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Early Functional Recovery Outcomes and Return to Work After Primary Total Hip Arthroplasty: a Novel Patient Reported Outcomes Questionnaire

Overview
Publisher Biomed Central
Specialty Orthopedics
Date 2024 Jul 26
PMID 39061099
Authors
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Abstract

Purpose: Clinical and patient reported outcomes are often collected before and after the procedure to benchmark and study outcomes for patients. These outcomes and scores are useful for tracking patient outcomes after surgery, however, the fact that these commonly used measures typically provide information about a patient's level of pain and function at a single point in time is a limitation.

Methods: We present early functional recovery and return to work outcomes after primary THA from a novel questionnaire administered in a global, multi-center, prospective clinical study.

Results: By 6 and 12 weeks post-op, a large proportion of study subjects were able to perform functional recovery outcomes after their THA: walk without an aid (74%; 94%); drive (76%; 97%); basic activities of daily living (94%; 99%); perform light household duties (91%; 96%); perform moderate-to-heavy household duties (54%; 86%); go up and down a flight of stairs (92%; 99%); put on socks/stockings (77%; 93%); bend down to pick up an object from the floor (87%; 97%); stand up from a chair (96%; 99%); perform leisure recreational activities (54%; 84%); perform primary goal identified pre-THA (69%; 86%). 60% were able to return to work by 12 weeks post-op. These questions showed strong association with the Forgotten Joint Score.

Conclusion: Excellent patient reported early functional recovery outcomes and satisfaction were observed at 6- and 12-weeks post-op in this cohort and is the first reported data using a novel PRO.

Clinical Trial Registration: NCT03189303, registered June 14, 2017.

References
1.
Jacobs C, Christensen C, Berend M . Sport activity after total hip arthroplasty: changes in surgical technique, implant design, and rehabilitation. J Sport Rehabil. 2009; 18(1):47-59. DOI: 10.1123/jsr.18.1.47. View

2.
Berliner J, Brodke D, Chan V, SooHoo N, Bozic K . John Charnley Award: Preoperative Patient-reported Outcome Measures Predict Clinically Meaningful Improvement in Function After THA. Clin Orthop Relat Res. 2015; 474(2):321-9. PMC: 4709271. DOI: 10.1007/s11999-015-4350-6. View

3.
Goh G, Liow M, Chen J, Tay D, Lo N, Yeo S . Do Patients With Psychological Distress Have Poorer Patient-Reported Outcomes After Total Hip Arthroplasty?. J Arthroplasty. 2020; 35(9):2465-2471. DOI: 10.1016/j.arth.2020.04.077. View

4.
Gazendam A, Bozzo A, Ekhtiari S, Kruse C, Hiasat N, Tushinski D . Short-term outcomes vary by surgical approach in total hip arthroplasty: a network meta-analysis. Arch Orthop Trauma Surg. 2021; 142(10):2893-2902. DOI: 10.1007/s00402-021-04131-4. View

5.
Holtzman J, Saleh K, Kane R . Effect of baseline functional status and pain on outcomes of total hip arthroplasty. J Bone Joint Surg Am. 2002; 84(11):1942-8. DOI: 10.2106/00004623-200211000-00006. View