Evolution of disability in adults with hip arthroplasty: A national longitudinal study

Authors

  • Agnes Dechartres,

    1. INSERM, U738, Université Paris 7, UFR de Médecine, AP_HP Hôpital Bichat, Département d'Epidémiologie, Biostatistique et Recherche Clinique, Paris, France
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  • Isabelle Boutron,

    Corresponding author
    1. INSERM, U738, Université Paris 7, UFR de Médecine, AP_HP Hôpital Bichat, Département d'Epidémiologie, Biostatistique et Recherche Clinique, Paris, France
    • Département Epidémiologie, Biostatistique et Recherche Clinique, Hôpital Bichat Claude Bernard, 46, rue Henri Huchard, 75877 Paris, cedex 18, France
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  • Remy Nizard,

    1. Hôpital Lariboisière, Assistance Publique Hôpitaux de Paris, Université Paris 7, Paris, France
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  • Serge Poiraudeau,

    1. Hôpital Cochin, Assistance Publique Hôpitaux de Paris, Université Paris 5, Institut Fédératif de Recherche sur le Handicap, Paris, France
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  • Carine Roy,

    1. INSERM, U738, Université Paris 7, UFR de Médecine, AP_HP Hôpital Bichat, Département d'Epidémiologie, Biostatistique et Recherche Clinique, Paris, France
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  • Jean-François Ravaud,

    1. INSERM U750, CERMES, Institut Fédératif de Recherche sur le Handicap, Paris, France
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  • Philippe Ravaud

    1. INSERM, U738, Université Paris 7, UFR de Médecine, AP_HP Hôpital Bichat, Département d'Epidémiologie, Biostatistique et Recherche Clinique, Paris, France
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Abstract

Objective

To describe disability in individuals with hip arthroplasty and its evolution over 2 years compared with that in the general population, and to compare the degree of disability between subjects with recent and older hip arthroplasty.

Methods

We selected a national representative sample of 16,945 subjects from the 1999 French population census. This sample, interviewed in 1999 and 2001 about their level of disability, included 527 subjects with hip arthroplasty (i.e., representing 424,000 individuals in the French noninstitutionalized population): 145 who underwent the procedure between 1999 and 2001 (recent hip arthroplasty) and 382 with an older hip arthroplasty.

Results

Subjects with hip arthroplasty reported more difficulty in bending forward (odds ratio [OR] 4.5, 95% confidence interval [95% CI] 3.1–6.6), climbing stairs (OR 2.2, 95% CI 1.5–3.1), walking >300 meters (OR 1.6, 95% CI 1.03–2.6), dressing (OR 2.9, 95% CI 2.1–4.2), and getting in and out of a chair (OR 2.5, 95% CI 1.7–3.6) than the general population. However, the evolution in disability was similar to that of the general population. Compared with subjects with older hip arthroplasty, those with recent hip arthroplasty reported more difficulty walking >300 meters (OR 2.7, 95% CI 1.3–5.6), washing (OR 2.9, 95% CI 1.6–5.4), dressing (OR 2.2, 95% CI 1.2–4.2), and getting in and out of a chair (OR 2.1, 95% CI 1.1–3.9).

Conclusion

This study describes the potential future disability in the more elderly population, with implications for health-related planning.

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