Changes in the WOMAC, EuroQol and Japanese lifestyle measurements among patients undergoing total hip arthroplasty

Osteoarthritis and Cartilage
K FujitaT Hotokebuchi

Abstract

To assess changes in the health outcomes of Japanese patients before and after total hip arthroplasty (THA), and to assess the impact of THA on commonly performed postures or body positions requiring deep flexion of the hip joint such as the use of Japanese squat toilets. Consecutive patients undergoing primary THA between July 2003 and July 2004 were eligible for the study. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the EuroQol 5D (EQ-5D) were administered at the preoperative period and two postoperative periods of 6 weeks and 6 months. The patients were also asked to rate three items regarding common activities of daily living in Japan such as squatting. Changes in scores were examined using effect size and proportion at the floor and ceiling. Four-hundred and fifty-one patients completed both pre- and post-THA surveys. Significant improvements in pain and physical function as measured by WOMAC and EQ-5D were evident within 6 weeks. Changes in WOMAC and EQ-5D subscale scores and scores for each item from the three time periods were highly significant (P=0.000). The effect size was 1.56 for WOMAC pain and 1.38 for physical function at 6 months. In contrast, two items (Japanese toilet and sei...Continue Reading

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Citations

Oct 26, 2012·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kimie FujitaTakao Hotokebuchi
Jul 31, 2012·Clinics in Geriatric Medicine·C Allyson Jones, Sheri Pohar
Jan 8, 2016·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Kimie FujitaMasaaki Mawatari
May 23, 2014·Nursing & Health Sciences·Kimie FujitaKiyoko Makimoto
Dec 7, 2010·Clinical Biomechanics·Junichiro KoyanagiKazuomi Sugamoto
Feb 23, 2018·Journal of Community Health·Thrmiga SathiyamoorthyMarita Kloseck
Jul 17, 2018·International Journal of Nursing Practice·Nae-Fang Miao, Pi-Chu Lin
Jul 31, 2012·The Journal of Bone and Joint Surgery. British Volume·S AlazzawiR E Field
Mar 1, 2017·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Yuki MaedaNobuhiko Sugano
Oct 10, 2020·Journal of Rural Medicine : JRM·Fumiko Nakashima, Hiroko Kukihara

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