医学
萧条(经济学)
全髋关节置换术
前瞻性队列研究
关节置换术
队列
队列研究
全髋关节置换术
物理疗法
普通外科
外科
内科学
宏观经济学
经济
作者
Kanako Yakushiji,Kimie Fujita,Yuriko Matsunaga-Myoji,Masaaki Mawatari
标识
DOI:10.1016/j.ijotn.2019.07.004
摘要
Patients with hip osteoarthritis may be severely depressed preoperatively due to pain and limited daily-living activities. Hence, evaluating their expectations preoperatively might underestimate their true hopes regarding the upcoming total hip arthroplasty (THA).We aimed to assess changes in patients' level of depression, understand their expectations and fulfillment, and identify factors affecting fulfillment.We performed a longitudinal study of 366 Japanese patients who had undergone THA during 2005-2006. Those with THA of the contralateral hip were excluded. Patients' expectations, fulfillment, depression, and physical function were assessed perperative and at 6 weeks and one year postoperatively using our own questionnaire, the Arthritis Impact Measurement Scale 2, and by the Oxford Hip Score . Logistic regression analysis was applied to identify independent predictors of expectation fulfillment.At 6 weeks, 78.1% expressed expectation fulfillment and drastic alleviation of depression. Preoperative depression and fulfillment of patient expectations at 6 weeks were significant predictors of expectation fulfillment at 1 year (95% confidence intervals: 1.01-2.48 and 2.30-9.92, respectively.It is worthwhile for health providers to investigate patients' expectations early in the postoperative period by considering their preoperative depression to confirm fulfillment of expectations.
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