Patients' experience on pain outcomes after hip arthroplasty : insights from an information tool based on registry data

Article Article scientifique Article Patients' experience on pain outcomes after hip arthroplasty : insights from an information tool based on registry data eng 2024-04-01 2024-04-01 author Fabiano Gianluca Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. author Cole Sophie Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. author Barea Christophe Division of Orthopaedics & Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland. 511643 author Cullati Stéphane 0000-0002-3881-446X Quality of Care Service, University Hospitals of Geneva, Geneva, Switzerland.,Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland. 524286 author Agoritsas Vassilis Thomas Division General Internal Medicine, University Hospitals of Geneva, Geneva, Switzerland.,Department of Health Research Methods, Evidence, and Impact, McMaster University, Ontario, Canada.,MAGIC Evidence Ecosystem Foundation, Lovisenbergetta, 17C, Oslo, Norway. 62698 author Gutacker Nils Centre for Health Economics, University of York, York, UK. author Silman Alan Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. author Hannouche Didier 0000-0003-2060-2394 Division of Orthopaedics & Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland. 842478 Département de chirurgie (CHIRU) author Luebbeke-Wolff Anne Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.,Division of Orthopaedics & Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland. 45563 Département de chirurgie (CHIRU) author Pinedo-Villanueva Rafael Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK. rafael.pinedo@ndorms.ox.ac.uk.,Oxford NIHR Biomedical Research Centre, Oxford, UK. rafael.pinedo@ndorms.ox.ac.uk. 255 10.1186/s12891-024-07357-6 38561701 1471-2474 PMC10986127 https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-024-07357-6 Background: Arthroplasty registries are rarely used to inform encounters between clinician and patient. This study is part of a larger one which aimed to develop an information tool allowing both to benefit from previous patients' experience after total hip arthroplasty (THA). This study focuses on generating the information tool specifically for pain outcomes. Methods: Data from the Geneva Arthroplasty Registry (GAR) about patients receiving a primary elective THA between 1996 and 2019 was used. Selected outcomes were identified from patient and surgeon surveys: pain walking, climbing stairs, night pain, pain interference, and pain medication. Clusters of patients with homogeneous outcomes at 1, 5, and 10 years postoperatively were generated based on selected predictors evaluated preoperatively using conditional inference trees (CITs). Results: Data from 6,836 THAs were analysed and 14 CITs generated with 17 predictors found significant (p < 0.05). Baseline WOMAC pain score, SF-12 self-rated health (SRH), number of comorbidities, SF-12 mental component score, and body mass index (BMI) were the most common predictors. Outcome levels varied markedly by clusters whilst predictors changed at different time points for the same outcome. For example, 79% of patients with good to excellent SRH and less than moderate preoperative night pain reported absence of night pain at 1 year after THA; in contrast, for those with fair/poor SHR this figure was 50%. Also, clusters of patients with homogeneous levels of night pain at 1 year were generated based on SRH, Charnley, WOMAC night and pain scores, whilst those at 10 years were based on BMI alone. Conclusions: The information tool generated under this study can provide prospective patients and clinicians with valuable and understandable information about the experiences of "patients like them" regarding their pain outcomes. Information tool Pain management Patient reported outcome measures Shared decision making Total hip arthroplasty Humans Arthroplasty, Replacement, Hip / adverse effects Treatment Outcome Prospective Studies Routinely Collected Health Data Pain / etiology Dewey 616 Dewey 617 57 Département de chirurgie 222 56 Département de médecine 221 false 955 Mécanismes physiopathologiques de l'arthrose 960 BMC musculoskeletal disorders 25 1 2a49d5ce-d64e-49ab-a6c2-63859fff6a69 Article (Published version) Public Article-scientifique-from-unpaywall.pdf 2092818 application/pdf CC BY-4.0 49c39ccc77c3376a986403ee2d049724cee8c537368fd3321f1489e8a86284ac openAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie Faculté de médecine / Section de médecine clinique / Département de médecine

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Patients' experience on pain outcomes after hip arthroplasty : insights from an information tool based on registry data	BMC musculoskeletal disorders			2024	94	44

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