Patient quality of life during the 12 months following joint replacement surgery
Article first published online: 5 FEB 2004
Copyright © 2004 by the American College of Rheumatology
Arthritis Care & Research
Volume 51, Issue 1, pages 100–109, 15 February 2004
How to Cite
Fitzgerald, J. D., Orav, E. J., Lee, T. H., Marcantonio, E. R., Poss, R., Goldman, L. and Mangione, C. M. (2004), Patient quality of life during the 12 months following joint replacement surgery. Arthritis & Rheumatism, 51: 100–109. doi: 10.1002/art.20090
- Issue published online: 5 FEB 2004
- Article first published online: 5 FEB 2004
- Manuscript Accepted: 6 DEC 2002
- Manuscript Received: 31 MAY 2002
- Agency for Health Care Policy and Research. Grant Number: #ROI-HS-06573
- American College of Rheumatology
- Arthritis Foundation
- UCLA Claude Pepper Older Americans Independence Center. Grant Number: #P60-AG-10415
- Generalist Faculty Scholar's Award from the Robert Wood Johnson Foundation. Grant Number: #029250
- Joint replacement surgery;
- Quality of life
To determine whether preoperative characteristics influence quality of life outcomes 1, 6, and 12 months after joint replacement surgery.
Patients (n = 222) with osteoarthritis undergoing primary joint replacement surgery at a university hospital between November 1990 and March 1993 were prospectively studied. Bodily pain and physical function were assessed preoperatively and at the 3 postoperative time points using the Medical Outcomes Study 36 Item Short Form Health Survey.
Bodily pain and physical function improved after joint replacement. At 1 month after surgery, despite improvements in bodily pain, physical function deteriorated. Preoperative bodily pain and physical function, demographic characteristics, and social support were significant correlates of improvement in bodily pain and physical function.
Patients experienced dramatic improvements in bodily pain and physical function after joint replacement. However, decline in physical function at 1 month implies significant need for prolonged informal or formal patient assistance with basic physical function after surgery. Greater preoperative social support was associated with improved bodily pain and physical function outcomes.