Total hip arthroplasty in geriatric patients – a single-center experience
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 patien...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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EDP Sciences
2022-01-01
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| Series: | SICOT-J |
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| Online Access: | https://www.sicot-j.org/articles/sicotj/full_html/2022/01/sicotj210115/sicotj210115.html |
| _version_ | 1811332282557923328 |
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| author | Anderson Philip Mark Vollmann Peter Weißenberger Manuel Rudert Maximilian |
| author_facet | Anderson Philip Mark Vollmann Peter Weißenberger Manuel Rudert Maximilian |
| author_sort | Anderson Philip Mark |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T16:34:26Z |
| format | Article |
| id | doaj.art-b1ab04e07ed74ea79deff9c91f4aadc6 |
| institution | Directory Open Access Journal |
| issn | 2426-8887 |
| language | English |
| last_indexed | 2024-04-13T16:34:26Z |
| publishDate | 2022-01-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | SICOT-J |
| spelling | doaj.art-b1ab04e07ed74ea79deff9c91f4aadc62022-12-22T02:39:29ZengEDP SciencesSICOT-J2426-88872022-01-0181210.1051/sicotj/2022011sicotj210115Total hip arthroplasty in geriatric patients – a single-center experienceAnderson Philip Mark0https://orcid.org/0000-0003-2356-547XVollmann Peter1Weißenberger Manuel2Rudert Maximilian3University of Wuerzburg, Department of Orthopedics, Orthopädische Klinik König-Ludwig-HausUniversity of Wuerzburg, Department of Orthopedics, Orthopädische Klinik König-Ludwig-HausUniversity of Wuerzburg, Department of Orthopedics, Orthopädische Klinik König-Ludwig-HausUniversity of Wuerzburg, Department of Orthopedics, Orthopädische Klinik König-Ludwig-HausBackground: 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.https://www.sicot-j.org/articles/sicotj/full_html/2022/01/sicotj210115/sicotj210115.htmltotal hip arthroplastygeriatricshealth related quality of lifeadverse events |
| spellingShingle | Anderson Philip Mark Vollmann Peter Weißenberger Manuel Rudert Maximilian Total hip arthroplasty in geriatric patients – a single-center experience SICOT-J total hip arthroplasty geriatrics health related quality of life adverse events |
| title | Total hip arthroplasty in geriatric patients – a single-center experience |
| title_full | Total hip arthroplasty in geriatric patients – a single-center experience |
| title_fullStr | Total hip arthroplasty in geriatric patients – a single-center experience |
| title_full_unstemmed | Total hip arthroplasty in geriatric patients – a single-center experience |
| title_short | Total hip arthroplasty in geriatric patients – a single-center experience |
| title_sort | total hip arthroplasty in geriatric patients a single center experience |
| topic | total hip arthroplasty geriatrics health related quality of life adverse events |
| url | https://www.sicot-j.org/articles/sicotj/full_html/2022/01/sicotj210115/sicotj210115.html |
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