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タイトル: | Patient- and Surgery-Related Factors that Affect Patient-Reported Outcomes after Total Hip Arthroplasty |
著者: | Kawai, Toshiyuki Kataoka, Masanao Goto, Koji Kuroda, Yutaka https://orcid.org/0000-0003-0746-0280 (unconfirmed) So, Kazutaka Matsuda, Shuichi |
著者名の別形: | 黒田, 隆 宗, 和隆 松田, 秀一 |
キーワード: | total hip arthroplasty Oxford Hip Score Harris Hip Score patient reported outcome measure UCLA activity score |
発行日: | Oct-2018 |
出版者: | MDPI AG |
誌名: | Journal of clinical medicine |
巻: | 7 |
号: | 10 |
論文番号: | 358 |
抄録: | 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. |
著作権等: | © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0). |
URI: | http://hdl.handle.net/2433/235024 |
DOI(出版社版): | 10.3390/jcm7100358 |
PubMed ID: | 30326640 |
出現コレクション: | 学術雑誌掲載論文等 |
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