Predicting Short-Term Outcome of Primary Total Hip Arthroplasty

Wang, Wenbao; Morrison, Todd A.; Geller, Jeffrey A.; Yoon, Richard S.; Macaulay, William

doi:10.1016/j.arth.2009.06.011

Cited by 20 publications

(11 citation statements)

References 21 publications

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“…In four of the seven studies with a significant outcome, being male predicted a better outcome 29 30 32 37 whereas three studies reported being female as a predictor of better functional outcome. 21 28 38 This demonstrates inconsistent evidence for an association between gender and functional outcome after THA.…”

Section: Resultsmentioning

confidence: 88%

“…Fifteen studies evaluated gender as a possible predictor of functional outcome after THA 17 18 21 22 24 26–30 32 34 36–38 ( table 5 ). A total of 7156 patients were included in all studies that evaluated gender as a possible predictor, with a mean follow-up time of 23.3 months.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 15 studies, 7 found a statistically significant association between preoperative physical function and functional outcome. 21 28–30 32 37 38 Nine studies evaluated the short-term functional outcome of which four studies found a significant association. 28 30 32 37 Six studies evaluated the long-term functional outcome of which three found a significant association.…”

Section: Resultsmentioning

confidence: 99%

“… 21 28–30 32 37 38 Nine studies evaluated the short-term functional outcome of which four studies found a significant association. 28 30 32 37 Six studies evaluated the long-term functional outcome of which three found a significant association. 21 29 38 All studies were designated as level of evidence low (5), moderate (9) or high (1).…”

Section: Resultsmentioning

confidence: 99%

“… 18 21 22 25 27 29 30 32–34 37 39 42 Seven studies evaluated the short-term outcome of which six reported a significant negative association. 22 23 25 30 32 34 39 42 Six studies evaluated the long-term outcome, of which five found a significant negative association. 18 21–23 29 All articles were designated as level of evidence low (2), moderate (8) or high (3).…”

Section: Resultsmentioning

confidence: 99%

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Predictors of physical functioning after total hip arthroplasty: a systematic review

et al. 2016

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ObjectiveThe objective of this systematic review of the literature was to identify the predictors of functional outcome after total hip arthroplasty (THA).MethodA systematic literature search in Web of Science, CINAHL, EMBASE and PubMed was conducted on 23 June 2015. The articles were selected based on their quality, relevance and measurement of the predictive factor. The level of evidence of all studies was determined using the GRADE rating scheme.ResultsThe initial search resulted in 1092 citations. After application of the inclusion and exclusion criteria, 33 articles met our eligibility criteria and were graded. Included studies were classified as level of evidence low (11), moderate (17) or high (5). Of the included studies, 18 evaluated body mass index (BMI), 17 evaluated preoperative physical functions, 15 evaluated age, 15 evaluated gender and 13 evaluated comorbidity. There was strong evidence suggesting an association between BMI, age, comorbidity, preoperative physical functions and mental health with functional outcome after THA. There was weak evidence suggesting an association between quadriceps strength and education with functional outcome after THA. The evidence was inconsistent for associations with gender and socioeconomic status and functional outcome following THA. We found limited evidence suggesting that alcohol consumption, vitamin D insufficiency and allergies were predictors of functional outcome following THA.ConclusionsWe have identified multiple predictors of functional outcome after THA, which will enable general practitioners and orthopaedic surgeons to better predict the improvement in physical functioning for their patients with THA. They can use this information to provide patient-specific advice regarding the referral for THA and the expected outcomes after THA. Further research with consistent measurement tools, outcomes and duration of follow-up across studies is needed to confirm the influence of these factors.

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Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Predictors of physical functioning after total hip arthroplasty: a systematic review

et al. 2016

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Upper‐Limb High‐Intensity Interval Training or Passive Heat Therapy to Optimize Cardiorespiratory Fitness Prior to Total Hip or Knee Arthroplasty: A Randomized Controlled Trial

Roxburgh,

Campbell,

Cotter

et al. 2023

Arthritis Care & Research

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ObjectivePreoperative exercise training, or prehabilitation, aims to optimise cardiorespiratory fitness before surgery, in order to reduce the risk of adverse perioperative events and delayed recovery. However, traditional exercise such as walking and cycling can be difficult for people with degenerative joint disease of the lower limbs, such as osteoarthritis. The purpose of this study was to compare the effect of three low‐impact interventions on cardiorespiratory fitness, physical function and subjective health prior to total hip or knee arthroplasty.MethodsThis was a randomised controlled trial involving ninety‐three participants with severe knee or hip osteoarthritis awaiting joint replacement surgery. Participants underwent cardiopulmonary exercise testing (to measure peak oxygen consumption (V̇O2)), then randomised to heat therapy (Heat; 20‐30 min immersed in 40°C water followed by ~15 min light resistance exercise), high‐intensity interval training (HIIT; 6‐8 x 60 s intervals on a cross‐trainer or arm ergometer at ~90‐100% peak V̇O2) or home‐based exercise (Home; ~15 min light resistance exercise); for up to 36 sessions (3 sessions per week for 12 weeks).ResultsPeak V̇O2 increased by 16% across HIIT, and to a greater extent than Heat (+2.5 mL.min‐1.kg‐1 [0.5, 4.4], p=0.009) and Home (+3.2 mL.min‐1.kg‐1 [1.2, 5.2], p=0.001). The anaerobic threshold increased across HIIT (+1.5 mL.min‐1.kg‐1 [0.7, 2.3], p<0.001) and Heat (+1.2 mL.min‐1.kg‐1 [0.4, 1.9] p=0.004), but not Home (‐0.5 mL.min‐1.kg‐1 [‐1.3, 0.3], p=0.248). Subjective severity of osteoarthritis was unchanged with any intervention (p≥0.250).ConclusionHeat therapy and HIIT improved indices of cardiorespiratory fitness preoperatively in patients who have difficulty performing lower‐limb exercise.image

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Determining Optimal Multi-layer Perceptron Structure Using Linear Regression

Tej¹,

Holban²

2019

Business Information Systems

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Predicting Short-Term Outcome of Primary Total Hip Arthroplasty

Cited by 20 publications

References 21 publications

Predictors of physical functioning after total hip arthroplasty: a systematic review

Predictors of physical functioning after total hip arthroplasty: a systematic review

Upper‐Limb High‐Intensity Interval Training or Passive Heat Therapy to Optimize Cardiorespiratory Fitness Prior to Total Hip or Knee Arthroplasty: A Randomized Controlled Trial

Determining Optimal Multi-layer Perceptron Structure Using Linear Regression

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