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ORIGINAL PAPER
The fate of rheumatoid arthritis patients with total hip and knee arthroplasty
Online publication date: 2012-11-06
Reumatologia 2012;50(5):403-409
KEYWORDS
ABSTRACT
Aim of the study: The objective of this study was to trace the fate of rheumatoid arthritis (RA) patients after total hip and knee arthroplasty.
Material and methods: The questionnaire study involved a group of 100 rheumatoid arthritis patients, with hip and knee replacement. To conduct the study a self-developed questionnaire and the HAQ-DI questionnaire were used. The study involved 57 patients, including 48 women and 9 men. Patients underwent one or two hip arthroplasty and/or one or two knee replacement procedures.
Results: It was found that 70% of patients rated the effect of each performed operation as very good or good and 6.7% as bad. Subjective assessment of overall health status was not compatible with the subjective postoperative assessment (Fig. 1–3). Only 15.8% of patients identified their health as good, 33.3% as poor. Overall, 75.4% of respondents felt that compared to the time before the operations their overall health was better. HAQ-DI results showed the improvement of quality of life in 46% of patients and no change in 12% of patients.
Conclusions: It might be concluded that the remote study in RA patients evaluating the impact of performed surgical procedures on patients’ quality of life is difficult due to the steady progress of the underlying disease. Assessment of the impact of the surgical treatments on various domains of quality of life of patients depends on the expectations of patients. The longer duration of disease (RA) before surgery is, the greater is satisfaction with joint replacement operations in lower limbs. These operations primarily reduced pain and decreased physical limitations, allowing better walking and independence in daily activities (getting up), despite progression of the underlying disease. Conducted operations contributed to increased social activity of patients, and through release of pain, improved mental status and reduced restrictions on their choice of work (Table I, II). RA patients even after undergoing a number of lower limb arthroplasty operations still remain optimistic about the next operation, including revision.
Material and methods: The questionnaire study involved a group of 100 rheumatoid arthritis patients, with hip and knee replacement. To conduct the study a self-developed questionnaire and the HAQ-DI questionnaire were used. The study involved 57 patients, including 48 women and 9 men. Patients underwent one or two hip arthroplasty and/or one or two knee replacement procedures.
Results: It was found that 70% of patients rated the effect of each performed operation as very good or good and 6.7% as bad. Subjective assessment of overall health status was not compatible with the subjective postoperative assessment (Fig. 1–3). Only 15.8% of patients identified their health as good, 33.3% as poor. Overall, 75.4% of respondents felt that compared to the time before the operations their overall health was better. HAQ-DI results showed the improvement of quality of life in 46% of patients and no change in 12% of patients.
Conclusions: It might be concluded that the remote study in RA patients evaluating the impact of performed surgical procedures on patients’ quality of life is difficult due to the steady progress of the underlying disease. Assessment of the impact of the surgical treatments on various domains of quality of life of patients depends on the expectations of patients. The longer duration of disease (RA) before surgery is, the greater is satisfaction with joint replacement operations in lower limbs. These operations primarily reduced pain and decreased physical limitations, allowing better walking and independence in daily activities (getting up), despite progression of the underlying disease. Conducted operations contributed to increased social activity of patients, and through release of pain, improved mental status and reduced restrictions on their choice of work (Table I, II). RA patients even after undergoing a number of lower limb arthroplasty operations still remain optimistic about the next operation, including revision.
REFERENCES (30)
1.
Filipowicz-Sosnowska A, Stanisławska-Biernat E, Zubrzycka-Sienkiewicz A. Reumatoidalne zapalenie stawów. Reumatologia 2004; 42 (supl.): 8-13.
2.
Calin A, Cormack J. Reumatologia – pytania i odpowiedzi. Medycyna Praktyczna, Kraków 1998.
3.
Gaździk T. Endoprotezoplastyka stawów biodrowych u chorych na reumatoidalne zapalenie stawów. Chir Narz Ruchu Ortop Pol 1996; 61 supl. 3: 59.
4.
Jakubowski S, Śmiłowicz M. Endoprotezoplastyka w protruzyjnych zmianach stawu biodrowego w przebiegu reumatoidalnego zapalenia stawów. Chir Narz Ruchu Ortop Pol 1985; 50: 113.
5.
Kreczko R. Zastosowanie totalnej endoprotezoplastyki w leczeniu biodra reumatoidalnego. Klinika 1997; 4: 583.
6.
Hamalainen M. Replacement in rheumatoid arthritis. European Instructional Course Lectures 1997; 3: 6.
7.
Śmiłowicz M. Problemy endoprotezoplastyki stawu kolanowego u chorych na reumatoidalne zapalenie stawów. Ortop Traumatol Rehabil 2000; 5: 27-31.
9.
Małdyk P, Michalak C. Miejsce reumoortopedii w procesie leczenia chorych reumatycznych. Reumatologia 2007; 45 (supl. 1): S37-40.
10.
Zimmermann-Górska I. Reumatologia kliniczna. Wydawnictwo Lekarskie PZWL, Warszawa 2008.
11.
Jachimowicz-Wołoszynek D, Rość D, Michalska A. Wpływ wszczepienia sztucznego stawu biodrowego na jakość życia chorych z chorobą zwyrodnieniową stawu biodrowego. Ortop Traumatol Rehabil 2003; 5: 518-526.
12.
Ng CY, Ballantyne JA, Brenkel IJ. Quality of life and functional outcome after primary total hip replacement. A five-year follow-up. J Bone Joint Surg Br 2007; 89: 868-873.
13.
Filipowicz-Sosnowska A, Rupiński R. Złożoność procesu niepełnosprawności u chorych na reumatoidalne zapalenie stawów. Reumatologia 2005; 43: 138-146.
15.
Olewicz-Gawlik A, Hrycaj P. Jakość życia chorych na reumatoidalne zapalenie stawów – badania własne i przegląd literatury. Reumatologia 2007; 45: 346-349.
16.
Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30: 473-483.
17.
Kołodziejski P, Deszczyński J, Stolarczyk A i wsp. Ocena jakości życia pacjentów po wszczepieniu całkowitej cementowej endoprotezy stawu kolanowego. Artroskopia i Chirurgia Stawów 2007; 3: 12-17.
18.
Żołnierczyk-Zreda D, Wrześniewski K, Bugajska J, Jędryka-Góral A. Polska wersja kwestionariusza SF-36 v2 do badania jakości życia. CIOP-PIB, Warszawa 2009.
19.
Wisłowska M, Kanecki K, Tyszko P, Kapała A. Jakość życia zależna od zdrowia u pacjentów z reumatoidalnym zapaleniem stawów. Reumatologia 2010; 48: 104-111.
20.
Kowalczyk K, Głuszko P. Ocena jakości życia chorych na reumatoidalne zapalenie stawów za pomocą badań ankietowych. Reumatologia 2009; 47: 4-9.
21.
Wiland P, Madej M, Szmyrka-Kaczmarek M. Monitorowanie stanu pacjenta w chorobach reumatycznych. Górnicki Wydawnictwo Medyczne, Wrocław 2008.
22.
Curtin R, Presser S, Singer E. The effects of response rate changes on the index of consumer sentiment. Public Opin Q 2000; 64: 413-428.
23.
Boutron I, Poiraudeau S, Ravaud P, et al. Social and personal consequences of disability in adults with hip and knee arthroplasty. A French national community based survey. J Rheumatol 2004; 31: 759-766.
24.
Strehle J, DelNotaro C, Orler R, Isler B. The outcome of revision hip arthroplasty in patients older than age 80 years: complications and social outcome of different risk groups. J Arthroplasty 2000; 15: 690-697.
25.
Śmiłowicz M, Kowalczewski JB. Odległe wyniki totalnych plastyk stawów biodrowych – cementowych i bezcementowych u młodych chorych na zapalenie stawów typu reumatoidalnego. Chir Narz Ruchu Ortop Pol 2005; 70: 319-323.
26.
Bream E, Black N. What is the relationship between patients’ and clinicians’ reports of the outcomes of elective surgery? J Health Serv Res Policy 2009; 14: 174-182.
27.
Kiefer RA. The effect of social support on functional recovery and wellbeing in older adults following joint arthroplasty. Rehabil Nurs 2011; 36: 120-126.
28.
Rissanen P, Aro S, Slätis P, et al. Health and quality of life before and after hip or knee arthroplasty. J Arthroplasty 1995; 10: 169-175.
29.
Lieberman JR, Dorey F, Shekelle P, et al. Differences between patients’ and physicians’ evaluations of outcome after total hip arthroplasty. J Bone Joint Surg Am 1996; 78: 835-838.
30.
Montin L, Leino-Kilpi H, Katajisto J, et al. Anxiety and health-related quality of life of patients undergoing total hip arthroplasty for osteoarthritis. Chronic Illn 2007; 3: 219-227.
Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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