Pain, physical functioning and quality of life of individuals awaiting total joint replacement: a longitudinal study
Pain, physical functioning and quality of life of individuals awaiting total joint replacement: a longitudinal study
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DOI：
10.1111/j.1365-2753.2007.00777.x
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发表时间：
2008-02-01
影响因子：
2.4
通讯作者：
Silman, Alan J.
中科院分区：
文献类型：
--
作者：
McHugh, Gretl A.;Luker, Karen A.;Silman, Alan J.
目的了解在人工髋关节或膝关节置换术候补名单上的成人骨关节炎患者疼痛、身体功能和生活质量是否发生改变。参与者在基线时(n=105)接受采访，并在3(n=84)、6(n=47)和9个月(n=24)时进行随访，或直到他们的关节置换。使用的测量工具是视觉模拟评分(VAS)、西安大略和麦克马斯特大学(WOMAC)骨关节炎指数和医疗结果研究简明健康调查(SF-36)。结果基线数据显示VAS[平均7.0(SD 2.2)]和WOMAC疼痛[平均11.2(SD 3.5)]测量的疼痛水平较高。基线时，WOMAC测量的平均身体功能为40.3(SD 12.1)。术后3个月VAS疼痛评分(0.6；95%CI平均差0.3，1.0)；WOMAC疼痛评分(1.2；95%CI平均差0.7，1.8)；WOMAC身体功能评分(4.8；95%CI平均差2.8，6.7)与基线比较明显恶化。
Objectives To investigate if pain, physical function and the quality of life changed among adults with osteoarthritis while on the waiting list for hip or knee joint replacement.Methods A longitudinal study of patients listed for primary hip or knee joint replacement. Participants were interviewed at baseline (n = 105) and followed up at 3 (n = 84), 6 (n = 47) and 9 months (n = 24), or until their joint replacement. Measurement tools used were a visual analogue scale (VAS), Western Ontario and McMaster's Universities (WOMAC) Osteoarthritis Index and the Medical Outcomes Study Short Form Health Survey (SF-36).Results Baseline data indicated high levels of pain as measured by VAS [mean 7.0 (SD 2.2)] and WOMAC pain [mean 11.2 (SD 3.5)]. At baseline, the mean physical function measured by WOMAC was 40.3 (SD 12.1). At the 3-month follow-up, there was significant deterioration in VAS pain scores (0.6; 95% CI mean difference 0.3, 1.0); WOMAC pain scores (1.2; 95% CI mean difference 0.7, 1.8) and WOMAC physical function scores (4.8; 95% CI mean difference 2.8, 6.7) compared with baseline.Conclusion The often long wait for joint replacement surgery and deterioration in pain and physical function has highlighted the need for active management by health professionals while patients are on the waiting list.