A Comparison Of Outcomes In Osteoarthritis Patients Undergoing Total Hip And Knee Replacement Surgery

Bachmeier, C. J. M., March, L. M., Cross, M. J., Lapsley, H. M., Tribe, K. L., Courtenay, B. G and Brooks, P. M. (2001) A Comparison Of Outcomes In Osteoarthritis Patients Undergoing Total Hip And Knee Replacement Surgery. Osteoarthritis and Cartilage, 9 2: 137-146.

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Author Bachmeier, C. J. M.
March, L. M.
Cross, M. J.
Lapsley, H. M.
Tribe, K. L.
Courtenay, B. G
Brooks, P. M.
Title A Comparison Of Outcomes In Osteoarthritis Patients Undergoing Total Hip And Knee Replacement Surgery
Journal name Osteoarthritis and Cartilage   Check publisher's open access policy
ISSN 1063-4584
Publication date 2001-02-01
Sub-type Article (original research)
DOI 10.1053/joca.2000.0369
Volume 9
Issue 2
Start page 137
End page 146
Total pages 10
Publisher W. B. Saunders & Co
Language eng
Subject 321028 Rheumatology and Arthritis
321017 Orthopaedics
C1
Abstract Objective The aims of this study were to assess changes in physical function and quality of life with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the instrument of the Medical Outcomes Study SF-36 Health Survey (MOS SF-36), respectively, in patients undergoing hip and knee joint replacement surgery and to compare the responsiveness of these two outcome measures 1 year after surgery. Design One hundred and ninety-four patients with osteoarthritis (OA knee 108, OA hip 86) admitted to four hospitals in Sydney were followed over a period of 1 year at 3 monthly intervals. Results WOMAC measures improved significantly after 1 year for OA hip and OA knee: there was reduction in pain of 71% and 53%, reduction in stiffness of 55% and 43% and improvement in physical function of 68% and 43%, respectively. MOS SF-36 measures in those having hip surgery improved significantly for pain (222%), physical function (247%), physical role functioning (402%), general health (110%), vitality (143%), social functioning (169%) and mental health (114%). For those in the knee surgery group, significant improvement was seen for pain (175%), physical function (197%), physical role functioning (275%), vitality (125%) and social functioning (119%). The WOMAC was a more responsive measure than the MOS SF-36. Conclusion WOMAC and MOS SF-36 detect significant and clinically meaningful changes in outcome after hip and knee replacement. WOMAC requires a smaller sample size and is more responsive in the short term. For a follow-up longer than 6 months MOS SF-36 provides additional information. The improvement in outcomes following hip joint surgery were significantly greater than those following knee surgery.
Keyword hip
knee
surgery
osteoarthritis
physical function
pain
outcomes
joint replacement
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Q-Index Code C1
Additional Notes Originally published as C. J. M. Bachmeier, L. M. March, M. J. Cross, H. M. Lapsley, K. L. Tribe, B. G. Courtenay, P. M. Brooks (2001) A Comparison Of Outcomes In Osteoarthritis Patients Undergoing Total Hip And Knee Replacement Surgery Osteoarthritis and Cartilage, 9 (2) : 137-146. Copyright 2001 Elsevier Science. All rights reserved. Single copies only may be downloaded and printed for a user's personal research and study

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Sub-type: Article (original research)
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