ACR Meeting Abstracts

ACR Meeting Abstracts

  • Home
  • Meetings Archive
    • 2019 ACR/ARP Annual Meeting
    • 2018 ACR/ARHP Annual Meeting
    • 2017 ACR/ARHP Annual Meeting
    • 2017 ACR/ARHP PRSYM
    • 2016 ACR/ARHP Annual Meeting
    • 2015 ACR/ARHP Annual Meeting
    • 2014 ACR/ARHP Annual Meeting
    • 2013 ACR/ARHP Annual Meeting
    • 2012 ACR/ARHP Annual Meeting
    • 2011 ACR/ARHP Annual Meeting
    • 2010 ACR/ARHP Annual Meeting
    • 2009 ACR/ARHP Annual Meeting
    • Download Abstracts
  • Keyword Index
  • Advanced Search
  • Your Favorites
    • Favorites
    • Login
    • Register
    • View and print all favorites
    • Clear all your favorites
  • Meeting Resource Center

Abstract Number: 1418

The Importance of Comorbidity in Understanding the 6-Month Trajectories of Pain and Function after Total Hip Arthroplasty

C. Allyson Jones1, Gian S. Jhangri2, Lauren A. Beaupre1 and Maria E. Suarez-Almazor3, 1Physical Therapy, University of Alberta, Edmonton, AB, Canada, 2School of Public Health, University of Alberta, Edmonton, AB, Canada, 3General Internal Medicine, The University of Texas, MD Anderson Cancer Center, Houston, TX

Meeting: 2015 ACR/ARHP Annual Meeting

Date of first publication: September 29, 2015

Keywords: Arthroplasty, Comorbidity, functions and pain, Hip

  • Tweet
  • Email
  • Print
Save to PDF
Session Information

Date: Monday, November 9, 2015

Session Title: Orthopedics, Low Back Pain and Rehabilitation Poster

Session Type: ACR Poster Session B

Session Time: 9:00AM-11:00AM

Background/Purpose:

Osteoarthritis (OA) is chronic condition associated with a number of other comorbidities which may affect the 6 month pattern of recovery of total hip arthroplasty (THA).  It is not clearly understood which comorbidities affect 6-month pain relief and functional recovery.  We looked at the pattern of recovery for THA to determine which comorbid conditions had the most impact on the recovery following THA in terms of pain relief and functional improvement.

Methods:

Longitudinal prospective inception cohort of 305 patients receiving elective primary THA  were followed within a month prior to surgery, and then at 1, 3, 6 months after surgery. The outcome measures, hip pain and function were measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).  Comorbid conditions were extracted from the chart and reported by the patient using a standardized list. Patients who reported conditions also rated the impact of the specific condition on routine activities. Health status was measured using a generic health measure, Health Utilities Index Mark3 (HUI3). The Center for Epidemiologic Studies-Depression (CES-D) was used to screen for depressive symptomology.  Measurements were repeated at each of the follow-up interviews. Linear mixed models were developed for pain and functional recovery of THA to evaluate changes over time while adjusting for covariates.

Results:

The mean age of participants was 65.9 (SD10.1) yrs; 175(57%) were female.  Mean pre-operative WOMAC pain improved from 56.0(SD 16.7) to 10.8 (SD 13.2) over the 6 months (p<0.001).  The mean pre-operative WOMAC function improved from 54.7 (SD 16.4) to 18.7 (SD 12.8) over this time (p<0.001).  At baseline, the mean overall HUI3 score was 0.42 (SD 0.26). At baseline, 101(33%) had low back pain, 80(26%) had chronic respiratory disease, 60 (20%) had depressive symptomology, and 77 (25%) urinary incontinence. After controlling for age, sex, baseline pain and time, depression score (coeff 2.2, p=0.06), low back pain (coeff 2.8, p<0.01), chronic respiratory disease (coeff 4.4, p<0.01) had a deleterious effect on pain relief.  Urinary incontinence (coeff 2.0, p=0.03), after controlling above mentioned variables, affected functional improvement.

Conclusion:

Patients with low back pain, depression and chronic respiratory disease are likely to have slower pain relief after THA. Urinary incontinence had a deleterious effect on functional improvement over a 6 month recovery.  Using patient-centered care in managing these conditions before surgery may  help patients attain more favourable outcomes.


Disclosure: C. A. Jones, None; G. S. Jhangri, None; L. A. Beaupre, None; M. E. Suarez-Almazor, None.

To cite this abstract in AMA style:

Jones CA, Jhangri GS, Beaupre LA, Suarez-Almazor ME. The Importance of Comorbidity in Understanding the 6-Month Trajectories of Pain and Function after Total Hip Arthroplasty [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/the-importance-of-comorbidity-in-understanding-the-6-month-trajectories-of-pain-and-function-after-total-hip-arthroplasty/. Accessed December 7, 2019.
  • Tweet
  • Email
  • Print
Save to PDF

« Back to 2015 ACR/ARHP Annual Meeting

ACR Meeting Abstracts - https://acrabstracts.org/abstract/the-importance-of-comorbidity-in-understanding-the-6-month-trajectories-of-pain-and-function-after-total-hip-arthroplasty/

Advanced Search

Your Favorites

You can save and print a list of your favorite abstracts by clicking the “Favorite” button at the bottom of any abstract. View your favorites »

Annual Meeting in Atlanta, Georgia

© COPYRIGHT 2019 AMERICAN COLLEGE OF RHEUMATOLOGY

Wiley

  • Home
  • Meetings Archive
  • Advanced Search
  • Meeting Resource Center
  • Online Journal
  • Privacy Policy
  • Permissions Policies
loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.