The first 6 weeks of recovery after primary total hip arthroplasty with fast track: A diary study of 94 patients

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The first 6 weeks of recovery after primary total hip arthroplasty with fast track : A diary study of 94 patients. / Klapwijk, Lisette C M; Mathijssen, Nina M C; Van Egmond, Jeroen C.; Verbeek, Bianca M.; Vehmeijer, Stephan B W.

I: Acta Orthopaedica, Vol. 88, Nr. 2, 2017, s. 140-144.

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift

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Klapwijk, LCM, Mathijssen, NMC, Van Egmond, JC, Verbeek, BM & Vehmeijer, SBW 2017, 'The first 6 weeks of recovery after primary total hip arthroplasty with fast track: A diary study of 94 patients', Acta Orthopaedica, vol. 88, nr. 2, s. 140-144. https://doi.org/10.1080/17453674.2016.1274865

APA

Klapwijk, L. C. M., Mathijssen, N. M. C., Van Egmond, J. C., Verbeek, B. M., & Vehmeijer, S. B. W. (2017). The first 6 weeks of recovery after primary total hip arthroplasty with fast track: A diary study of 94 patients. Acta Orthopaedica, 88(2), 140-144. https://doi.org/10.1080/17453674.2016.1274865

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Author

Klapwijk, Lisette C M ; Mathijssen, Nina M C ; Van Egmond, Jeroen C. ; Verbeek, Bianca M. ; Vehmeijer, Stephan B W. / The first 6 weeks of recovery after primary total hip arthroplasty with fast track : A diary study of 94 patients. I: Acta Orthopaedica. 2017 ; Vol. 88, Nr. 2. s. 140-144.

RIS

TY - JOUR

T1 - The first 6 weeks of recovery after primary total hip arthroplasty with fast track

T2 - A diary study of 94 patients

AU - Klapwijk, Lisette C M

AU - Mathijssen, Nina M C

AU - Van Egmond, Jeroen C.

AU - Verbeek, Bianca M.

AU - Vehmeijer, Stephan B W

PY - 2017

Y1 - 2017

N2 - Background and purpose — Fast-track protocols have been introduced worldwide to improve the recovery after total hip arthroplasty (THA). These protocols have reduced the length of hospital stay (LOS), and THA in an outpatient setting is also feasible. However, less is known regarding the first weeks after THA with fast track. We examined patients’ experiences of the first 6 weeks after hospital discharge following inpatient and outpatient THA with fast track. Patients and methods — In a prospective cohort study, 100 consecutive patients who underwent THA surgery in a fast-track setting between February 2015 and October 2015 received a diary for 6 weeks. This diary contained various internationally validated questionnaires including HOOS-PS, OHS, EQ-5D, SF-12, and ICOAP. In addition, there were general questions regarding pain, the wound, physiotherapy, and thrombosis prophylaxis injections. Results — 94 patients completed the diary, 42 of whom were operated in an outpatient setting. Pain and use of pain medication had gradually decreased during the 6 weeks. Function and quality of life gradually improved. After 6 weeks, 91% of all patients reported better functioning and less pain than preoperatively. Interpretation — Fast track improves early functional outcome, and the PROMs reported during the first 6 weeks in this study showed continued improvement. They can be used as a baseline for future studies. The PROMs reported could also serve as a guide for staff and patients alike to modify expectations and therefore possibly improve patient satisfaction.

AB - Background and purpose — Fast-track protocols have been introduced worldwide to improve the recovery after total hip arthroplasty (THA). These protocols have reduced the length of hospital stay (LOS), and THA in an outpatient setting is also feasible. However, less is known regarding the first weeks after THA with fast track. We examined patients’ experiences of the first 6 weeks after hospital discharge following inpatient and outpatient THA with fast track. Patients and methods — In a prospective cohort study, 100 consecutive patients who underwent THA surgery in a fast-track setting between February 2015 and October 2015 received a diary for 6 weeks. This diary contained various internationally validated questionnaires including HOOS-PS, OHS, EQ-5D, SF-12, and ICOAP. In addition, there were general questions regarding pain, the wound, physiotherapy, and thrombosis prophylaxis injections. Results — 94 patients completed the diary, 42 of whom were operated in an outpatient setting. Pain and use of pain medication had gradually decreased during the 6 weeks. Function and quality of life gradually improved. After 6 weeks, 91% of all patients reported better functioning and less pain than preoperatively. Interpretation — Fast track improves early functional outcome, and the PROMs reported during the first 6 weeks in this study showed continued improvement. They can be used as a baseline for future studies. The PROMs reported could also serve as a guide for staff and patients alike to modify expectations and therefore possibly improve patient satisfaction.

UR - http://www.scopus.com/inward/record.url?scp=85009288253&partnerID=8YFLogxK

U2 - 10.1080/17453674.2016.1274865

DO - 10.1080/17453674.2016.1274865

M3 - Article

C2 - 28079428

AN - SCOPUS:85009288253

VL - 88

SP - 140

EP - 144

JO - Acta Orthopaedica

JF - Acta Orthopaedica

SN - 1745-3682

IS - 2

ER -