BACKGROUND AND PURPOSE: More than 6,500 hip arthroplasties were performed in Denmark in 2005. Accelerated perioperative interventions are currently implemented, and the length of stay is thereby reduced. An increase in postoperative health-related quality of- life (HRQOL) has been observed for hip patients after accelerated perioperative procedures compared to standard procedures. However, no studies have used HRQOL as a primary outcome. We therefore performed a before-after trial to investigate whether HRQOL would be improved postoperatively in hip arthroplasty patients undergoing accelerated perioperative care andrehabilitation intervention compared to those undergoing current intervention. PATIENTS AND METHODS: 98 elective primary hip arthroplasty patients underwent either astandard procedure or an accelerated perioperative procedure (n = 48 and n = 50, respectively). Primary outcome was difference in HRQOL measured with EQ-5D, which measures HRQOL in 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) at the 3-month follow-up visit. RESULTS:HRQOL was markedly improved in both groups. A significant difference in HRQOL at follow-up of 0.08 (95% CI: 0.01-0.15) in favor of the patients who received the accelerated intervention was observed (p = 0.02). INTERPRETATION:Hip arthroplasty patients benefit postoperatively from accelerated perioperative care and rehabilitation procedures, with an HRQOL that is approximately 10% higher than that of patients receiving standard procedures.
RCT Entities:
BACKGROUND AND PURPOSE: More than 6,500 hip arthroplasties were performed in Denmark in 2005. Accelerated perioperative interventions are currently implemented, and the length of stay is thereby reduced. An increase in postoperative health-related quality of- life (HRQOL) has been observed for hippatients after accelerated perioperative procedures compared to standard procedures. However, no studies have used HRQOL as a primary outcome. We therefore performed a before-after trial to investigate whether HRQOL would be improved postoperatively in hip arthroplastypatients undergoing accelerated perioperative care and rehabilitation intervention compared to those undergoing current intervention. PATIENTS AND METHODS: 98 elective primary hip arthroplastypatients underwent either a standard procedure or an accelerated perioperative procedure (n = 48 and n = 50, respectively). Primary outcome was difference in HRQOL measured with EQ-5D, which measures HRQOL in 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) at the 3-month follow-up visit. RESULTS: HRQOL was markedly improved in both groups. A significant difference in HRQOL at follow-up of 0.08 (95% CI: 0.01-0.15) in favor of the patients who received the accelerated intervention was observed (p = 0.02). INTERPRETATION:Hip arthroplastypatients benefit postoperatively from accelerated perioperative care and rehabilitation procedures, with an HRQOL that is approximately 10% higher than that of patients receiving standard procedures.
Authors: Siddharth Sripada; Harrison Loader; Man Hei Marcus Kam; Arslan Khaliq Raja; Joshua Haggart; Thomas Fawcett; Cameron Peattie; Samuel Molyneux; Nicholas Clement Journal: Adv Orthop Date: 2022-06-24
Authors: Andrew N Jordan; Christine Anning; Lindsay Wilkes; Claire Ball; Nicola Pamphilon; Christopher E Clark; Nicholas G Bellenger; Angela C Shore; Andrew S P Sharp; Jose M Valderas Journal: Health Qual Life Outcomes Date: 2022-03-04 Impact factor: 3.186