Delays worsen quality of life outcome of primary total hip arthroplasty

Clinical Orthopaedics and Related Research
Donald S GarbuzBoris Sobolev

Abstract

Although there are indications of health status deterioration for patients while waiting for elective total hip arthroplasties, controversy exists regarding the effect of waiting on postoperative outcomes. We hypothesized that longer waiting times are detrimental to achieving the full benefit of surgery. We prospectively examined 201 patients with osteoarthritis who were on the waiting list for primary total hip arthroplasties. The Western Ontario and McMaster Universities Osteoarthritis Index questionnaire was used to assess patients at surgical consultation (preoperative) and 1 year postoperative. The study included regression models to determine the expected outcome for an individual's preoperative score. Logistic regression models were used to assess the relationship between waiting time and the probability of a better than expected outcome. We found that the odds of achieving a better than expected postoperative functional outcome decreased by 8% for each month on the waiting list. Expedited access resulted in a larger proportion of patients with better than expected function 12 months after surgery.

References

Sep 20, 1990·The New England Journal of Medicine·W H Harris, C B Sledge
Sep 13, 1990·The New England Journal of Medicine·W H Harris, C B Sledge
Nov 1, 1982·Annals of Internal Medicine·M H LiangR Poss
Nov 1, 1993·The Journal of Bone and Joint Surgery. American Volume·A LaupacisR Bullas
Feb 1, 1997·Journal of Evaluation in Clinical Practice·J I WilliamsC D Naylor
Feb 18, 1998·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·A M BraekenT A Mackenzie
Apr 3, 1998·Journal of Evaluation in Clinical Practice·H A Llewellyn-ThomasC D Naylor
Apr 18, 2001·The Journal of Arthroplasty·K D KellyM E Suarez-Almazor
May 2, 2001·Osteoarthritis and Cartilage·C J BachmeierUNKNOWN Arthritis Cost and Outcome Project Group
Feb 2, 2002·Journal of Health Services Research & Policy·Shakoor HajatPaul Gregg
Feb 19, 2003·Journal of Clinical Epidemiology·Ray FitzpatrickCrispin Jenkinson
Apr 7, 2004·The Journal of Arthroplasty·Marieke OstendorfAbraham Verbout
Sep 8, 2005·BMC Musculoskeletal Disorders·Min XuBoris Sobolev

❮ Previous
Next ❯

Citations

Aug 19, 2007·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Jason BraybrookeAlbert Yee
Dec 23, 2009·Health Economics, Policy, and Law·Anthony J Harrison, John Appleby
Jun 13, 2013·The Journal of Orthopaedic and Sports Physical Therapy·Brian D StreetWilliam Gage
Jul 16, 2015·São Paulo Medical Journal = Revista Paulista De Medicina·Mariana Kátia Rampazo-LacativaMaria José D'Elboux
Oct 29, 2009·Clinical Orthopaedics and Related Research·Ahmad Bin NasserAnna Fazekas
Jul 17, 2009·Journal of the Royal Society of Medicine·Anthony J Harrison, John Appleby
Sep 19, 2009·Clinical Orthopaedics and Related Research·Carlos J LaverniaMark D Rossi
Feb 5, 2009·The Journal of Nursing Administration·Carolyn HixSandra Walters
Aug 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Michael H HuoJavad Parvizi
Jan 6, 2010·The Physician and Sportsmedicine·Jack Farr, William A Jiranek
Dec 2, 2011·Journal of Evaluation in Clinical Practice·Kari TirkkonenPetri Virolainen
Oct 19, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Mohammad Mesfer AlzahraniMichael Tanzer
Aug 16, 2014·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Matthias VoglNils Gutacker
Apr 30, 2010·Journal of Orthopaedic Surgery·Henning R JohanssonWolfram Mittelmeier
Jun 15, 2010·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Philipp BergschmidtWolfram Mittelmeier
Aug 14, 2009·Journal of Evaluation in Clinical Practice·Antonio EscobarBerta Ibañez
May 8, 2018·Foot & Ankle International·Jason M SutherlandTrafford Crump
Oct 6, 2020·Health Economics·Domenico Lisi, Giacomo Pignataro

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.