Arthroplasty Complications
Conditions
Brief summary
The purpose of the research study is to examine the long-term outcomes of complex and conversion total hip arthroplasty procedures. By means of both retrospective (chart review) and prospective (in-person clinic visits) radiographs and validated patient-reported outcome scores including the Hip Disability and Osteoarthritis Outcome Score (HOOS) and the Patient-Reported Outcomes Measurement Information System (PROMIS), the research team aims to collect, analyze, and summarize the outcome data. The outcomes of the follow-up appointment will be analyzed in comparison to previous findings over various intervals to assess changes over time, if data is available.
Interventions
None listed
Sponsors
University of North Carolina, Chapel Hill
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Having undergone a conversion total hip arthroplasty (THA) more than five years ago or a complex THA more than ten years ago done by a UNC Health-affiliated physician * Willingness to receive follow-up care from a UNC Health-affiliated physician or provide outcome data regarding this surgical intervention * Able to speak and read English * Able to consent to participation
Exclusion criteria
* Less than 18 years of age * Incarcerated status
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PROMIS SF v1.1-Pain Interference 8a | once during the 36-month total study duration, preferably during initial recruitment, but open to collection at any time during the study timeframe | The Patient-Reported Outcomes Measurement Information System (PROMIS) SF v1.1-Pain Interference 8a measures the amount of pain interference in daily life. Possible scores range from not at all (1) to very much (5), with higher scores indicating a worse outcome (more pain interference). |
| PROMIS SF v2.0 - Physical Function 20a | once during the 36-month total study duration, preferably during initial recruitment, but open to collection at any time during the study timeframe | The Patient-Reported Outcomes Measurement Information System (PROMIS) SF v2.0 - Physical Function 20a measures the level of individual physical function in daily life. Possible scores range from without any difficulty (1) to unable to do (5) and not at all (1) to cannot do (5), with higher scores indicating a worse outcome (less physical function ability). |
| HOOS | once during the 36-month total study duration, preferably during initial recruitment, but open to collection at any time during the study timeframe | The Hip Disability and Osteoarthritis Outcome Score (HOOS) measures an individual's feelings about their hip and how well they are able to do usual activities, based on symptoms, stiffness, pain, daily living function, sports and recreational activities function, and quality of life. Possible scores range from never (1) to always (5) and none (1) to extreme (5), with higher scores indicating a worse outcome. |
| Radiographic Findings | once during the 36-month total study duration, preferably during screening for initial recruitment, but open to collection at any time during the study timeframe | Standard radiographs of implanted hip to assess device efficacy and other potential anomalies. Collected during in-person clinic visits or from chart review if the patients have had hip radiographs at UNC in the past two years. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants with comorbidities | Up to 36-months total study duration | Individual health statuses (as diagnosed and present in the electronic medical record (EMR) throughout patient lifespan) thought to complicate the surgical procedure and recovery. Retrospectively collected during chart review including 20 statuses such as Diabetes Mellitus, Autoimmune Disorders, Current Immunosuppression, Current Dialysis/End Stage Renal Disease (ESRD), Chronic Kidney Disease (I-III), Heart Failure, Coronary Artery Disease, etc. |
| Number of participants with complications | Up to 36 months total study duration | Individual health events (as present in the EMR throughout patient lifespan) and risk factors complicating the surgical procedure and recovery. Retrospectively collected during chart review including several events such as Iatrogenic fracture, Bleeding (Blood Transfusion), Surgical Site Infection, THA Periprosthetic Fracture, Wound Complication, etc, and risk factors such as Hip surgery prior to THA, age \> 70, Drug/alcohol use, etc. |
Countries
United States
Outcome results
None listed