Total hip arthroplasty in geriatric patients – a single-center experience

IF 1.8 Q2 ORTHOPEDICS

SICOT-J Pub Date : 2022-04-04 DOI:10.1051/sicotj/2022011

P. Anderson, Peter Vollmann, M. Weißenberger, M. Rudert

{"title":"Total hip arthroplasty in geriatric patients – a single-center experience","authors":"P. Anderson, Peter Vollmann, M. Weißenberger, M. Rudert","doi":"10.1051/sicotj/2022011","DOIUrl":null,"url":null,"abstract":"Background: As advanced age often leads to accumulating comorbidities, geriatric patients are endangered by serious events during total hip arthroplasty. This study was conducted to explore whether or not the benefit in terms of health-related quality of life (HRQoL) was comparable to younger patients. Methods: At a single academic center, 100 patients meeting the following inclusion criteria were retrospectively recruited: (1) primary arthritis of the hip leading to THA; (2) age 80 years or older at the time of surgery; (3) follow up of at least 12 months. For comparison, two further groups were recruited in the same manner, differing only in the age criterion: 100 patients aged 60–69 and 100 patients aged 70–79 at the time of hip replacement. The primary outcome was compared using the WOMAC and the EQ-5D score. The secondary outcome was determined by rates of orthopedic and non-orthopedic complications. Intragroup comparisons of the PROMS were performed by the non-parametric Wilcoxon test for paired samples. For intergroup comparisons of the PROMS, the Kruskal–Wallis-test was performed. Concerning categorial data, intergroup comparisons were performed by the Chi-Square test. The level of significance was set at 0.05. Results: Concerning the WOMAC score, neither the absolute values at 12 months after THA (p = 0.176) nor the amount of change relative to the values before surgery (p = 0.308) differed significantly between the 3 groups. Concerning the EQ-5D index the absolute values at 12 months after THA differed significantly (p = 0.008). Rates of orthopedic complications did not differ significantly (p = 0.631). Rates of non-orthopedic complications increased significantly with rising age (p = 0.033). Conclusions: Compared to younger patients, geriatric patients after THA have an equal improvement in hip-specific and general HRQoL. While rates of orthopedic complications are comparable too, non-orthopedic complications occur more frequently.","PeriodicalId":46378,"journal":{"name":"SICOT-J","volume":" ","pages":""},"PeriodicalIF":1.8000,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"SICOT-J","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1051/sicotj/2022011","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 2

Abstract

Background: As advanced age often leads to accumulating comorbidities, geriatric patients are endangered by serious events during total hip arthroplasty. This study was conducted to explore whether or not the benefit in terms of health-related quality of life (HRQoL) was comparable to younger patients. Methods: At a single academic center, 100 patients meeting the following inclusion criteria were retrospectively recruited: (1) primary arthritis of the hip leading to THA; (2) age 80 years or older at the time of surgery; (3) follow up of at least 12 months. For comparison, two further groups were recruited in the same manner, differing only in the age criterion: 100 patients aged 60–69 and 100 patients aged 70–79 at the time of hip replacement. The primary outcome was compared using the WOMAC and the EQ-5D score. The secondary outcome was determined by rates of orthopedic and non-orthopedic complications. Intragroup comparisons of the PROMS were performed by the non-parametric Wilcoxon test for paired samples. For intergroup comparisons of the PROMS, the Kruskal–Wallis-test was performed. Concerning categorial data, intergroup comparisons were performed by the Chi-Square test. The level of significance was set at 0.05. Results: Concerning the WOMAC score, neither the absolute values at 12 months after THA (p = 0.176) nor the amount of change relative to the values before surgery (p = 0.308) differed significantly between the 3 groups. Concerning the EQ-5D index the absolute values at 12 months after THA differed significantly (p = 0.008). Rates of orthopedic complications did not differ significantly (p = 0.631). Rates of non-orthopedic complications increased significantly with rising age (p = 0.033). Conclusions: Compared to younger patients, geriatric patients after THA have an equal improvement in hip-specific and general HRQoL. While rates of orthopedic complications are comparable too, non-orthopedic complications occur more frequently.

查看原文本刊更多论文

老年患者全髋关节置换术-单中心经验

背景：由于高龄往往会导致合并症的积累，老年患者在全髋关节置换术中会受到严重事件的威胁。本研究旨在探讨健康相关生活质量（HRQoL）方面的益处是否与年轻患者相当。方法：在一个学术中心，回顾性招募100名符合以下纳入标准的患者：（1）导致THA的原发性髋关节炎；（2）手术时年龄在80岁或以上；（3）随访至少12个月。为了进行比较，以相同的方式招募了另外两组患者，仅在年龄标准上有所不同：髋关节置换术时有100名60-69岁的患者和100名70-79岁的患者。使用WOMAC和EQ-5D评分对主要结果进行比较。次要结果由骨科和非骨科并发症的发生率决定。通过配对样本的非参数Wilcoxon检验对PROMS进行组内比较。对于PROMS的组间比较，进行了Kruskal–Wallis检验。关于分类数据，通过卡方检验进行组间比较。显著性水平设定为0.05。结果：关于WOMAC评分，THA后12个月的绝对值（p=0.176）和相对于手术前的变化量（p=0.308）在三组之间都没有显著差异。关于EQ-5D指数，THA后12个月的绝对值有显著差异（p=0.008）。骨科并发症的发生率没有显著差异（p=0.631）。非骨科并发症的发病率随着年龄的增长而显著增加（p=0.033）。结论：与年轻患者相比，THA后的老年患者在髋关节特异性和一般性HRQoL方面有同等的改善。虽然骨科并发症的发生率也相当，但非骨科并发症发生的频率更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

SICOT-J ORTHOPEDICS-

CiteScore

3.20

自引率

12.50%

发文量

审稿时长

14 weeks