Using questionnaire responses from 36,000 patients in Swedish Hip Arthroplasty Register and data from Statistics Sweden, the National Patient Register and Prescribed Drug Register, researchers at the Sahlgrenska Academy mapped how patients who receive a hip replacement themselves rate their health-related quality of life, pain and satisfaction with surgical outcome.
The study, in detail surveyed the participants’ gender, age, marital status, education level and comorbidity, shows that highly educated are more likely to improve after hip surgery. The patients at the surgery using antidepressants and those who have problems with both hip joints have less chance to improve.
The researchers have also developed a model for decision support, based inter alia on assessments orthopedic surgeons at Massachusetts General Hospital in Boston made of 300 patients with hip problems. The model can, according to the researchers used to determine which patients will benefit most from a hip replacement surgery.
– Our tests show that the decision support with high security can predict whether a patient will be recommended hip replacement surgery or not says Meredith Greene.
The model should now be further developed and tested in practice, and a similar decision will, according to Meredith Greene soon be developed for Swedish patients.
– The intention is not to discourage anyone from undergoing surgery. But by asking for these patient-related factors, the patient and the treating physician make a better joint decision on a hip operation should be conducted, and a reasonable expectation of profit, says Meredith Greene, a doctoral student at the Sahlgrenska Academy, University of Gothenburg.
Facts
The thesis Who Should have total hip replacement? Use of Patient-reported Outcomes Measures in Identifying the Indications for and Assessment of total hip replacement is defended at a disputation May 22
Link to thesis: http: // hdl.handle.net/2077/38458
No comments:
Post a Comment