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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doaj-22d91feb4a7141da81c4ca4f9e3436e12021-06-12T04:30:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01165e025211210.1371/journal.pone.0252112Patient-reported outcomes after primary or revision total hip arthroplasty: A propensity score-matched Asian cohort study.Satoru HaradaSatoshi HamaiKyohei ShiomotoDaisuke HaraMasanori FujiiSatoshi IkemuraGoro MotomuraYasuharu Nakashima<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.https://doi.org/10.1371/journal.pone.0252112 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Satoru Harada Satoshi Hamai Kyohei Shiomoto Daisuke Hara Masanori Fujii Satoshi Ikemura Goro Motomura Yasuharu Nakashima |
spellingShingle |
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. PLoS ONE |
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) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2021-01-01 |
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. |
url |
https://doi.org/10.1371/journal.pone.0252112 |
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