Do different types of bearings and noise from total hip arthroplasty influence hip-related pain, function, and quality of life postoperatively? A cross-sectional study from the Danish Hip Arthroplasty Registry
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Do different types of bearings and noise from total hip arthroplasty influence hip-related pain, function, and quality of life postoperatively? A cross-sectional study from the Danish Hip Arthroplasty Registry. / Varnum, Claus; Pedersen, Alma B; Kjærsgaard-Andersen, Per; Overgaard, Søren.
I: Acta Orthopaedica, Bind 87, Nr. 6, 01.11.2016, s. 567-574.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - Do different types of bearings and noise from total hip arthroplasty influence hip-related pain, function, and quality of life postoperatively?
T2 - A cross-sectional study from the Danish Hip Arthroplasty Registry
AU - Varnum, Claus
AU - Pedersen, Alma B
AU - Kjærsgaard-Andersen, Per
AU - Overgaard, Søren
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Background and purpose - Patient-reported outcome (PRO) is recognized as an important tool for evaluating the outcome and satisfaction after total hip arthroplasty (THA). We wanted to compare patient-reported outcome measure (PROM) scores from patients with ceramic-on-ceramic (CoC) THAs and those with metal-on-metal (MoM) THAs to scores from patients with metal-on-polyethylene (MoP) THAs, and to determine the influence of THA-related noise on PROM scores. Patients and methods - We conducted a nationwide cross-sectional questionnaire survey in a cohort of patients identified from the Danish Hip Arthroplasty Registry. The PROMs included were: hip dysfunction and osteoarthritis and outcome score (HOOS), EQ-5D-3L, EQ VAS, UCLA activity score, and questions about noise from the THA. The response rate was 85% and the number of responders was 3,089. Of these, 45% had CoC THAs, 17% had MoM THAs, and 38% had MoP THAs, with a mean length of follow-up of 7, 5, and 7 years, respectively. Results - Compared to MoP THAs, the mean PROM scores for CoC and MoM THAs were similar, except that CoC THAs had a lower mean score for HOOS Symptoms than did MoP THA. 27% of patients with CoC THAs, 29% with MoM THAs, and 12% with MoP THAs reported noise from their hip. For the 3 types of bearings, PROM scores from patients with a noisy THA were statistically significantly worse than those from patients with a silent MoP THA. The exception was noisy CoC and MoM THAs, which had the same mean UCLA activity score as silent MoP THAs. Interpretation - A high proportion of patients reported noise from the THA, and these patients had worse PROM scores than patients with silent MoP THAs.
AB - Background and purpose - Patient-reported outcome (PRO) is recognized as an important tool for evaluating the outcome and satisfaction after total hip arthroplasty (THA). We wanted to compare patient-reported outcome measure (PROM) scores from patients with ceramic-on-ceramic (CoC) THAs and those with metal-on-metal (MoM) THAs to scores from patients with metal-on-polyethylene (MoP) THAs, and to determine the influence of THA-related noise on PROM scores. Patients and methods - We conducted a nationwide cross-sectional questionnaire survey in a cohort of patients identified from the Danish Hip Arthroplasty Registry. The PROMs included were: hip dysfunction and osteoarthritis and outcome score (HOOS), EQ-5D-3L, EQ VAS, UCLA activity score, and questions about noise from the THA. The response rate was 85% and the number of responders was 3,089. Of these, 45% had CoC THAs, 17% had MoM THAs, and 38% had MoP THAs, with a mean length of follow-up of 7, 5, and 7 years, respectively. Results - Compared to MoP THAs, the mean PROM scores for CoC and MoM THAs were similar, except that CoC THAs had a lower mean score for HOOS Symptoms than did MoP THA. 27% of patients with CoC THAs, 29% with MoM THAs, and 12% with MoP THAs reported noise from their hip. For the 3 types of bearings, PROM scores from patients with a noisy THA were statistically significantly worse than those from patients with a silent MoP THA. The exception was noisy CoC and MoM THAs, which had the same mean UCLA activity score as silent MoP THAs. Interpretation - A high proportion of patients reported noise from the THA, and these patients had worse PROM scores than patients with silent MoP THAs.
U2 - 10.1080/17453674.2016.1225649
DO - 10.1080/17453674.2016.1225649
M3 - Journal article
C2 - 27615443
VL - 87
SP - 567
EP - 574
JO - Acta Orthopaedica
JF - Acta Orthopaedica
SN - 1745-3674
IS - 6
ER -
ID: 252049299