Predictors of Patient Reported Outcomes of Total Joint Arthroplasty in a Developing Country

Abstract Background In response to the growing burden of joint disease, developing countries are starting to create their own total joint arthroplasty (TJA) programs. To date, there has been limited research on predictors of TJA outcomes in a developing country. This investigation uses patient-repor...

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Bibliographic Details
Published in:The Journal of arthroplasty 2017-06, Vol.32 (6), p.1756-1762
Main Authors: Bido, Jennifer, BA, Yang, Ying H., MPH, Collins, Jamie E., PhD, Dong, Yan, PhD, Driscoll, Daniel A., BA, Alcantara, Luis, MD, Thornhill, Thomas S., MD, Katz, Jeffrey N., MD, MSc
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee - statistics & numerical data
Cohort Studies
Developing Countries - statistics & numerical data
Female
hip arthroplasty
Humans
international
knee arthroplasty
Male
Medical Missions
Middle Aged
Multivariate Analysis
Orthopedics
Osteoarthritis, Knee - surgery
Pain - surgery
Pain Measurement
Patient Reported Outcome Measures
patient-reported outcomes
predictors of outcome
Recovery of Function
Self Report
Treatment Outcome
Young Adult
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Summary:Abstract Background In response to the growing burden of joint disease, developing countries are starting to create their own total joint arthroplasty (TJA) programs. To date, there has been limited research on predictors of TJA outcomes in a developing country. This investigation uses patient-reported outcome measures (PROMs) collected by a medical mission to assess predictors of TJA outcomes in the Dominican Republic. Methods Baseline and postoperative information from 156 of the mission’s recipients of hip and knee TJA was used. Demographics were abstracted from clinical notes and self-reported pain and functional status were assessed using WOMAC and SF-36 measures. Bivariate analysis identified variables to include in multivariable regression models of factors associated with function and pain outcomes and improvement in these domains one or two years postoperatively. Results The cohort had a mean age of 61.3, 82% were female, 79% had total knee arthroplasty, and 42% of procedures were bilateral. In multivariate analyses, at p
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2017.01.032