Improvement in mental health following total hip arthroplasty: the role of pain and function
Abstract Background Mental health has been shown to improve after total hip arthroplasty (THA). Little is known about the role of pain and function in this context. We assessed whether change in mental health was associated with improvement in pain and function 1 year post-surgery. Methods This pros...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-06-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-019-2669-y |
| _version_ | 1818243891486261248 |
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| author | Uyen-Sa D. T. Nguyen Thomas Perneger Patricia D. Franklin Christophe Barea Pierre Hoffmeyer Anne Lübbeke |
| author_facet | Uyen-Sa D. T. Nguyen Thomas Perneger Patricia D. Franklin Christophe Barea Pierre Hoffmeyer Anne Lübbeke |
| author_sort | Uyen-Sa D. T. Nguyen |
| collection | DOAJ |
| description | Abstract Background Mental health has been shown to improve after total hip arthroplasty (THA). Little is known about the role of pain and function in this context. We assessed whether change in mental health was associated with improvement in pain and function 1 year post-surgery. Methods This prospective study included patients enrolled in a THA registry from 2010 to 2014. We examined the mental component score (MCS) before and 1 year post-surgery, and 1-year change, in association with Western Ontario McMaster Universities (WOMAC) pain and function scores. All scores were normalized, ranging from 0 to 100 (larger score indicating better outcome). Analyses were adjusted for potential confounders. Results Our study included 610 participants, of which 53% were women. Descriptive statistics are as follows: the average (SD) for age (years) was 68.5 (11.8), and for BMI was 26.9 (4.9). In addition, the MCS average (SD) at baseline was 44.7 (11.2), and at 1-year after THA was 47.5 (10.5). The average change from baseline to 1-year post-THA in MCS was 2.8 (95% CI: 1.9, 3.6), for an effect size of 0.26. As for the WOMAC pain score, the average change from baseline to 1-year post-THA was 44.2 (95%CI: 42.4, 46.0), for an effect size of 2.5. The equivalent change in WOMAC function was 38.1 (95% CI: 36.2, 40.0), for an effect size of 2.0. Results from multivariable analysis controlling for covariates showed that an improvement of 10 points in the 1-year change in pain score resulted in a 0.78 point (95%: CI 0.40, 1.26) increase in the 1-year change in MCS, whereas a 10-point improvement in the 1-year change in function was associated with a 0.94 point (95% CI: 0.56, 1.32) increase. Conclusions Mental health significantly improved from baseline to 1-year post-THA. Greater improvement in pain and function was associated with greater improvement in mental health 1 year post-THA. |
| first_indexed | 2024-12-12T14:08:20Z |
| format | Article |
| id | doaj.art-6a10317d29fe4cb9871087ce7c3b97fa |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-12T14:08:20Z |
| publishDate | 2019-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-6a10317d29fe4cb9871087ce7c3b97fa2022-12-22T00:22:10ZengBMCBMC Musculoskeletal Disorders1471-24742019-06-012011710.1186/s12891-019-2669-yImprovement in mental health following total hip arthroplasty: the role of pain and functionUyen-Sa D. T. Nguyen0Thomas Perneger1Patricia D. Franklin2Christophe Barea3Pierre Hoffmeyer4Anne Lübbeke5Department of Orthopedics & Physical Rehabilitation, University of Massachusetts Medical SchoolClinical Epidemiology Service, Geneva University HospitalDepartment of Orthopedics & Physical Rehabilitation, University of Massachusetts Medical SchoolDepartment of Orthopaedic Surgery, Geneva University HospitalDepartment of Orthopaedic Surgery, Geneva University HospitalDepartment of Orthopaedic Surgery, Geneva University HospitalAbstract Background Mental health has been shown to improve after total hip arthroplasty (THA). Little is known about the role of pain and function in this context. We assessed whether change in mental health was associated with improvement in pain and function 1 year post-surgery. Methods This prospective study included patients enrolled in a THA registry from 2010 to 2014. We examined the mental component score (MCS) before and 1 year post-surgery, and 1-year change, in association with Western Ontario McMaster Universities (WOMAC) pain and function scores. All scores were normalized, ranging from 0 to 100 (larger score indicating better outcome). Analyses were adjusted for potential confounders. Results Our study included 610 participants, of which 53% were women. Descriptive statistics are as follows: the average (SD) for age (years) was 68.5 (11.8), and for BMI was 26.9 (4.9). In addition, the MCS average (SD) at baseline was 44.7 (11.2), and at 1-year after THA was 47.5 (10.5). The average change from baseline to 1-year post-THA in MCS was 2.8 (95% CI: 1.9, 3.6), for an effect size of 0.26. As for the WOMAC pain score, the average change from baseline to 1-year post-THA was 44.2 (95%CI: 42.4, 46.0), for an effect size of 2.5. The equivalent change in WOMAC function was 38.1 (95% CI: 36.2, 40.0), for an effect size of 2.0. Results from multivariable analysis controlling for covariates showed that an improvement of 10 points in the 1-year change in pain score resulted in a 0.78 point (95%: CI 0.40, 1.26) increase in the 1-year change in MCS, whereas a 10-point improvement in the 1-year change in function was associated with a 0.94 point (95% CI: 0.56, 1.32) increase. Conclusions Mental health significantly improved from baseline to 1-year post-THA. Greater improvement in pain and function was associated with greater improvement in mental health 1 year post-THA.http://link.springer.com/article/10.1186/s12891-019-2669-yTotal hip arthroplastyMental healthPainPhysical functionSF-12WOMAC |
| spellingShingle | Uyen-Sa D. T. Nguyen Thomas Perneger Patricia D. Franklin Christophe Barea Pierre Hoffmeyer Anne Lübbeke Improvement in mental health following total hip arthroplasty: the role of pain and function BMC Musculoskeletal Disorders Total hip arthroplasty Mental health Pain Physical function SF-12 WOMAC |
| title | Improvement in mental health following total hip arthroplasty: the role of pain and function |
| title_full | Improvement in mental health following total hip arthroplasty: the role of pain and function |
| title_fullStr | Improvement in mental health following total hip arthroplasty: the role of pain and function |
| title_full_unstemmed | Improvement in mental health following total hip arthroplasty: the role of pain and function |
| title_short | Improvement in mental health following total hip arthroplasty: the role of pain and function |
| title_sort | improvement in mental health following total hip arthroplasty the role of pain and function |
| topic | Total hip arthroplasty Mental health Pain Physical function SF-12 WOMAC |
| url | http://link.springer.com/article/10.1186/s12891-019-2669-y |
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