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Predicting Outcome after Total Hip Arthroplasty: The Role of Preoperative Patient-Reported Measures
Joint Authors
Grifka, Joachim
Weber, Markus
Thieme, Max
Kaiser, Moritz
Craiovan, Benjamin
Renkawitz, Tobias
Woerner, Michael
Zeman, F.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-01-29
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Choosing the appropriate patient for surgery is crucial for good outcome in total hip arthroplasty (THA).
Therefore, parameters predicting outcome preoperatively are of major interest.
In the current study, we compared the predictive power of different presurgical measures in minimally invasive THA.
In the course of a prospective clinical trial preoperative HOOS, EQ-5D and SF-36 were obtained in 140 patients undergoing THA.
Responder rate was defined by the modified OMERACT-OARSI criteria at six-month-, one-year, two-year, and three-year follow-up.
Logistic regression was performed to compare the different questionnaires regarding their power of predicting positive responders.
ROC-curve analysis was used to define benchmarks in preoperative measures associated with good outcome.
Preoperative HOOS (p<0.001), EQ-5D (p=0.007), and PCS of SF-36 (p<0.001) were higher in responders than in nonresponders whereas no differences between responders and nonresponders were found for preoperative MCS (p=0.96) of SF-36.
However, preoperative HOOS revealed best predictive power (OR=0.84 95%CI=0.78-0.90, p<0.001, Pseudo R-Squared according to Nagelkerke=0.48, effect size according to Cohen=0.96) compared to all other preoperative measures.
Multivariable analysis confirmed preoperative HOOS as an independent parameter correlating with postoperative responder status (OR=0.76, 95% CI=0.66–0.88, p<0.001).
In ROC-curve analysis nonresponders were identified with a sensitivity of 91.7% and specificity of 68.9% using a cutoff in preoperative HOOS of 40.3.
Presurgical HOOS can predict outcome in THA better than other preoperative outcome measures.
Patients with a preoperative HOOS value less than 40.3 have the highest probability of a positive response in terms of pain and function after THA.
American Psychological Association (APA)
Weber, Markus& Zeman, F.& Craiovan, Benjamin& Thieme, Max& Kaiser, Moritz& Woerner, Michael…[et al.]. 2019. Predicting Outcome after Total Hip Arthroplasty: The Role of Preoperative Patient-Reported Measures. BioMed Research International،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1125684
Modern Language Association (MLA)
Weber, Markus…[et al.]. Predicting Outcome after Total Hip Arthroplasty: The Role of Preoperative Patient-Reported Measures. BioMed Research International No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1125684
American Medical Association (AMA)
Weber, Markus& Zeman, F.& Craiovan, Benjamin& Thieme, Max& Kaiser, Moritz& Woerner, Michael…[et al.]. Predicting Outcome after Total Hip Arthroplasty: The Role of Preoperative Patient-Reported Measures. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1125684
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1125684