Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.

<h4>Background</h4>Few studies have compared patient-reported outcome measures (PROMs) between primary and revision total hip arthroplasty (THA). We investigated and compared PROMs between propensity score-matched primary and revision THA in an Asian cohort.<h4>Methods</h4>Th...

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Autores principales:	Satoru Harada, Satoshi Hamai, Kyohei Shiomoto, Daisuke Hara, Masanori Fujii, Satoshi Ikemura, Goro Motomura, Yasuharu Nakashima
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/22d91feb4a7141da81c4ca4f9e3436e1
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spelling	oai:doaj.org-article:22d91feb4a7141da81c4ca4f9e3436e12021-11-25T06:23:43ZPatient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.1932-620310.1371/journal.pone.0252112https://doaj.org/article/22d91feb4a7141da81c4ca4f9e3436e12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252112https://doaj.org/toc/1932-6203<h4>Background</h4>Few studies have compared patient-reported outcome measures (PROMs) between primary and revision total hip arthroplasty (THA). We investigated and compared PROMs between propensity score-matched primary and revision THA in an Asian cohort.<h4>Methods</h4>The Oxford Hip Score (OHS) and University of California-Los Angeles (UCLA) activity score, satisfaction score, and Short Form-12 Health Survey (SF-12) were compared between 110 primary and 110 revision THAs after propensity score matching. Multivariate analyses were performed to determine which factors, including patients' demographics, indication for revision, and pre-operative PROMs, were associated with post-operative PROMs in the revision THA cohort.<h4>Results</h4>The revision THA cohort demonstrated significantly lower post-operative OHS, UCLA activity score, and satisfaction score (10% decrease on average) than those in the primary THA cohort (P < .05). The difference in SF-12 mental component summary measure (MCS) between the two cohorts was statistically insignificant (P = .24). In multivariate analysis for the revision THA cohort, lower post-operative UCLA activity score was significantly associated with higher BMI and lower pre-operative UCLA activity score (P < .05).<h4>Conclusion</h4>Revision THA was associated with a modest but significant decrease in physical PROMs as compared with primary THA. Pre-operative UCLA activity score significantly affected the post-operative physical outcome measures in the revision THA cohort. However, post-operative SF-12 MCS was comparable between the primary and revision THA cohorts.Satoru HaradaSatoshi HamaiKyohei ShiomotoDaisuke HaraMasanori FujiiSatoshi IkemuraGoro MotomuraYasuharu NakashimaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0252112 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Satoru Harada Satoshi Hamai Kyohei Shiomoto Daisuke Hara Masanori Fujii Satoshi Ikemura Goro Motomura Yasuharu Nakashima Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.
description	<h4>Background</h4>Few studies have compared patient-reported outcome measures (PROMs) between primary and revision total hip arthroplasty (THA). We investigated and compared PROMs between propensity score-matched primary and revision THA in an Asian cohort.<h4>Methods</h4>The Oxford Hip Score (OHS) and University of California-Los Angeles (UCLA) activity score, satisfaction score, and Short Form-12 Health Survey (SF-12) were compared between 110 primary and 110 revision THAs after propensity score matching. Multivariate analyses were performed to determine which factors, including patients' demographics, indication for revision, and pre-operative PROMs, were associated with post-operative PROMs in the revision THA cohort.<h4>Results</h4>The revision THA cohort demonstrated significantly lower post-operative OHS, UCLA activity score, and satisfaction score (10% decrease on average) than those in the primary THA cohort (P < .05). The difference in SF-12 mental component summary measure (MCS) between the two cohorts was statistically insignificant (P = .24). In multivariate analysis for the revision THA cohort, lower post-operative UCLA activity score was significantly associated with higher BMI and lower pre-operative UCLA activity score (P < .05).<h4>Conclusion</h4>Revision THA was associated with a modest but significant decrease in physical PROMs as compared with primary THA. Pre-operative UCLA activity score significantly affected the post-operative physical outcome measures in the revision THA cohort. However, post-operative SF-12 MCS was comparable between the primary and revision THA cohorts.
format	article
author	Satoru Harada Satoshi Hamai Kyohei Shiomoto Daisuke Hara Masanori Fujii Satoshi Ikemura Goro Motomura Yasuharu Nakashima
author_facet	Satoru Harada Satoshi Hamai Kyohei Shiomoto Daisuke Hara Masanori Fujii Satoshi Ikemura Goro Motomura Yasuharu Nakashima
author_sort	Satoru Harada
title	Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.
title_short	Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.
title_full	Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.
title_fullStr	Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.
title_full_unstemmed	Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.
title_sort	patient-reported outcomes after primary or revision total hip arthroplasty: a propensity score-matched asian cohort study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/22d91feb4a7141da81c4ca4f9e3436e1
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Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.

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