PMID- 32507563
OWN - NLM
STAT- MEDLINE
DCOM- 20210329
LR  - 20210329
IS  - 1532-8406 (Electronic)
IS  - 0883-5403 (Linking)
VI  - 35
IP  - 10
DP  - 2020 Oct
TI  - The Impact of Total Hip Arthroplasty Surgical Approach on Patient-Reported 
      Outcomes Measurement Information System Computer Adaptive Tests of Physical 
      Function and Pain Interference.
PG  - 2899-2903
LID - S0883-5403(20)30493-9 [pii]
LID - 10.1016/j.arth.2020.05.006 [doi]
AB  - BACKGROUND: The present study examines Patient Reported Outcomes Measurement 
      Information System (PROMIS) Computer Adaptive Test (CAT) scores for domains of 
      physical function (PF) and pain interference (PI) in patients undergoing elective 
      THA from either a direct anterior or posterior surgical approach. METHODS: A 
      total of 1358 patients who underwent THA at our institution from 1/1/2015 to 
      12/1/2018 were identified. Visual analog scale (VAS) pain scores, PROMIS CAT PF 
      and PI data were collected at the last preoperative visit as well as 6 weeks, 6 
      months, and 1-2 years postoperatively. Literature-derived minimum clinically 
      important difference (MCID) for PROMIS CAT PF metric with regard to THA was used 
      for data comparison. RESULTS: Four hundred nine patients were included in the 
      final analysis. Fifty-one percent underwent a posterior approach, and 49% 
      underwent a direct anterior approach. Both approaches led to a significant 
      improvement in PROMIS CAT PF and PI scores. Patients undergoing a direct anterior 
      approach had significantly higher preoperative and postoperative PROMIS CAT PF 
      scores as well as significantly lower preoperative PROMIS CAT PI scores. Each 
      approach yielded similar interval improvements of PROMIS CAT PF and PI. One 
      hundred three direct anterior approach THA patients (51%) and 119 posterior 
      approach THA patients (57.5%) achieved PROMIS PF MCID at 1- to 2-year follow-up. 
      CONCLUSION: Neither the direct anterior nor posterior THA surgical approach 
      conferred an advantage to postoperative improvements of PROMIS CAT PF and PI 
      scores. Adult reconstructive surgeons should continue to execute the direct 
      anterior or posterior THA surgical approaches based upon personal preference. 
      Despite surgeon confidence in THA, the potential for further innovation exists 
      given the number of THA patients who failed to achieve PROMIS PF MCID.
CI  - Published by Elsevier Inc.
FAU - Quinzi, David A
AU  - Quinzi DA
AD  - University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642.
FAU - Childs, Sean
AU  - Childs S
AD  - University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642.
FAU - Kuhns, Ben
AU  - Kuhns B
AD  - University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642.
FAU - Balkissoon, Rishi
AU  - Balkissoon R
AD  - University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642.
FAU - Drinkwater, Christopher
AU  - Drinkwater C
AD  - University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642.
FAU - Ginnetti, John
AU  - Ginnetti J
AD  - University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY, 14642.
LA  - eng
PT  - Journal Article
DEP - 20200511
PL  - United States
TA  - J Arthroplasty
JT  - The Journal of arthroplasty
JID - 8703515
SB  - IM
MH  - Adult
MH  - *Arthroplasty, Replacement, Hip/adverse effects
MH  - Computers
MH  - Humans
MH  - Information Systems
MH  - Pain
MH  - Patient Reported Outcome Measures
OTO - NOTNLM
OT  - anterior approach
OT  - arthroplasty
OT  - patient-reported outcomes
OT  - posterior approach
OT  - total hip
EDAT- 2020/06/09 06:00
MHDA- 2021/03/30 06:00
CRDT- 2020/06/09 06:00
PHST- 2020/03/17 00:00 [received]
PHST- 2020/04/21 00:00 [revised]
PHST- 2020/05/03 00:00 [accepted]
PHST- 2020/06/09 06:00 [pubmed]
PHST- 2021/03/30 06:00 [medline]
PHST- 2020/06/09 06:00 [entrez]
AID - S0883-5403(20)30493-9 [pii]
AID - 10.1016/j.arth.2020.05.006 [doi]
PST - ppublish
SO  - J Arthroplasty. 2020 Oct;35(10):2899-2903. doi: 10.1016/j.arth.2020.05.006. Epub 
      2020 May 11.