The Journal of Bone and Joint Surgery (American) 86:963-974 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.
Health-Related Quality of Life in Total Hip and Total Knee Arthroplasty
A Qualitative and Systematic Review of the Literature
Olivier Ethgen, PhD1,
Olivier Bruyère, MSc1,
Florent Richy, MSc1,
Charles Dardennes, MD1 and
Jean-Yves Reginster, MD2
1 WHO Collaborating Center for Public Health Aspects of Osteoarticular Diseases
(O.E. and O.B.) and Department of Public Health, Epidemiology, and Health
Economics (F.R. and C.D.), University of Liège, Belgium, CHU Sart
Tilman–Bâtiment B23, 4000 Liège, Belgium. E-mail address
for O. Ethgen:
o.ethgen{at}ulg.ac.be
2 Bone and Cartilage Research Unit, University of Liège, CHU Centre
Ville–Bâtiment K1, Quai G. Kurth 45, 4020 Liège,
Belgium
Investigation performed at the WHO Collaborating Center for Public
Health Aspects of Osteoarticular Diseases, Department of Public Health,
Epidemiology, and Health Economics, and Bone and Cartilage Research Unit,
University of Liège, Belgium
The authors did not receive grants or outside funding in support of their
research or preparation of this manuscript. They did not receive payments or
other benefits or a commitment or agreement to provide such benefits from a
commercial entity. No commercial entity paid or directed, or agreed to pay or
direct, any benefits to any research fund, foundation, educational
institution, or other charitable or nonprofit organization with which the
authors are affiliated or associated.
Background: Total hip and total knee arthroplasties are well
accepted as reliable and suitable surgical procedures to return patients to
function. Health-related quality-of-life instruments have been used to
document outcomes in order to optimize the allocation of resources. The
objective of this study was to review the literature regarding the outcomes of
total hip and knee arthroplasties as evaluated by health-related
quality-of-life instruments.
Methods: The Medline and EMBASE medical literature databases were
searched, from January 1980 to June 2003, to identify relevant studies.
Studies were eligible for review if they met the following criteria: (1) the
language was English or French, (2) at least one well-validated and
self-reported health-related quality of life instrument was used, and (3) a
prospective cohort study design was used.
Results: Of the seventy-four studies selected for the review,
thirty-two investigated both total hip and total knee arthroplasties,
twenty-six focused on total hip arthroplasty, and sixteen focused on total
knee arthroplasty exclusively. The most common diagnosis was osteoarthritis.
The duration of follow-up ranged from seven days to seven years, with the
majority of studies describing results at six to twelve months. The Short
Form-36 and the Western Ontario and McMaster University Osteoarthritis Index,
the most frequently used instruments, were employed in forty and twenty-eight
studies, respectively. Seventeen studies used a utility index. Overall, total
hip and total knee arthroplasties were found to be quite effective in terms of
improvement in health-related quality-of-life dimensions, with the occasional
exception of the social dimension. Age was not found to be an obstacle to
effective surgery, and men seemed to benefit more from the intervention than
did women. When improvement was found to be modest, the role of comorbidities
was highlighted. Total hip arthroplasty appears to return patients to function
to a greater extent than do knee procedures, and primary surgery offers
greater improvement than does revision. Patients who had poorer preoperative
health-related quality of life were more likely to experience greater
improvement.
Conclusions: Health-related quality-of-life data are valuable, can
provide relevant health-status information to health professionals, and should
be used as a rationale for the implementation of the most adequate standard of
care. Additional knowledge and scientific dissemination of surgery outcomes
should help to ensure better management of patients undergoing total hip or
total knee arthroplasty and to optimize the use of these procedures.
Level of Evidence: Therapeutic study, Level III-3
(systematic review of Level-III studies). See Instructions to Authors for a
complete description of levels of evidence.
 CiteULike  Connotea  Del.icio.us  Technorati What's this?
This article has been cited by other articles:
|
|
|
|
 
N. Gougoulias, A. Khanna, and N. Maffulli
Sports activities after lower limb osteotomy
Br. Med. Bull.,
June 23, 2009;
(2009)
ldp023v1.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Lyman, R. G. Marx, and P. B. Bach
Cost-effectiveness Analysis of an Established, Effective Procedure
Arch Intern Med,
June 22, 2009;
169(12):
1102 - 1103.
[Full Text]
[PDF]
|
|
|
|
|
|
|
I. Byren, P. Bejon, B. L. Atkins, B. Angus, S. Masters, P. McLardy-Smith, R. Gundle, and A. Berendt
One hundred and twelve infected arthroplasties treated with 'DAIR' (debridement, antibiotics and implant retention): antibiotic duration and outcome
J. Antimicrob. Chemother.,
June 1, 2009;
63(6):
1264 - 1271.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J Cushnaghan, J Bennett, I Reading, P Croft, P Byng, K Cox, P Dieppe, D Coggon, and C Cooper
Long-term outcome following total knee arthroplasty: a controlled longitudinal study
Ann Rheum Dis,
May 1, 2009;
68(5):
642 - 647.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Larsen, T. B. Hansen, P. B. Thomsen, T. Christiansen, and K. Soballe
Cost-Effectiveness of Accelerated Perioperative Care and Rehabilitation After Total Hip and Knee Arthroplasty
J. Bone Joint Surg. Am.,
April 1, 2009;
91(4):
761 - 772.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. A. Singh and J. A. Sloan
Health-related quality of life in veterans with prevalent total knee arthroplasty and total hip arthroplasty
Rheumatology,
December 1, 2008;
47(12):
1826 - 1831.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A.-C. Rat, F. Guillemin, and J. Pouchot
Mapping the osteoarthritis knee and hip quality of life (OAKHQOL) instrument to the international classification of functioning, disability and health and comparison to five health status instruments used in osteoarthritis
Rheumatology,
November 1, 2008;
47(11):
1719 - 1725.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Wagenmakers, M. Stevens, W. Zijlstra, M. L Jacobs, I. van den Akker-Scheek, J. W Groothoff, and S. K Bulstra
Habitual Physical Activity Behavior of Patients After Primary Total Hip Arthroplasty
Physical Therapy,
September 1, 2008;
88(9):
1039 - 1048.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Sharifi, H. Sharifi, S. Morshed, K. Bozic, and M. Diab
Cost-Effectiveness Analysis of Periacetabular Osteotomy
J. Bone Joint Surg. Am.,
July 1, 2008;
90(7):
1447 - 1456.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
I. van den Akker-Scheek, W. Zijlstra, J. W Groothoff, S. K Bulstra, and M. Stevens
Physical Functioning Before and After Total Hip Arthroplasty: Perception and Performance
Physical Therapy,
June 1, 2008;
88(6):
712 - 719.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. J Farquhar, D. S Reisman, and L. Snyder-Mackler
Persistence of Altered Movement Patterns During a Sit-to-Stand Task 1 Year Following Unilateral Total Knee Arthroplasty
Physical Therapy,
May 1, 2008;
88(5):
567 - 579.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. Wagenmakers, M. Stevens, I. van den Akker-Scheek, W. Zijlstra, and J. W Groothoff
Predictive Value of the Western Ontario and McMaster Universities Osteoarthritis Index for the Amount of Physical Activity After Total Hip Arthroplasty
Physical Therapy,
February 1, 2008;
88(2):
211 - 218.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. M Kennedy, P. W Stratford, D. L Riddle, S. E Hanna, and J. D Gollish
Assessing Recovery and Establishing Prognosis Following Total Knee Arthroplasty
Physical Therapy,
January 1, 2008;
88(1):
22 - 32.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. J. Novak, M. D. Silverstein, and K. J. Bozic
The Cost-Effectiveness of Computer-Assisted Navigation in Total Knee Arthroplasty
J. Bone Joint Surg. Am.,
November 1, 2007;
89(11):
2389 - 2397.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
L. Montin, H. Leino-Kilpi, J. Katajisto, J. Lepisto, J. Kettunen, and T. Suominen
Anxiety and health-related quality of life of patients undergoing total hip arthroplasty for osteoarthritis
Chronic Illness,
September 1, 2007;
3(3):
219 - 227.
[Abstract]
[PDF]
|
|
|
|
|
|
|
J. King, D. L. Stamper, D. C. Schaad, and S. S. Leopold
Minimally Invasive Total Knee Arthroplasty Compared with Traditional Total Knee Arthroplasty. Assessment of the Learning Curve and the Postoperative Recuperative Period
J. Bone Joint Surg. Am.,
July 1, 2007;
89(7):
1497 - 1503.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. A. Lingard and D. L. Riddle
Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty
J. Bone Joint Surg. Am.,
June 1, 2007;
89(6):
1161 - 1169.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. Zhan, R. Kaczmarek, N. Loyo-Berrios, J. Sangl, and R. A. Bright
Incidence and Short-Term Outcomes of Primary and Revision Hip Replacement in the United States
J. Bone Joint Surg. Am.,
March 1, 2007;
89(3):
526 - 533.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. Escobar, J. M Quintana, A. Bilbao, J. Azkarate, J. I. Guenaga, J. C. Arenaza, and L. F. Gutierrez
Effect of patient characteristics on reported outcomes after total knee replacement
Rheumatology,
January 1, 2007;
46(1):
112 - 119.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Fransen, C. Anderson, J. Douglas, S. MacMahon, B. Neal, R. Norton, M. Woodward, I. D Cameron, R. Crawford, S. K. Lo, et al.
Safety and efficacy of routine postoperative ibuprofen for pain and disability related to ectopic bone formation after hip replacement surgery (HIPAID): randomised controlled trial
BMJ,
September 9, 2006;
333(7567):
519.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
N. F. Soohoo, H. Sharifi, G. Kominski, and J. R. Lieberman
Cost-Effectiveness Analysis of Unicompartmental Knee Arthroplasty as an Alternative to Total Knee Arthroplasty for Unicompartmental Osteoarthritis
J. Bone Joint Surg. Am.,
September 1, 2006;
88(9):
1975 - 1982.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
P.-A. Vendittoli, P. Makinen, P. Drolet, M. Lavigne, M. Fallaha, M.-C. Guertin, and F. Varin
A Multimodal Analgesia Protocol for Total Knee Arthroplasty. A Randomized, Controlled Study
J. Bone Joint Surg. Am.,
February 1, 2006;
88(2):
282 - 289.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
