Clinical phenotypes and prognostic factors in persons with hip osteoarthritis undergoing total hip arthroplasty: protocol for a longitudinal prospective cohort study (HIPPROCLIPS)
Abstract Background Large heterogeneity exists in the clinical manifestation of hip osteoarthritis (OA). It is therefore not surprising that pain and disability in individuals with hip OA and after total hip arthroplasty (THA) cannot be explained by biomedical variables alone. Indeed, also maladapti...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-023-06326-9 |
| _version_ | 1797860075145003008 |
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| author | Abner Sergooris Jonas Verbrugghe Thomas Matheve Maaike Van Den Houte Bruno Bonnechère Kristoff Corten Katleen Bogaerts Annick Timmermans |
| author_facet | Abner Sergooris Jonas Verbrugghe Thomas Matheve Maaike Van Den Houte Bruno Bonnechère Kristoff Corten Katleen Bogaerts Annick Timmermans |
| author_sort | Abner Sergooris |
| collection | DOAJ |
| description | Abstract Background Large heterogeneity exists in the clinical manifestation of hip osteoarthritis (OA). It is therefore not surprising that pain and disability in individuals with hip OA and after total hip arthroplasty (THA) cannot be explained by biomedical variables alone. Indeed, also maladaptive pain-related cognitions and emotions can contribute to pain and disability, and can lead to poor treatment outcomes. Traumatic experiences, mental disorders, self-efficacy and social support can influence stress appraisal and strategies to cope with pain, but their influence on pain and disability has not yet been established in individuals with hip OA undergoing THA. This study aims (1) to determine the influence of traumatic experiences and mental disorders on pain processing before and shortly after THA (2) to identify preoperative clinical phenotypes in individuals with hip OA eligible for THA, (3) to identify pre- and early postoperative prognostic factors for outcomes in pain and disability after THA, and (4) to identify postoperative clinical phenotypes in individuals after THA. Methods This prospective longitudinal cohort study will investigate 200 individuals undergoing THA for hip OA. Phenotyping variables and candidate prognostic factors include pain-related fear-avoidance behaviour, perceived injustice, mental disorders, traumatic experiences, self-efficacy, and social support. Peripheral and central pain mechanisms will be assessed with thermal quantitative sensory testing. The primary outcome measure is the hip disability and osteoarthritis outcome score. Other outcome measures include performance-based measures, hip muscle strength, the patient-specific functional scale, pain intensity, global perceived effect, and outcome satisfaction. All these measurements will be performed before surgery, as well as 6 weeks, 3 months, and 12 months after surgery. Pain-related cognitions and emotions will additionally be assessed in the early postoperative phase, on the first, third, fifth, and seventh day after THA. Main statistical methods that will be used to answer the respective research questions include: LASSO regression, decision tree learning, gradient boosting algorithms, and recurrent neural networks. Discussion The identification of clinical phenotypes and prognostic factors for outcomes in pain and disability will be a first step towards pre- and postoperative precision medicine for individuals with hip OA undergoing THA. Trial registration ClinicalTrials.gov: NCT05265858. Registered on 04/03/2022. |
| first_indexed | 2024-04-09T21:39:53Z |
| format | Article |
| id | doaj.art-3a8292adbc474678ad2bd644c0c14b3b |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-09T21:39:53Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-3a8292adbc474678ad2bd644c0c14b3b2023-03-26T11:03:06ZengBMCBMC Musculoskeletal Disorders1471-24742023-03-0124111310.1186/s12891-023-06326-9Clinical phenotypes and prognostic factors in persons with hip osteoarthritis undergoing total hip arthroplasty: protocol for a longitudinal prospective cohort study (HIPPROCLIPS)Abner Sergooris0Jonas Verbrugghe1Thomas Matheve2Maaike Van Den Houte3Bruno Bonnechère4Kristoff Corten5Katleen Bogaerts6Annick Timmermans7REVAL Rehabilitation Research, Faculty of Rehabilitation Sciences, Hasselt UniversityREVAL Rehabilitation Research, Faculty of Rehabilitation Sciences, Hasselt UniversityREVAL Rehabilitation Research, Faculty of Rehabilitation Sciences, Hasselt UniversityREVAL Rehabilitation Research, Faculty of Rehabilitation Sciences, Hasselt UniversityREVAL Rehabilitation Research, Faculty of Rehabilitation Sciences, Hasselt UniversityDepartment of Orthopaedics – Hip Unit, Ziekenhuis Oost-LimburgREVAL Rehabilitation Research, Faculty of Rehabilitation Sciences, Hasselt UniversityREVAL Rehabilitation Research, Faculty of Rehabilitation Sciences, Hasselt UniversityAbstract Background Large heterogeneity exists in the clinical manifestation of hip osteoarthritis (OA). It is therefore not surprising that pain and disability in individuals with hip OA and after total hip arthroplasty (THA) cannot be explained by biomedical variables alone. Indeed, also maladaptive pain-related cognitions and emotions can contribute to pain and disability, and can lead to poor treatment outcomes. Traumatic experiences, mental disorders, self-efficacy and social support can influence stress appraisal and strategies to cope with pain, but their influence on pain and disability has not yet been established in individuals with hip OA undergoing THA. This study aims (1) to determine the influence of traumatic experiences and mental disorders on pain processing before and shortly after THA (2) to identify preoperative clinical phenotypes in individuals with hip OA eligible for THA, (3) to identify pre- and early postoperative prognostic factors for outcomes in pain and disability after THA, and (4) to identify postoperative clinical phenotypes in individuals after THA. Methods This prospective longitudinal cohort study will investigate 200 individuals undergoing THA for hip OA. Phenotyping variables and candidate prognostic factors include pain-related fear-avoidance behaviour, perceived injustice, mental disorders, traumatic experiences, self-efficacy, and social support. Peripheral and central pain mechanisms will be assessed with thermal quantitative sensory testing. The primary outcome measure is the hip disability and osteoarthritis outcome score. Other outcome measures include performance-based measures, hip muscle strength, the patient-specific functional scale, pain intensity, global perceived effect, and outcome satisfaction. All these measurements will be performed before surgery, as well as 6 weeks, 3 months, and 12 months after surgery. Pain-related cognitions and emotions will additionally be assessed in the early postoperative phase, on the first, third, fifth, and seventh day after THA. Main statistical methods that will be used to answer the respective research questions include: LASSO regression, decision tree learning, gradient boosting algorithms, and recurrent neural networks. Discussion The identification of clinical phenotypes and prognostic factors for outcomes in pain and disability will be a first step towards pre- and postoperative precision medicine for individuals with hip OA undergoing THA. Trial registration ClinicalTrials.gov: NCT05265858. Registered on 04/03/2022.https://doi.org/10.1186/s12891-023-06326-9Clinical phenotypeBiopsychosocial modelHip osteoarthritisTotal hip arthroplastyPrognostic factorsTrauma |
| spellingShingle | Abner Sergooris Jonas Verbrugghe Thomas Matheve Maaike Van Den Houte Bruno Bonnechère Kristoff Corten Katleen Bogaerts Annick Timmermans Clinical phenotypes and prognostic factors in persons with hip osteoarthritis undergoing total hip arthroplasty: protocol for a longitudinal prospective cohort study (HIPPROCLIPS) BMC Musculoskeletal Disorders Clinical phenotype Biopsychosocial model Hip osteoarthritis Total hip arthroplasty Prognostic factors Trauma |
| title | Clinical phenotypes and prognostic factors in persons with hip osteoarthritis undergoing total hip arthroplasty: protocol for a longitudinal prospective cohort study (HIPPROCLIPS) |
| title_full | Clinical phenotypes and prognostic factors in persons with hip osteoarthritis undergoing total hip arthroplasty: protocol for a longitudinal prospective cohort study (HIPPROCLIPS) |
| title_fullStr | Clinical phenotypes and prognostic factors in persons with hip osteoarthritis undergoing total hip arthroplasty: protocol for a longitudinal prospective cohort study (HIPPROCLIPS) |
| title_full_unstemmed | Clinical phenotypes and prognostic factors in persons with hip osteoarthritis undergoing total hip arthroplasty: protocol for a longitudinal prospective cohort study (HIPPROCLIPS) |
| title_short | Clinical phenotypes and prognostic factors in persons with hip osteoarthritis undergoing total hip arthroplasty: protocol for a longitudinal prospective cohort study (HIPPROCLIPS) |
| title_sort | clinical phenotypes and prognostic factors in persons with hip osteoarthritis undergoing total hip arthroplasty protocol for a longitudinal prospective cohort study hipproclips |
| topic | Clinical phenotype Biopsychosocial model Hip osteoarthritis Total hip arthroplasty Prognostic factors Trauma |
| url | https://doi.org/10.1186/s12891-023-06326-9 |
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