Quality-Adjusted Life Years Gained by Hip and Knee Replacement Surgery and Its Aftercare

Archives of Physical Medicine and Rehabilitation
Thoralf R LiebsMulticenter Arthroplasty Aftercare Project, MAAP

Abstract

To determine the lifetime quality-adjusted life years (QALYs) gained by total joint arthroplasty (TJA), and assess the QALYs attributed to specific postoperative rehabilitation interventions. Secondary analysis of 2 multicenter, randomized controlled trials (RCTs) with 3-, 6-, 12-, and 24-month follow-up. Two university hospitals, 2 municipal hospitals, and 1 rural hospital. Patients (N=827) who underwent total hip arthroplasty (THA) or total knee arthroplasty (TKA). RCT A: 465 patients were randomly assigned to receive aquatic therapy (pool exercises aimed at training of proprioception, coordination, and strengthening) 6 versus 14 days after THA or TKA. 362 patients were randomly assigned to either perform or not perform ergometer cycling beginning 2 weeks after THA or TKA. QALYs, based on the Short Form-6 Dimensions utility, measured at baseline and 3, 6, 12, and 24 months' follow-up. After hip arthroplasty, the lifetime QALYs increased by 2.35 years in the nonergometer group, and by 2.30 years in the early aquatic therapy group. However, after knee arthroplasty, the lifetime QALYs increased by 1.81 years in the nonergometer group, and by 1.60 years in the early aquatic therapy group. By ergometer cycling, .55 additional QALY...Continue Reading

References

Mar 20, 1996·JAMA : the Journal of the American Medical Association·R W ChangG B Hazen
Aug 6, 1998·The New England Journal of Medicine·A S Detsky, D A Redelmeier
Jan 7, 1997·Journal of Health Economics·A M Garber, C E Phelps
Apr 10, 2002·Journal of Health Economics·John BrazierMark Deverill
Jan 9, 2004·The New England Journal of Medicine·Eric C SchneiderArnold M Epstein
Mar 2, 2005·International Journal of Technology Assessment in Health Care·Cynthia P IglesiasUNKNOWN NEVALAT Project Group
Oct 7, 2005·Arthritis and Rheumatism·Dina L JonesVictoria Brander
Aug 1, 2006·Health Policy and Planning·Franco Sassi
Apr 4, 2007·The Journal of Bone and Joint Surgery. American Volume·Steven KurtzMichael Halpern
Oct 30, 2007·Lancet·Ian D LearmonthCecil Rorabeck
Jul 21, 2009·Cost Effectiveness and Resource Allocation : C/E·Garry R BartonKenneth R Muir
Jan 22, 2010·The New England Journal of Medicine·Kirsten Bibbins-DomingoLee Goldman
Jan 19, 2011·Scandinavian Journal of Rheumatology·H Osnes-RingenH Dagfinrud
Aug 13, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Romain Seil, Dietrich Pape
Dec 27, 2011·Archives of Physical Medicine and Rehabilitation·Thoralf R LiebsUNKNOWN Multicenter Arthroplasty Aftercare Project
May 29, 2012·BMJ Open·Richard FordhamUNKNOWN Exeter Primary Outcome Study Group
Sep 27, 2012·JAMA : the Journal of the American Medical Association·Patricia D FranklinDavid C Ayers
Mar 1, 2013·BMJ : British Medical Journal·Mark PenningtonJan H van der Meulen
Mar 19, 2013·Cost Effectiveness and Resource Allocation : C/E·Timothy M DallDavid Ruiz
Aug 24, 2013·The Journal of Bone and Joint Surgery. American Volume·David RuizJohn Tongue

❮ Previous
Next ❯

Citations

Mar 13, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Christopher T BornJoey P Johnson
May 26, 2018·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Alon KalronJean-Jacques Vatine
Jan 10, 2019·BMC Medical Informatics and Decision Making·Manuel HuberReiner Leidl
Mar 30, 2021·Archives of Physical Medicine and Rehabilitation·Eng Chuan NeohKelvin Guoping Tan
May 11, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Cindy R NahhasCraig J Della Valle

❮ 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.

Related Papers

Archives of Physical Medicine and Rehabilitation
Thoralf R LiebsMulticenter Arthroplasty Aftercare Project
Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Xin LuXisheng Weng
© 2022 Meta ULC. All rights reserved