scholarly journals Does the order of total hip replacement and lumbar spinal stenosis surgery influence patient‐reported outcomes: An observational register study

2020 ◽  
Author(s):  
Ted Eneqvist ◽  
Erik Bülow ◽  
Szilárd Nemes ◽  
Helena Brisby ◽  
Peter Fritzell ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Total Hip Replacement ◽  
Lumbar Spinal Stenosis ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Register Study ◽  
Total Hip ◽  
Patient Reported ◽  
Lumbar Spinal

Comparison of patient-reported outcomes between hip resurfacing and total hip replacement

2009 ◽  
Vol 91-B (12) ◽  
pp. 1550-1554 ◽  
Author(s):  
E. A. Lingard ◽  
K. Muthumayandi ◽  
J. P. Holland
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Hip Resurfacing ◽  
Total Hip ◽  
Patient Reported

scholarly journals Is the use of antidepressants associated with patient-reported outcomes following total hip replacement surgery?

2016 ◽  
Vol 87 (5) ◽  
pp. 444-451 ◽  
Author(s):  
Meridith E Greene ◽  
Ola Rolfson ◽  
Max Gordon ◽  
Kristina Annerbrink ◽  
Henrik Malchau ◽  
...  
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Total Hip ◽  
Replacement Surgery ◽  
Hip Replacement Surgery ◽  
Patient Reported

Long-Term Patient-Reported Outcomes after Total Hip Replacement: Comparison to the General Population

2012 ◽  
Vol 22 (2) ◽  
pp. 160-165 ◽  
Author(s):  
Virginia C. Gould ◽  
Ashley W. Blom ◽  
Vikki Wylde
Keyword(s):  
General Population ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Total Hip ◽  
Patient Reported

scholarly journals P.217 Patient reported outcomes following surgery for lumbar spinal stenosis: Comparison of a universal and multitier health care system

2021 ◽  
Vol 48 (s3) ◽  
pp. S82-S82
Author(s):  
O Ayling ◽  
C FIsher
Keyword(s):  
United States ◽  
Health Care ◽  
Spinal Stenosis ◽  
Health Care System ◽  
Lumbar Spinal Stenosis ◽  
Outcome Research ◽  
Patient Reported Outcomes ◽  
The United States ◽  
Patient Reported ◽  
Lumbar Spinal

Background: Canada has a universal health care system while the United States utilizes a combined public and private payer system. The purpose of this study is to investigate whether there are differences in clinical outcomes between those surgically treated for spinal stenosis in Canada as compared to the United States. Methods: Surgical lumbar spinal stenosis patients treated in Canada that were enrolled in the Canadian Spine Outcome Research Network (CSORN) prospective multicenter registry were compared with the surgical cohort enrolled in the Spine Patients Outcome Research Trial (SPORT) study. Spine-related patient reported outcomes (PROs) were compared at 3 months and 1 year post-operatively. Results: The CSORN cohort consisted of 432 patients and the SPORT cohort was made up of 278 patients. The CSORN cohort had a higher proportion of patients with a symptom duration greater than 6 months (92.3% vs. 58.3%, p<0.0001). The CSORN cohort demonstrated significantly greater rates of satisfaction after surgery at 3 months (p=0.003) and 1 year (p<0.001). Conclusions: Patients undergoing surgical treatment for lumbar spinal stenosis in Canada (CSORN cohort) reported higher rates of satisfaction at 3 months and 1 year post-operatively compared to the United States cohort (SPORT) despite having longer durations of symptoms prior to surgery.

scholarly journals Worse patient-reported outcomes and higher risk of reoperation and adverse events after total hip replacement in patients with opioid use in the year before surgery: a Swedish register-based study on 80,483 patients

2022 ◽  
pp. 190-197
Author(s):  
Johan Simonsson ◽  
Erik Bülow ◽  
Karin Svensson Malchau ◽  
Fredrik Nyberg ◽  
Urban Berg ◽  
...  
Keyword(s):  
Adverse Events ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Propensity Scores ◽  
Opioid Use ◽  
Opioid Treatment ◽  
Total Hip ◽  
Drug Register ◽  
Patient Reported

Background and purpose — Recent studies indicate that preoperative use of opioids could be associated with higher rates of complications and worse patient-reported outcomes (PROs) after orthopedic surgery. We investigated the prevalence of preoperative opioid use and analyzed its influence on risk of revision, adverse events (AE), and PROs in patients with total hip replacement (THR). Patients and methods — This observational study included 80,483 patients operated on in 2008–2016 with THRs due to osteoarthritis. Data was obtained from the Swedish Hip Arthroplasty Register, Statistics Sweden’s sociodemographic registers, the Swedish National Patient Register, and the Prescribed Drug Register. We focused on patients with ≥ 4 opioid prescriptions filled 1 year prior to THR. To control for confounding, we used propensity scores to weight subjects in our analyses. Logistic and linear regression was used for outcome variables with adjustments for sociodemographic variables and comorbidities. Results — Patients with ≥ 4 opioid prescriptions in the year before THR (n = 14,720 [18%]) had a higher risk of revision within 2 years (1.8% vs. 1.1% OR 1.4, 95% CI 1.3–1.6) and AE within 90 days (9.4% vs. 6.4% OR 1.2, 95% CI 1.2–1.3) compared with patients without opioid treatment in the preoperative period. Patients with ≥ 4 opioid prescriptions rated 5 points worse on a 0–100 scale of Pain VisualAnalogue Scale (VAS) and 9 points worse on a generalhealth (EQ) VAS 1 year postoperatively. Interpretation — Having ≥ 4 opioid prescriptions filled in the year before surgery is associated with a higher risk of revision, adverse events, and worse PROs after THR. Consequently, preoperative opioid treatment should be addressed in the clinical assessment of patients eligible for THR.

scholarly journals Consistency in patient-reported outcomes after total hip replacement

2017 ◽  
Vol 88 (5) ◽  
pp. 484-489 ◽  
Author(s):  
Albin Bengtsson ◽  
Gabrielle S Donahue ◽  
Szilard Nemes ◽  
Göran Garellick ◽  
Ola Rolfson
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Total Hip ◽  
Patient Reported

scholarly journals Short-term patient-reported outcomes following total hip replacement: Is the success picture overrated?

2021 ◽  
pp. 100192
Author(s):  
Marek Kamil Gojło ◽  
Robert Lundqvist ◽  
Przemysław T. Paradowski
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Short Term ◽  
Total Hip ◽  
Patient Reported

scholarly journals Wide Variability in Patient-Reported Outcomes Measures After Fusion for Lumbar Spinal Stenosis: A Systematic Review

2019 ◽  
Vol 10 (2) ◽  
pp. 209-215 ◽  
Author(s):  
James P. Winebrake ◽  
Francis Lovecchio ◽  
Michael Steinhaus ◽  
James Farmer ◽  
Andrew Sama
Keyword(s):  
Systematic Review ◽  
Return To Work ◽  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Patient Reported Outcomes ◽  
Interbody Fusion ◽  
Inclusion Criteria ◽  
Pertinent Data ◽  
Patient Reported ◽  
Lumbar Spinal

Study Design: Systematic review. Objectives: The purpose of this study is to review outcomes reporting methodology in studies evaluating fusion for lumbar spinal stenosis. Methods: A systematic review of PubMed and Embase databases was conducted from January 2007 to June 2017 for English language studies with minimum of 2 years postoperative follow-up reporting outcomes after fusion for lumbar spinal stenosis. Two reviewers assessed each study; those meeting inclusion criteria were examined for pertinent data. Outcome measures were categorized into relevant domains: pain/symptomatology, function/disability, and surgical satisfaction. Return to work reporting was also recorded. Results: Of 123 studies meeting inclusion criteria, 76% included posterior-only fusion, 32% included posterior/transforaminal interbody fusion, and 5% included anterior/lateral interbody fusion (non-mutually exclusive). There was significant variation in patient-reported outcomes (PROs) used—studies reported 31 unique PROs assessing at least one domain: 22 evaluating pain, 23 evaluating function, and 3 evaluating surgical satisfaction. Most commonly utilized PROs were the Oswestry Disability Index (73% of studies), Visual Analog Scale (55%), and 36-Item Short Form Survey (32%). The remaining 28 measures were used in 14% of studies or fewer. PROs specific to symptoms of lumbar spinal stenosis, such as the Zurich Claudication Questionnaire, were only used rarely (7/123 studies). Only 14% of studies reported on time to return to work. Conclusions: The literature surrounding fusion in the setting of lumbar stenosis is characterized by substantial variability in outcomes reporting. Very few studies utilized measures specific to lumbar spinal stenosis. Efforts to standardize outcomes reporting would facilitate comparisons of surgical interventions.

scholarly journals Perceived occurrence of an adverse event affects patient-reported outcomes after total hip replacement

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Charlotte V. E. Carpenter ◽  
Vikki Wylde ◽  
Andrew J. Moore ◽  
Adrian Sayers ◽  
Ashley W. Blom ◽  
...  
Keyword(s):  
Adverse Event ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Total Hip ◽  
Patient Reported

scholarly journals Expectations versus results of total hip replacement - the patient’s view

2014 ◽  
Author(s):  
Anna Długosz
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Patient Reported Outcomes ◽  
Daily Activities ◽  
Emotional Status ◽  
Total Hip ◽  
Patient Reported ◽  
Oxford Hip Score ◽  
The Patient’S View ◽  
Overall Health Status

The aim of this prospective cohort study was to identify the expectations of patients undergoing total hip replacement (THR) and to evaluate a possible relationship between the fulfilment of these expectations and the patient-reported outcomes. The study group comprised 56 patients aged 27-79. The patients filled out the Oxford hip score (OHS) questionnaire and a survey, designed by us, with open and closed questions regarding the patient's expectations. The patients were surveyed twice, i.e. 1-7 days before surgery and 3 months after the surgery. Statistically significant results (p ≤ 0.05) were obtained in the areas: improving the overall health status, gait improvement, reducing pain, independence in daily activities. Results in the aspects: ability to return to work or sport and improving emotional status were statistically not relevant.

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