4.7 Article

Patient-Reported Outcome on Quality of Life and Pain after Revision Arthroplasty for Periprosthetic Joint Infection: A Cross-Sectional Study

Journal

JOURNAL OF CLINICAL MEDICINE
Volume 11, Issue 23, Pages -

Publisher

MDPI
DOI: 10.3390/jcm11237182

Keywords

periprosthetic joint infection (PJI); cross-sectional study; questionnaire; 36-item Short Form Health Survey (SF-36); McGill Pain Questionnaire (MPQ)

Funding

  1. Joint Funds for the Innovation of Science and Technology, Fujian province [2019Y9122]
  2. National Natural Science Foundation of China [82072458]
  3. Foreign Cooperation Project of Science and Technology, Fujian Province [2020I0015]
  4. Talent Introduction Scientific Research Project of the First Affiliated Hospital of Fujian Medical University [YJRC3914]
  5. Fujian Orthopaedic Bone and Joint Disease and Sports Rehabilitation Clinical Medical Research Center [2020Y2002]

Ask authors/readers for more resources

This study explores the quality of life and pain experienced by patients after revision surgery for periprosthetic joint infection. The overall quality of life was generally satisfactory, although persistent pain was prevalent, it was mostly mild. Preoperative factors such as PMN%, VAS, and hospital stay were associated with postoperative pain.
This study aims to explore the quality of life (QOL) and pain after revision surgery for periprosthetic joint infection (PJI) based on patients' reported outcomes. A cross-sectional questionnaire survey was conducted and 137 valid responses were included (response rate 64.0%). A total of 42 patients underwent debridement with implant retention (DAIR), 31 underwent one-stage revision, and 64 underwent two-stage revision. The average overall SF-36 score was 70.3. The DAIR group had significantly higher SF-36 than the two-stage revision group (p = 0.01). There was no significant difference between the one-stage revision group and the other two groups. A total of 74.5% of patients reported pain with an average McGill Pain Questionnaire (MPQ) score of 8.6. There was no significant difference in the MPQ scores among the three groups. Simple linear regression analyses demonstrated that higher preoperative PMN%, VAS, and shorter hospital stay were associated with pain (adjusted R-2 = 4%, p = 0.020; adjusted R-2 = 2.1%, p = 0.048; adjusted R-2 = 2.1%, p = 0.049; respectively). We concluded that the overall QOL of patients after revision surgery for PJI is generally satisfactory. Persistent pain is prevalent, but the severity was mostly mild. Preoperative PMN%, VAS, and hospital stay were associated with postoperative pain.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

No Data Available
No Data Available