Patient- and Surgery-Related Factors that Affect Patient-Reported Outcomes after Total Hip Arthroplasty.
Patient- and Surgery-Related Factors that Affect Patient-Reported Outcomes after Total Hip Arthroplasty.
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DOI：
10.3390/jcm7100358
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发表时间：
2018-10-15
影响因子：
3.9
通讯作者：
Matsuda S
中科院分区：
文献类型：
--
作者：
Kawai T;Kataoka M;Goto K;Kuroda Y;So K;Matsuda S
患者报告结局指标（PROM）用于评估全髋关节置换术（THA）后的满意度;然而，确定这些PROM的因素仍不清楚。本研究旨在确定影响全髋关节置换术后患者满意度的患者和手术相关因素，如牛津髋关节评分（OHS）所示。纳入了120例接受初次THA的患者。在THA术后3、6和12个月，对各种患者相关因素（包括临床评分和手术相关因素）与OHS的潜在相关性进行了检查。单变量回归分析显示，术前加州洛杉矶大学（UCLA）活动评分较高（p = 0.027）和术前OHS较好（p = 0.0037）与THA术后3个月OHS较好相关。在THA术后6个月，与更好的OHS相关的因素是术前UCLA活动评分更高（p = 0.039），术前OHS更好（p = 0.0006）和使用骨水泥型股骨柄（p = 0.0071）。在THA术后12个月，与更好的OHS相关的因素是术前UCLA活动评分较高（p = 0.0075）和术前OHS较好（p < 0.0001）。多因素回归分析显示，与职业健康安全状况显著相关的因素为女性（全髋关节置换术后3个月时p = 0.011），骨关节炎（6个月时p = 0.043），术前OHS较高（3个月和12个月时p < 0.001，6个月时p = 0.018），术前Harris髋关节评分较高（3个月时p = 0.001）、术前UCLA活动评分较高（3个月时p = 0.0075）和使用骨水泥型股骨部件（6个月时p = 0.012）。确定了影响THA术后PROM的患者和手术相关因素，尽管这些因素的影响随着时间的推移而降低。
Patient-reported outcome measures (PROMs) are used to assess satisfaction after total hip arthroplasty (THA); however, the factors that determine these PROMs remain unclear. This study aimed to identify the patient- and surgery-related factors that affect patient satisfaction after THA as indicated by the Oxford Hip Score (OHS). One-hundred-and-twenty patients who underwent primary THA were included. Various patient-related factors, including clinical scores, and surgery-related factors were examined for potential correlations with the OHS at 3, 6, and 12 months post-THA. Univariate regression analysis showed that higher preoperative University of California Los Angeles (UCLA) activity score (p = 0.027) and better preoperative OHS (p = 0.0037) were correlated with better OHS at 3 months post-THA. At 6 months post-THA, the factors associated with better OHS were higher preoperative UCLA activity score (p = 0.039), better preoperative OHS (p = 0.0006), and use of a cemented stem (p = 0.0071). At 12 months post-THA, the factors associated with better OHS were higher preoperative UCLA activity score (p = 0.0075) and better preoperative OHS (p < 0.0001). Multivariate regression analysis showed that the factors significantly correlated with better OHS were female sex (p = 0.011 at 3 months post-THA), osteoarthritis (p = 0.043 at 6 months), higher preoperative OHS (p < 0.001 at 3 and 12 months, p = 0.018 at 6 months), higher preoperative Harris Hip Score (p = 0.001 at 3 months), higher preoperative UCLA activity score (p = 0.0075 at 3 months), and the use of a cemented femoral component (p = 0.012 at 6 months). Patient- and surgery-related factors affecting post-THA PROMs were identified, although the effect of these factors decreased over time.
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影响因子：
3.5
作者：
Siljander, Matthew P.;McQuivey, Kade S.;Karadsheh, Mark S.
通讯作者：
Karadsheh, Mark S.
DOI：
10.3109/17453679308993679
发表时间：
1993-10-01
期刊：
ACTA ORTHOPAEDICA SCANDINAVICA
影响因子：
--
作者：
MALCHAU, H;HERBERTS, P;AHNFELT, L
通讯作者：
AHNFELT, L
DOI：
10.1302/0301-620x.93b7.25737
发表时间：
2011-07-01
影响因子：
--
作者：
Rolfson, O.;Karrholm, J.;Garellick, G.
通讯作者：
Garellick, G.
DOI：
10.1302/0301-620x.84b3.12460
发表时间：
2002-04-01
影响因子：
--
作者：
White, TO;Dougall, TW
通讯作者：
Dougall, TW
DOI：
10.1302/0301-620x.87b5.15390
发表时间：
2005-05-01
影响因子：
--
作者：
Field, RE;Cronin, MD;Singh, PJ
通讯作者：
Singh, PJ