Increased tender point counts before and after total hip arthroplasty are associated with poorer outcomes but are not individually predictive.

Details

Serval ID
serval:BIB_C7F174252825
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Increased tender point counts before and after total hip arthroplasty are associated with poorer outcomes but are not individually predictive.
Journal
Journal of Arthroplasty
Author(s)
Bogoch Earl R., Olschewski Eli, Zangger Philippe, Henke Marjorie L., Smythe Hugh A.
ISSN
1532-8406[electronic], 0883-5403[linking]
Publication state
Published
Issued date
2010
Volume
25
Number
6
Pages
945-950
Language
english
Abstract
In a prospective study, total hip arthroplasty (THA) patients were assessed preoperatively and postoperatively (n = 95) to determine if tender points (TPs) are associated with poor THA outcomes. Patients with high follow-up TP counts had higher visual analog scale (VAS) for pain and sleep, higher follow-up Western Ontario and McMaster Universities Arthritis Index (pain, stiffness, function), lower Health Assessment Questionnaire, Harris Hip, and Short Form 36 (physical functioning, bodily pain, physical component summary) scores. High follow-up TP were associated with increased pain, pain not relieved by surgery, poor function, and poor sleep. Visual analog scale pain and sleep, Short Form 36 (physical functioning, bodily pain), Western Ontario and McMaster Universities Arthritis Index, Health Assessment Questionnaire, and Harris hip scores improved significantly after THA; TP scores did not. Higher preoperative TP were predictive of higher follow-up TP but were poorly predictive of poor outcome measures after surgery in individual patients, suggesting that preoperative TPs are contraindicative for THA.
Keywords
outcome measures, pain, tender points, total hip arthroplasty, quality-of-life, cerebrospinal-fluid levels, fibromyalgia syndrome, rheumatoid-arthritis, psoriatic-arthritis, fibrositis syndrome, general-population, sleep disturbance, substance-p, pain
Pubmed
Web of science
Create date
07/10/2010 13:03
Last modification date
20/08/2019 15:43
Usage data