Waiting for hip revision surgery: the impact on patient disability.
Can J Surg
; 51(2): 92-6, 2008 Apr.
Article
em En
| MEDLINE
| ID: mdl-18377748
ABSTRACT
OBJECTIVE:
Increased wait times for total joint arthroplasty (TJA) are a concern nationally and provincially. Additionally, the number of patients requiring revision of their initial TJA is increasing. The purpose of this study was to evaluate the wait times and impact of waiting for revision TJA.METHODS:
We followed 127 revision hip arthroplasty patients (mean age 68 y) prospectively while they waited for surgery. We collected Western Ontario and McMaster Universities Osteoarthritis Index (pain, stiffness and physical function) data at the decision for surgery and at 6-month intervals until surgery.RESULTS:
The mean wait time for surgery was 123.8 days (mean wait times for individual surgeons ranged from 7 to 213 d). Of the patients, 106 waited < 6 months, 12 waited 6-12 months and 9 waited > 12 months. Wait times evaluated up to 6 months, 6-12 months or > 12 months demonstrated significant increases in pain (F = 7.12, p = 0.01), with a mean change of 2.6 points when patients waited > 6 months. Physical disability increased (F = 4.61, p = 0.01), with a mean change of 5.1 points when the wait time was 6-12 months and 8.8 points when the wait time was > 12 months.CONCLUSION:
Waiting > 6 months for revision hip arthroplasty resulted in significant increases in pain and physical disability.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Medição da Dor
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Osteoartrite do Quadril
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Listas de Espera
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Artroplastia de Quadril
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Avaliação da Deficiência
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Acessibilidade aos Serviços de Saúde
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Programas Nacionais de Saúde
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2008
Tipo de documento:
Article