 |
|
The Effect of Age on Pain, Function, and Quality of Life After Total Hip and Knee Arthroplasty
C. Allyson Jones, PhD;
Donald C. Voaklander, PhD;
D. William C. Johnston, MD;
Maria E. Suarez-Almazor, MD, PhD
Arch Intern Med. 2001;161:454-460.
Background As utilization rates for total joint arthroplasty increase, there is
a hesitancy to perform this surgery on very old patients. The objective of
this prospective study was to compare pain, functional, and health-related
quality-of-life outcomes after total hip and total knee arthroplasty in an
older patient group ( 80 years) and a representative younger patient group
(55-79 years).
Methods In an inception community-based cohort within a Canadian health care
system, 454 patients who received primary total hip arthroplasty (n = 197)
or total knee arthroplasty (n = 257) were evaluated within a month prior to
surgery and 6 months postoperatively. Pain, function, and health-related quality
of life were evaluated with the Western Ontario and McMaster Universities
(WOMAC) Osteoarthritis Index and the 36-Item Short-Form Health Survey (SF-36).
Results There were no age-related differences in joint pain, function, or quality-of-life
measures preoperatively or 6 months postoperatively. Furthermore, after adjusting
for potential confounding effects, age was not a significant determinant of
pain or function. Although those in the older and younger groups had comparable
numbers of comorbid conditions and complications, those in the older group
were more likely to be transferred to a rehabilitation facility than younger
patients. Regardless of age, patients did not achieve comparable overall physical
health when matched with the general population for age and sex.
Conclusions With increasing life expectancy and elective surgery improving quality
of life, age alone is not a factor that affects the outcome of joint arthroplasty
and should not be a limiting factor when considering who should receive this
surgery.
From the Department of Public Health Sciences, University of Alberta,
Edmonton (Drs Jones and Voaklander); Division of Orthopaedic Surgery, Department
of Surgery, University of Alberta Hospital, Edmonton (Dr Johnston); Section
of Health Services Research, Department of Medicine, Baylor College of Medicine,
Houston, Tex (Dr Suarez-Almazor).
Corresponding author and reprints: C. Allyson Jones, PhD, PT, Room
2137, Dentistry/Pharmacy Bldg, University of Alberta, Edmonton, Alberta, Canada
T6G 2N8 (e-mail: ajones{at}pharmacy.ualberta.ca).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Geriatric surgery is about disease, not age
Preston et al.
JRSM 2008;101:409-415.
ABSTRACT
| FULL TEXT
Joint Replacement Surgery in Elderly Patients With Severe Osteoarthritis of the Hip or Knee: Decision Making, Postoperative Recovery, and Clinical Outcomes
Hamel et al.
Arch Intern Med 2008;168:1430-1440.
ABSTRACT
| FULL TEXT
Quality of life and functional outcome after primary total hip replacement: A FIVE-YEAR FOLLOW-UP
Ng et al.
J Bone Joint Surg Br 2007;89-B:868-873.
ABSTRACT
| FULL TEXT
Response Shift in Outcome Assessment in Patients Undergoing Total Knee Arthroplasty
Razmjou et al.
JBJS 2006;88:2590-2595.
ABSTRACT
| FULL TEXT
Differences in the views of orthopaedic surgeons and referring practitioners on the determinants of outcome after total hip replacement
Sturmer et al.
J Bone Joint Surg Br 2005;87-B:1416-1419.
ABSTRACT
| FULL TEXT
The Functional Outcomes of Total Knee Arthroplasty
Kane et al.
JBJS 2005;87:1719-1724.
ABSTRACT
| FULL TEXT
Health-Related Quality of Life in Total Hip and Total Knee Arthroplasty. A Qualitative and Systematic Review of the Literature
Ethgen et al.
JBJS 2004;86:963-974.
ABSTRACT
| FULL TEXT
Response Bias: Effect on Outcomes Evaluation by Mail Surveys After Total Knee Arthroplasty
Kim et al.
JBJS 2004;86:15-21.
ABSTRACT
| FULL TEXT
Predictors of patient relevant outcome after total hip replacement for osteoarthritis: a prospective study
Nilsdotter et al.
Ann Rheum Dis 2003;62:923-930.
ABSTRACT
| FULL TEXT
Elective Primary Total Hip Arthroplasty in Octogenarians
Wurtz et al.
J. Gerontol. A Biol. Sci. Med. Sci. 2003;58:M468-471.
ABSTRACT
| FULL TEXT
The Clinical Importance of Meniscal Tears Demonstrated by Magnetic Resonance Imaging in Osteoarthritis of the Knee
Bhattacharyya et al.
JBJS 2003;85:4-9.
ABSTRACT
| FULL TEXT
Age and waiting time as predictors of outcome after total hip replacement for osteoarthritis
Nilsdotter and Lohmander
Rheumatology (Oxford) 2002;41:1261-1267.
ABSTRACT
| FULL TEXT
What's New in Orthopaedic Rehabilitation
Botte et al.
JBJS 2001;83:1920-1926.
FULL TEXT
|
