Evidence map›Paper›PMID 37493288›Full record

ArticleActa orthopaedica2023

The extent of first-time THA revision is not associated with patient-reported outcomes at 1-year follow-up: a study of 426 aseptic revisions.

Siri B Winther, Jomar Klaksvik, Olav A Foss, Tina Strømdal Wik, Tarjei Egeberg, Otto S Husby

Abstract read
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Article in Acta orthopaedica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Siri B WintherDepartment of Orthopaedic Surgery, St. Olavs Hospital HF, Trondheim. siri.bjorgen@ntnu.no.
Jomar KlaksvikDepartment of Orthopaedic Surgery, St. Olavs Hospital HF, Trondheim.
Olav A FossDepartment of Orthopaedic Surgery, St. Olavs Hospital HF, Trondheim; Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Science, Norwegian University of Science and Technology NTNU, Trondheim, Norway.
Tina Strømdal WikDepartment of Orthopaedic Surgery, St. Olavs Hospital HF, Trondheim; Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Science, Norwegian University of Science and Technology NTNU, Trondheim, Norway.
Tarjei EgebergDepartment of Orthopaedic Surgery, St. Olavs Hospital HF, Trondheim.
Otto S HusbyDepartment of Orthopaedic Surgery, St. Olavs Hospital HF, Trondheim; Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Science, Norwegian University of Science and Technology NTNU, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeStudies evaluating pain and patient-reported outcome measures (PROMs) related to type of revision total hip arthroplasty (rTHA) are sparse. Our aim was to compare pain, physical function, quality of life, and patient satisfaction among different types of aseptic rTHA at 1-year follow-up. PATIENTS AND

methodsWe performed a retrospective study from an institutional registry with 426 primary THAs scheduled for rTHA in a fast-track setting between 2012 and 2021. Revisions were grouped by 4 types of surgery: head and/or liner exchange, cup revision, stem revision, and cup and stem revision. Pain during mobilization and at rest (NRS 0-10), physical function (HOOS-PS and HHS) and health-related quality of life (EQ-5D) were registered preoperatively, at 3 months, and 1 year postoperatively. Patient satisfaction was surveyed at the 1-year follow-up by 2 questions related to hip function and willingness to undergo the same surgery.

resultsWith a response rate of 85%, all outcomes improved in the 4 groups but there were neither statistical nor clinical differences between types of rTHA at 1-year follow-up. NRS pain during mobilization improved overall by 2.7 (95% confidence interval 2.3-3.1) until 1-year follow-up, both being statistically significant and clinically relevant. The improvements were mainly seen at the 3-month follow-up, with minor progress observed at 1 year. About 80% reported improved hip function and willingness to undergo the surgery again at the 1-year follow-up.

conclusionSignificant improvements in NRS pain and PROMS were found in all groups after rTHA, with no group differences at 1 year. This is relevant preoperative information for both clinicians and patients eligible for rTHA.

Indexed as

Arthroplasty, Replacement, HipHip ProsthesisHumansPatient Reported Outcome MeasuresPatient SatisfactionQuality of LifeReoperationRetrospective StudiesTreatment Outcome

Identifiers

PMID37493288
PMCPMC10370264

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