Impact of Comorbidities on Outcome After Total Hip Arthroplasty.

作者: Fanny L. Loth , Johannes M. Giesinger , Karlmeinrad Giesinger , Deborah J. MacDonald , A. Hamish R.W. Simpson

DOI: 10.1016/J.ARTH.2017.04.013

关键词:

摘要: Abstract Background Patient-reported outcome scores gain increasing importance in quantifying clinical success and procedure remuneration. Our aim was to evaluate the impact of comorbidity on joint-specific general health patients undergoing elective total hip arthroplasty (THA). Methods Longitudinal data THA procedures were used association between surgical terms measures (Forgotten Joint Score-12 [FJS-12], Oxford Hip Score [OHS], Short Form-12) at 1-year follow-up. Comorbidities comprised Charlson index (CCI), low back pain (LBP), from other joints (POJ), body mass index. Results We analyzed 251 (age: 67.7 ± 11.8 years; 58.2% female). Most common conditions POJ (75.9%), LBP (55.1%), connective tissue disease (12.1%), diabetes (5.6%). With regard postoperative improvement, we did not find statistically significant differences with or without CCI comorbidities (FJS-12, +38.7 vs +43.2, P  = .370; OHS, +15.6 vs +17.9, .100) (FJS-12, +39.9 vs +45.1, .325; OHS, +17.3 vs +16.6, .645). Patients showed less improvement FJS-12 than those (+35.6 vs +49.1; .002), whereas no difference found for OHS (+17.9 vs +16.5; .266). Conclusion comorbid report lower preoperative compared such conditions; however, there outcomes. have a negative joint awareness.

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