Factors Associated With Early Improvement in Low Back Pain After Total Hip Arthroplasty: A Multi-Center Prospective Cohort Analyses.
This study identified factors associated with an improvement in low back pain (LBP) at six-month follow-up after total hip arthroplasty (THA). Data from a national registry of 3054 patients were analyzed. Factors under analysis included demographics, comorbid conditions, operative and nonoperative joint pain severity, physical function, and mental health. Differences in these factors between patients with and without improvement in LBP were examined. Among patients reporting severe or moderate LBP preoperatively, 56% improved 6 months after surgery. Patients without improvement were more likely to be on Medicare, have a high school education or less, have household income less than $45,000 and have one or more comorbid conditions. Patients with improvement in LBP experienced more resolution of pain in both the operative and nonoperative hip.
Department of Orthopaedic Surgery, University of Rochester, Rochester, New York.
Peter C
PC
Chimenti
Department of Orthopaedic Surgery, University of Rochester, Rochester, New York.
Christopher J
CJ
Drinkwater
Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical School, Worcester, Massachusetts.
Wenjun
W
Li
Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical School, Worcester, Massachusetts.
Celeste A
CA
Lemay
Department of Orthopedics and Physical Rehabilitation, University of Massachusetts Medical School, Worcester, Massachusetts.
Patricia D
PD
Franklin
Department of Orthopaedic Surgery, University of Rochester, Rochester, New York.
Regis J
RJ
O'Keefe
D000368:Aged; D018771:Arthralgia / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip; D015331:Cohort Studies; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000150:complications* / Q000601:surgery; D011446:Prospective Studies; D012042:Registries; D016896:Treatment Outcome
joint replacement; low back pain; osteoarthritis; outcomes; total hip arthroplasty