Determinants of 6—12 Month Postoperative Functional Status and Pain After Elective Total Hip Replacement

Objective: The goal of this pilot project was to quantify outcomes of elective total hip replacement through risk adjustment modeling. Design: A retrospective cohort study of patients who underwent elective total hip replacement (THR) during 1991 at the Orthopaedic and Arthritic Hospital in Toronto....

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Bibliographic Details
Published in:International journal for quality in health care 1997-12, Vol.9 (6), p.413-418
Main Authors: BRAEKEN, ANNA M., LOCHHAAS-GERLACH, JACQUELYN A., GOLLISH, JEFFREY D., MYĹES, JAMES D., MACKENZIE, THOMAS A.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - rehabilitation
Female
functional status
Hip replacement
Humans
Male
Middle Aged
Ontario - epidemiology
Osteoarthritis - surgery
Outcome Assessment (Health Care)
outcomes research
Pain Measurement - methods
Pain, Postoperative - drug therapy
Pain, Postoperative - epidemiology
Pilot Projects
Regression Analysis
Retrospective Studies
Citations: Items that cite this one
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Summary:Objective: The goal of this pilot project was to quantify outcomes of elective total hip replacement through risk adjustment modeling. Design: A retrospective cohort study of patients who underwent elective total hip replacement (THR) during 1991 at the Orthopaedic and Arthritic Hospital in Toronto. Study participants: All patients undergoing elective total hip replacement with a confirmed diagnosis of osteoarthritis were asked to participate in the study; 193 patients agreed. Outcome measures: Participants were asked to complete the WOMAC Osteoarthritis Index and the RAND 36-item Health Survey 6 months to 1 year post-operatively. Pre-operative information on pain and functional status was obtained from the patients‘ medical record. Results: The results indicate that 93% of patients studied reported at least one significant co-morbidity. The mean pre-operative pain score was 7.5 on a 0–10 scale and average change in pain was 4.8. Regression analyses indicate that increased body mass index is associated with lower post-operative functional status and increased post-operative pain. The amount of pain relief the patient was able to obtain pre-operatively using non-surgical interventions was associated with a better outcome. © 1997 Elsevier Science Ltd.
ISSN:1353-4505
1464-3677
DOI:10.1093/intqhc/9.6.413