Minor influence of patient education and physiotherapy interventions before total hip replacement on patient-reported outcomes: an observational study of 30,756 patients in the Swedish Hip Arthroplasty Register.

Authors:
Maziar Mohaddes
Maziar Mohaddes
Institute of Clinical Sciences
Sweden
Kristin Gustafsson
Kristin Gustafsson
Karolinska Institutet and Karolinska University Hospital Huddinge
Sweden
Ola Rolfson
Ola Rolfson
University of Gothenburg
Sweden

Acta Orthop 2019 Apr 17:1-9. Epub 2019 Apr 17.

a Department of Orthopaedics, Institute of Clinical Sciences , Sahlgrenska Academy, University of Gothenburg , Gothenburg ;

Background and purpose - It is unclear whether physiotherapy interventions or patient education before total hip replacement (THR) is beneficial for patients postoperatively. Utilizing the Swedish Hip Arthroplasty Register (SHAR), we retrospectively studied the influence of preoperative self-reported exposure to physiotherapy and/or patient education on patient-reported outcomes 1 year after THR. Patients and methods - Data covering all THRs performed in Sweden for osteoarthritis, between the years 2012 and 2015, was obtained from SHAR. There were 30,756 patients with complete data. Multiple linear regression modelling was performed with 1-year postoperative PROMs (hip pain on a visual analogue scale [VAS], with the quality of life measures EQ-5D index and EQ VAS, and surgery satisfaction VAS) as dependent variables. Self-reported physiotherapy and patient education (yes or no) were used as independent variables. Results - Physiotherapy was associated with slightly less pain VAS (-0.7, 95% CI -1.1 to -0.3), better EQ-5D index (0.01, CI 0.00-0.01), EQ VAS (0.8, CI 0.4-1.2), and better satisfaction VAS (-0.7, CI -1.2 to -0.2). Patient education was associated with slightly better EQ-5D index (0.01, CI 0.00-0.01) and EQ VAS (0.7, CI 0.2-1.1). Interpretation - Even though we found statistically significant differences in favor of physiotherapy and patient education, the magnitude of those were too small and inconsistent to conclude a truly positive influence. Further research is needed with more specific and demarcated physiotherapy interventions.

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17453674.2019.1
Publisher Site
http://dx.doi.org/10.1080/17453674.2019.1605669DOI Listing
April 2019
3 Reads

Article Mentions


Provided by Crossref Event Data
datacite
Datacite: Datacite
April 17, 2019, 5:21 am EST

Publication Analysis

Top Keywords

patient education
24
physiotherapy interventions
12
000-001 vas
8
total hip
8
physiotherapy patient
8
hip replacement
8
vas -07
8
patient-reported outcomes
8
swedish hip
8
30756 patients
8
hip arthroplasty
8
001 000-001
8
arthroplasty register
8
better eq-5d
8
eq-5d 001
8
satisfaction vas
8
physiotherapy
7
vas
6
patient
6
education
6

References

(Supplied by CrossRef)
Article in Dan Med J
Aydin D et al.
Dan Med J 2015
Article in Cochrane Database Syst Rev
Fransen M et al.
Cochrane Database Syst Rev 2014
Article in Cochrane Database Syst Rev
Kroon F P et al.
Cochrane Database Syst Rev 2014

Similar Publications