DePuy Synthes, 700 Orthopaedic Drive, Warsaw, IN, USA.
Carolina Orthopaedic & Sports Medicine Center, 2345 Court Dr, Gastonia, NC, USA.
J Orthop Surg Res. 2024 Jul 26;19(1):434. doi: 10.1186/s13018-024-04937-z.
Clinical and patient reported outcomes are often collected before and after the procedure to benchmark and study outcomes for patients. These outcomes and scores are useful for tracking patient outcomes after surgery, however, the fact that these commonly used measures typically provide information about a patient's level of pain and function at a single point in time is a limitation.
We present early functional recovery and return to work outcomes after primary THA from a novel questionnaire administered in a global, multi-center, prospective clinical study.
By 6 and 12 weeks post-op, a large proportion of study subjects were able to perform functional recovery outcomes after their THA: walk without an aid (74%; 94%); drive (76%; 97%); basic activities of daily living (94%; 99%); perform light household duties (91%; 96%); perform moderate-to-heavy household duties (54%; 86%); go up and down a flight of stairs (92%; 99%); put on socks/stockings (77%; 93%); bend down to pick up an object from the floor (87%; 97%); stand up from a chair (96%; 99%); perform leisure recreational activities (54%; 84%); perform primary goal identified pre-THA (69%; 86%). 60% were able to return to work by 12 weeks post-op. These questions showed strong association with the Forgotten Joint Score.
Excellent patient reported early functional recovery outcomes and satisfaction were observed at 6- and 12-weeks post-op in this cohort and is the first reported data using a novel PRO.
NCT03189303, registered June 14, 2017.
临床和患者报告的结果通常在手术前后收集，以便为患者的结果进行基准测试和研究。这些结果和评分对于跟踪患者手术后的结果非常有用，但是，这些常用的衡量标准通常只能提供患者在单一时间点的疼痛和功能水平的信息，这是一个局限性。
我们从一项新的调查问卷中展示了初次全髋关节置换术（THA）后的早期功能恢复和重返工作的结果，该问卷在一项全球性、多中心、前瞻性临床研究中进行。
术后 6 周和 12 周，研究对象中很大一部分能够在 THA 后进行功能恢复：无需辅助行走（74%；94%）；驾驶（76%；97%）；基本日常生活活动（94%；99%）；进行轻度家务（91%；96%）；进行中度至重度家务（54%；86%）；上下楼梯（92%；99%）；穿上袜子/长筒袜（77%；93%）；弯腰从地板上捡起物品（87%；97%）；从椅子上站起来（96%；99%）；进行休闲娱乐活动（54%；84%）；完成术前确定的主要目标（69%；86%）。60%的患者在术后 12 周时能够重返工作岗位。这些问题与遗忘关节评分有很强的相关性。
在该队列中，术后 6 至 12 周观察到了极好的患者报告的早期功能恢复结果和满意度，这是首次使用新的 PRO 报告的数据。
NCT03189303，2017 年 6 月 14 日注册。
