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Predictors of outcomes of recovery following total hip replacement surgery: A prospective study

McHugh G, Campbell K. & Luker K.A

Bone & Joint Research. 2013;2(11):248-254.

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Abstract

Objectives To investigate psychosocial and biomedical outcomes following total hip replacement (THR) and to identify predictors of recovery from THR. Methods Patients with osteoarthritis (OA) on the waiting list for primary THR in North West England were assessed pre-operatively and at six and 12 months post-operatively to investigate psychosocial and biomedical outcomes. Psychosocial outcomes were anxiety and depression, social support and health-related quality of life (HRQoL). Biomedical outcomes were pain, physical function and stiffness. The primary outcome was the Short-Form 36 (SF-36) Health Survey Total Physical Function. Potential predictors of outcome were age, sex, body mass index, previous joint replacement, involvement in the decision for THR, any comorbidities, any complications, type of medication, and pre-operative ENRICHD Social Support Instrument score, Hospital Anxiety and Depression scores and Western Ontario and McMaster Universities osteoarthritis index score. Results The study included 206 patients undergoing THR. There were 88 men and 118 women with a mean age of 66.3 years (SD 10.4;36 to 89). Pain, stiffness and physical function, severity of OA, HRQoL, anxiety and depression all improved significantly from preoperative to 12-month assessment (all p < 0.001), with the greatest improvement occurring in the first six months (all p < 0.001). The predictors that were found to influence recovery six months after THR were: pain (p < 0.001), anxiety (p = 0.034), depression (p = 0.001), previous joint replacement (p = 0.006) and anti-inflammatory drugs (p = 0.012). Conclusions The study identified the key psychosocial and biomedical predictors of recovery following THR. By identifying these predictors, we are able to identify and provide more support for patients at risk of poor recovery following THR.

Bibliographic metadata

Type of resource:
Content type:
Publication status:
Accepted
Publication type:
Publication form:
Published date:
Accepted date:
2013-10-18
Language:
eng
Journal title:
ISSN:
Publishers website:
www.boneandjoint.org.uk
Volume:
2
Issue:
11
Start page:
248
End page:
254
Total:
6
Pagination:
248-254
Digital Object Identifier:
10.1302/2046-3758.211.2000206
Attached files embargo period:
Immediate release
Attached files release date:
7th January, 2014
Access state:
Active

Institutional metadata

University researcher(s):

Record metadata

Manchester eScholar ID:
uk-ac-man-scw:216542
Created by:
Luker, Karen
Created:
7th January, 2014, 10:17:14
Last modified by:
Butler, Philip
Last modified:
16th January, 2014, 17:40:25

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