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Factors associated ...
Factors associated with the orthopaedic surgeon's decision to recommend total joint replacement in hip and knee osteoarthritis : an international cross-sectional study of 1905 patients
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- Huynh, C. (författare)
- Paris-Sorbonne University,Pitié-Salpêtrière University Hospital
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- Puyraimond-Zemmour, D. (författare)
- Pitié-Salpêtrière University Hospital,Paris-Sorbonne University
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- Maillefert, J. F. (författare)
- University of Burgundy,Dijon University Hospital
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- Conaghan, P. G. (författare)
- University of Leeds
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- Davis, A. M. (författare)
- University of Toronto
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- Gunther, Klaus-Peter (författare)
- Dresden University of Technology
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- Hawker, G. (författare)
- University of Toronto
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- Hochberg, M. C. (författare)
- University of Maryland School of Medicine
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- Kloppenburg, M. (författare)
- Leiden University Medical Centre
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- Lim, K. (författare)
- University of Melbourne
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- Lohmander, L. S. (författare)
- Lund University,Lunds universitet,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Mahomed, N. N. (författare)
- University of Toronto
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- March, L. (författare)
- University of Sydney
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- Pavelka, K. (författare)
- Charles University in Prague
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- Punzi, L. (författare)
- University of Padova
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- Roos, E. M. (författare)
- University of Southern Denmark
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- Sanchez-Riera, L. (författare)
- University of Alabama
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- Singh, J. A. (författare)
- University of Texas
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- Suarez-Almazor, M. E. (författare)
- University of Texas
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- Dougados, M. (författare)
- Paris Descartes University
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- Gossec, L. (författare)
- Paris-Sorbonne University,Pitié-Salpêtrière University Hospital
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(creator_code:org_t)
- Elsevier BV, 2018
- 2018
- Engelska.
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Ingår i: Osteoarthritis and Cartilage. - : Elsevier BV. - 1063-4584. ; 26:10, s. 1311-1318
- Relaterad länk:
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http://dx.doi.org/10...
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http://www.oarsijour...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: To determine factors associated with orthopaedic surgeons’ decision to recommend total joint replacement (TJR) in people with knee and hip osteoarthritis (OA). Design: Cross-sectional study in eleven countries. For consecutive outpatients with definite hip or knee OA consulting an orthopaedic surgeon, the surgeon's indication of TJR was collected, as well as patients’ characteristics including comorbidities and social situation, OA symptom duration, pain, stiffness and function (Western Ontario and McMaster Universities Osteoarthritis Index [WOMAC]), joint-specific quality of life, Osteoarthritis Research Society International (OARSI) joint space narrowing (JSN) radiographic grade (0–4), and surgeons’ characteristics. Univariable and multivariable logistic regressions were performed to identify factors associated with the indication of TJR, adjusted by country. Results: In total, 1905 patients were included: mean age was 66.5 (standard deviation [SD], 10.8) years, 1082 (58.0%) were women, mean OA symptom duration was 5.0 (SD 7.0) years. TJR was recommended in 561/1127 (49.8%) knee OA and 542/778 (69.7%) hip OA patients. In multivariable analysis on 516 patients with complete data, the variables associated with TJR indication were radiographic grade (Odds Ratio, OR for one grade increase, for knee and hip OA, respectively: 2.90, 95% confidence interval [1.69–4.97] and 3.30 [2.17–5.03]) and WOMAC total score (OR for 10 points increase: 1.65 [1.32–2.06] and 1.38 [1.15–1.66], respectively). After excluding radiographic grade from the analyses, on 1265 patients, greater WOMAC total score was the main predictor for knee and hip OA; older age was also significant for knee OA. Conclusion: Radiographic severity and patient-reported pain and function play a major role in surgeons’ recommendation for TJR.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Nyckelord
- Hip
- Knee
- Osteoarthritis
- Surgery
- Total joint replacement
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Huynh, C.
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Puyraimond-Zemmo ...
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Maillefert, J. F ...
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Conaghan, P. G.
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Davis, A. M.
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Gunther, Klaus-P ...
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visa fler...
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Hawker, G.
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Hochberg, M. C.
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Kloppenburg, M.
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Lim, K.
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Lohmander, L. S.
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Mahomed, N. N.
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March, L.
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Pavelka, K.
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Punzi, L.
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Roos, E. M.
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Sanchez-Riera, L ...
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Singh, J. A.
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Suarez-Almazor, ...
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Dougados, M.
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Gossec, L.
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- MEDICIN OCH HÄLSOVETENSKAP
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och Klinisk medicin
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och Ortopedi
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Osteoarthritis a ...
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