Changes in the WOMAC, EuroQol and Japanese lifestyle measurements among patients undergoing total hip arthroplasty
Changes in the WOMAC, EuroQol and Japanese lifestyle measurements among patients undergoing total hip arthroplasty
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DOI：
10.1016/j.joca.2008.11.012
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发表时间：
2009-07-01
影响因子：
7
通讯作者：
Hotokebuchi, T.
中科院分区：
文献类型：
--
作者：
Fujita, K.;Makimoto, K.;Hotokebuchi, T.
目的：评估日本患者全髋关节置换术（THA）前后健康状况的变化，并评估THA对常用姿势或需要髋关节深度屈曲的体位（如使用日式蹲式厕所）的影响。方法：2003年7月至2004年7月连续接受原发性THA的患者符合研究条件。术前和术后2期分别采用Western Ontario and McMaster university Ostecarthritis Index （WOMAC）和EuroQol 5D （EQ-5D）评分，分别为6周和6个月。这些患者还被要求对日本日常生活中常见的三项活动进行评分，比如蹲坐。使用效应大小和最低和最高比例来检查分数的变化。结果：451例患者完成了tha术前和术后的调查。在6周内，WOMAC和EQ-5D测量的疼痛和身体功能明显改善。三个时间段WOMAC和EQ-5D分量表得分及各条目得分的变化均极显著（P = 0.000）。6个月时，WOMAC疼痛的效应量为1.56，身体功能的效应量为1.38。相比之下，两项（日式厕所和癫痫）在术后6周明显恶化（P = 0.000），并在术后6个月恢复到术前水平。结论：这些结果强调了除了常规测量外，评估文化敏感的身体功能对THA患者健康结果的重要性。(C) 2008国际骨关节炎研究学会。Elsevier Ltd.出版。版权所有。
Objective: To assess changes in the health outcomes of Japanese patients before and after total hip arthroplasty (THA), and to assess the impact of THA on commonly performed postures or body positions requiring deep flexion of the hip joint such as the use of Japanese squat toilets.Methods: Consecutive patients undergoing primary THA between July 2003 and July 2004 were eligible for the study. The Western Ontario and McMaster Universities Ostecarthritis Index (WOMAC) and the EuroQol 5D (EQ-5D) were administered at the preoperative period and two postoperative periods of 6 weeks and 6 months. The patients were also asked to rate three items regarding common activities of daily living in Japan such as squatting. Changes in scores were examined using effect size and proportion at the floor and ceiling.Results: Four-hundred and fifty-one patients completed both pre- and post-THA surveys. Significant improvements in pain and physical function as measured by WOMAC and EQ-5D were evident within 6 weeks. Changes in WOMAC and EQ-5D subscale scores and scores for each item from the three time periods were highly significant (P = 0.000). The effect size was 1.56 for WOMAC pain and 1.38 for physical function at 6 months. In contrast, two items (Japanese toilet and seiza) became significantly worse at the 6-week postoperative period (P = 0.000) and returned to preoperative levels by the 6-month postoperative period.Conclusion: These results highlight the importance of evaluating culturally sensitive physical functions in addition to conventional measurements for the health outcomes of THA patients. (C) 2008 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.