全髋关节置换术后Perthes病患者的功能如何?:一项基于网络的国际调查中患者报告的结果。

IF 4.9 1区 医学 Q1 ORTHOPEDICS
Michael B Millis, Bella Vakulenko-Lagun, Harry K W Kim
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引用次数: 0

摘要

目的:珀尔特氏病是一种髋关节疾病,儿童时期发病,成年后可因髋关节畸形和继发性关节炎而导致生活质量(QoL)下降。从患者的角度来看,他们对全髋关节置换术(THA)后的成年生活质量知之甚少。我们通过网络调查收集了接受全髋关节置换术的成年珀尔特氏病患者的治疗史、人口统计学细节和患者报告的结果测量(PROMs)数据。然后,我们将这些 PROMs 与年龄和性别匹配的常模队列以及未接受 THA 治疗的 Perthes 病队列进行了比较:我们在珀尔特氏病研究小组网站上使用了基于 REDCap 的英文调查,其中包括珀尔特氏病史、加州大学洛杉矶分校活动量表评分、36 项短式健康调查 (SF-36) 以及髋关节残疾和骨关节炎结果评分 (HOOS)。共分析了 261 名 THA 参与者(调查时平均年龄为 44.6 岁(SD 12.4);THA 后平均时间为 7.2 年(SD 8.0)):结果:与正常人群相比,所有年龄组的 THA 参与者的 HOOS QoL 和 Sports & Recreation 分数都明显较低(P < 0.001)。45岁以下的女性THA参与者的HOOS疼痛、症状和日常生活活动评分以及SF-36身体和社交评分均低于常模组群(P均<0.001)。髋关节发育不良和距THA手术年数与较差的预后显著相关。与未进行过 THA 的 Perthes 病队列相比,年龄在 35 至 54 岁之间的女性 THA 参与者在除运动外的所有量表上的结果都明显更好。在THA队列中,18至34岁女性的症状和疼痛评分明显更好:结论:接受THA治疗的珀尔特氏病患者的疼痛和症状评分优于未接受THA治疗的珀尔特氏病患者,但与常模人群相比,他们的QoL评分要低得多。这些结果凸显了 THA 可以改善症状,同时也表明有必要开展研究,改进治疗方法,以减少持续的 QoL 损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How are adults who had Perthes' disease functioning after total hip arthroplasty? : patient-reported outcome results from an international web-based survey.

Aims: Perthes' disease is a hip disorder that presents in childhood but can lead to diminished quality of life (QoL) in adulthood from hip deformities and secondary arthritis. Little is known about adult outcomes following total hip arthroplasty (THA) from the patient's perspective. We employed a web-based survey to gather data on treatment history, demographic details, and patient-reported outcome measures (PROMs) from adults with Perthes' disease who underwent THA. We then compared these PROMs to those of age- and sex-matched normative cohorts, and a Perthes' disease cohort not treated with THA.

Methods: We used an English REDCap-based survey on a Perthes' disease study group website, which included Perthes' disease history, University of California, Los Angeles Activity Scale scores, the 36-Item Short-Form Health Survey (SF-36), and the Hip disability and Osteoarthritis Outcome Score (HOOS). A total of 261 THA participants were analyzed (mean age at survey 44.6 years (SD 12.4); mean time since THA 7.2 yrs (SD 8.0)).

Results: Compared to normative cohorts, THA participants had significantly lower HOOS QoL and Sports & Recreation scores across all age groups (p < 0.001). Female THA participants aged under 45 years reported worse HOOS Pain, Symptom, and Activities of Daily Living scores, as well as SF-36 Physical and Social scales (all p < 0.001) compared to normative cohorts. Hip dysplasia and number of years from THA were significantly associated with poorer outcome. In comparison to a Perthes' disease cohort without THA, female THA participants aged 35 to 54 years reported significantly better outcomes across all scores except for sports. Females aged 18 to 34 years had significantly better symptom and pain scores in the THA cohort.

Conclusion: The Perthes' disease cohort who had THA had better pain and symptom scores than the Perthes' disease non-THA cohort, but reported substantially lower QoL scores compared to a normative population. These results highlight the symptom improvements that THA can offer, while suggesting the need for research to improve treatments which will reduce persisting impairments of QoL.

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来源期刊
Bone & Joint Journal
Bone & Joint Journal ORTHOPEDICS-SURGERY
CiteScore
9.40
自引率
10.90%
发文量
318
期刊介绍: We welcome original articles from any part of the world. The papers are assessed by members of the Editorial Board and our international panel of expert reviewers, then either accepted for publication or rejected by the Editor. We receive over 2000 submissions each year and accept about 250 for publication, many after revisions recommended by the reviewers, editors or statistical advisers. A decision usually takes between six and eight weeks. Each paper is assessed by two reviewers with a special interest in the subject covered by the paper, and also by members of the editorial team. Controversial papers will be discussed at a full meeting of the Editorial Board. Publication is between four and six months after acceptance.
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