Stickles B, Phillips L, Brox W T, Owens B, Lanzer W L
Department of Orthopedics, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA.
Obes Res. 2001 Mar;9(3):219-23. doi: 10.1038/oby.2001.24.
The purpose of this study was to examine the relationship between obesity and patient-administered outcome measures after total joint arthroplasty.
A voluntary questionnaire-based registry contained 592 primary total hip arthroplasty patients and 1011 primary total knee arthroplasty patients with preoperative and 1-year data. Using logistic regression, the relationships between body mass index and the several outcome measures, including Short Form-36 and Western Ontario and McMaster Universities Osteoarthritis Index, were examined.
There was no difference between obese and non-obese patients regarding satisfaction, decision to repeat surgery, and Delta physical component summary, Delta mental component summary, and Delta Western Ontario and McMaster Universities Osteoarthritis Index scores (p > 0.05 for all). Body mass index was associated with an increased risk of having difficulty descending or ascending stairs at 1 year (odds ratio, 1.2 to 1.3).
Obese patients enjoy as much improvement and satisfaction as other patients from total joint arthroplasty.
本研究旨在探讨全关节置换术后肥胖与患者自我管理的结局指标之间的关系。
一个基于自愿问卷调查的登记系统纳入了592例初次全髋关节置换患者和1011例初次全膝关节置换患者，收集了他们术前及术后1年的数据。采用逻辑回归分析，研究体重指数与包括简明健康状况调查问卷（Short Form-36）以及西安大略和麦克马斯特大学骨关节炎指数（Western Ontario and McMaster Universities Osteoarthritis Index）在内的多个结局指标之间的关系。
肥胖患者与非肥胖患者在满意度、再次手术的决定以及简明健康状况调查问卷身体维度汇总评分变化值（Delta physical component summary）、简明健康状况调查问卷心理维度汇总评分变化值（Delta mental component summary）和西安大略和麦克马斯特大学骨关节炎指数评分变化值方面无差异（所有p值均>0.05）。体重指数与术后1年上下楼梯困难风险增加相关（比值比为1.2至1.3）。
肥胖患者与其他患者一样，能从全关节置换术中获得同等程度的改善和满意度。
