PMID- 38063880
OWN - NLM
STAT- MEDLINE
DCOM- 20240327
LR  - 20240413
IS  - 1434-3916 (Electronic)
IS  - 0936-8051 (Linking)
VI  - 144
IP  - 4
DP  - 2024 Apr
TI  - The psoas muscle index as a useful predictor of total hip arthroplasty outcomes.
PG  - 1763-1772
LID - 10.1007/s00402-023-05146-9 [doi]
AB  - INTRODUCTION: The aim of this study is to assess the association between the 
      psoas muscle index (PMI) and total hip arthroplasty (THA) outcomes. This is a 
      critical issue as sarcopenia has been associated with poor patient satisfaction 
      post-THA. MATERIALS AND METHODS: This was a retrospective case-control study of 
      205 THAs, with a mean follow-up of 3.6 (range, 2.0-5.5) years. Age, sex, serum 
      immune markers, spinopelvic parameters, PMI (quantified as the cross-sectional 
      area of the psoas, bilaterally, at L3 divided by the individual's height 
      squared), and patient-reported outcomes were compared between patients 'with' 
      (n = 118) and 'without' (n = 87) achievement of a minimum clinically important 
      difference (MCID) improvement in the EuroQol 5-Dimension (EQ-5D), post-THA. 
      Logistic regression and receiver operating characteristic curve analyses were 
      used to identify predictive factors. RESULTS: A >/= MCID improvement in the EQ-5D 
      was associated with the PMI (odds ratio, 0.75; 95% confidence interval, 
      0.63-0.91; P = 0.028), prognostic nutritional index (odds ratio, 0.85; 95% 
      confidence interval, 0.45-0.94; P = 0.043), and age (odds ratio, 1.09; 95% 
      confidence interval, 1.01-1.18; P = 0.044). After adjusting the PMI threshold to 
      4.0 cm(2)/m(2) for females and 6.4 cm(2)/m(2) for males, there were significant 
      differences in serum factors (P = 0.041 for albumin and P = 0.016 for a 
      prognostic nutritional index < 40), MCID (P < 0.001 for EQ-5D, P < 0.001 for low 
      back pain, and P = 0.008 for the Hip Disability and Osteoarthritis Outcome Score 
      Joint Replacement score), patient satisfaction (P = 0.003), and T1 pelvic angle 
      (P = 0.030). CONCLUSION: The PMI, which is associated with nutritional status and 
      global sagittal spinal deformity, does predict THA outcomes. Therefore, it can be 
      useful when discussing THA expectations with patients.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, 
      part of Springer Nature.
FAU - Okamoto, Yoshinori
AU  - Okamoto Y
AUID- ORCID: 0000-0001-8636-7863
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      2-7 Daigaku-machi, Takatsuki, 569-8686, Japan. yoshinori.okamoto@ompu.ac.jp.
AD  - Department of Orthopedic Surgery, Saiseikai Ibaraki Hospital, 2-1-45, 
      Mitsukeyama, Ibaraki, 567-0035, Japan. yoshinori.okamoto@ompu.ac.jp.
FAU - Wakama, Hitoshi
AU  - Wakama H
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      2-7 Daigaku-machi, Takatsuki, 569-8686, Japan.
FAU - Matsuyama, Junya
AU  - Matsuyama J
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      2-7 Daigaku-machi, Takatsuki, 569-8686, Japan.
FAU - Nakamura, Kaito
AU  - Nakamura K
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      2-7 Daigaku-machi, Takatsuki, 569-8686, Japan.
FAU - Saika, Takafumi
AU  - Saika T
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      2-7 Daigaku-machi, Takatsuki, 569-8686, Japan.
FAU - Otsuki, Shuhei
AU  - Otsuki S
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      2-7 Daigaku-machi, Takatsuki, 569-8686, Japan.
FAU - Neo, Masashi
AU  - Neo M
AD  - Department of Orthopedic Surgery, Osaka Medical and Pharmaceutical University, 
      2-7 Daigaku-machi, Takatsuki, 569-8686, Japan.
LA  - eng
GR  - 21K09239/Japan Society for the Promotion of Science/
PT  - Journal Article
DEP - 20231208
PL  - Germany
TA  - Arch Orthop Trauma Surg
JT  - Archives of orthopaedic and trauma surgery
JID - 9011043
SB  - IM
MH  - Male
MH  - Female
MH  - Humans
MH  - *Arthroplasty, Replacement, Hip/adverse effects
MH  - Retrospective Studies
MH  - Case-Control Studies
MH  - Treatment Outcome
MH  - Psoas Muscles/diagnostic imaging
OTO - NOTNLM
OT  - EuroQol 5-dimension
OT  - Nutrition
OT  - Psoas muscle index
OT  - Sarcopenia
OT  - T1 pelvic angle
OT  - Total hip arthroplasty
EDAT- 2023/12/08 12:42
MHDA- 2024/03/27 06:43
CRDT- 2023/12/08 11:04
PHST- 2023/09/18 00:00 [received]
PHST- 2023/11/11 00:00 [accepted]
PHST- 2024/03/27 06:43 [medline]
PHST- 2023/12/08 12:42 [pubmed]
PHST- 2023/12/08 11:04 [entrez]
AID - 10.1007/s00402-023-05146-9 [pii]
AID - 10.1007/s00402-023-05146-9 [doi]
PST - ppublish
SO  - Arch Orthop Trauma Surg. 2024 Apr;144(4):1763-1772. doi: 
      10.1007/s00402-023-05146-9. Epub 2023 Dec 8.