Session Title: Health Services Research
Session Type: Abstract Submissions (ACR)
Background/Purpose: RAKIR, the Swedish National Register of Rheuma Surgery was created to follow joint surgery in patients with RA (rheumatoid arthritis). The aim of this study was to analyze PROMs (patient reported outcome measures) from RAKIR concerning HRQoL (health related quality of life), pain and function in RA patients admitted for arthroplasty in the upper extremity. A secondary aim was to study expectations and satisfaction related with these procedures.
Methods: 106 (87 women, age mean 63, SD 13 years) patients with RA admitted for arthroplasty in the upper extremity, followed in RAKIR, were included (2007-2011). All patients answered the questionnaires SF-36, HAQ and QDASH preoperatively, 6 months postoperatively and at a 2-6 year follow-up (2013). Questions concerning expectations and satisfaction were asked at the same time.
Results: RA patients operated on with arthroplasty in the upper extremity (shoulder n=36, elbow n=20, wrist n=21 and MCP n=29) showed a significant improvement in HRQoL, pain and function 6 months after surgery (p ≤ 0.05, n=61). The improvement remained 2-6 years later (n=50). The patients’ expectations concerning pain relief was fulfilled, the expectations concerning improvement in ADL and function was surprisingly low but in an even greater extent fulfilled.
Conclusion: Long term follow-up with PROMs showed that patients with RA, in need of arthroplasty in the upper extremity, are satisfied, experience pain relief as well as improved function and HRQoL as long as 2-6 years after surgery. However, the response rate in a register is dependent on the patients´ benignity and may influence the results.
« Back to 2014 ACR/ARHP Annual Meeting
ACR Meeting Abstracts - https://acrabstracts.org/abstract/patient-reported-outcomes-following-upper-extremity-arthroplasties-in-ra-a-report-from-the-swedish-national-register-of-rheuma-surgery-rakir/