hüfttotalendoprothese und Knietotalendoprothese

Résultats cliniques et qualité de vie après traumatisme artériel du membre supérieur

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