Ene 30

¿Puede la puntuación pre-operatoria Western Ontario y McMaster predecir la satisfacción del paciente después de una artroplastia total de cadera? / Can the pre-operative Western Ontario and McMaster score predict patient satisfaction following total hip arthroplasty?

Este artículo es originalmente publicado en:
Rogers BA1, Alolabi B2, Carrothers AD3, Kreder HJ4, Jenkinson RJ4.
Bone Joint J. 2015 Feb;97-B(2):150-3. doi: 10.1302/0301-620X.97B2.34718.

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In this study we evaluated whether pre-operative Western Ontario and McMaster Universities (WOMAC) osteoarthritis scores can predict satisfaction following total hip arthroplasty (THA). Prospective data for a cohort of patients undergoing THA from two large academic centres were collected, and pre-operative and one-year post-operative WOMAC scores and a 25-point satisfaction questionnaire were obtained for 446 patients. Satisfaction scores were dichotomised into either improvement or deterioration. Scatter plots and Spearman’s rank correlation coefficient were used to describe the association between pre-operative WOMAC and one-year post-operative WOMAC scores and patient satisfaction. Satisfaction was compared using receiver operating characteristic (ROC) analysis against pre-operative, post-operative and δ WOMAC scores. We found no relationship between pre-operative WOMAC scores and one-year post-operative WOMAC or satisfaction scores, with Spearman’s rank correlation coefficients of 0.16 and -0.05, respectively. The ROC analysis showed areas under the curve (AUC) of 0.54 (pre-operative WOMAC), 0.67 (post-operative WOMAC) and 0.43 (δ WOMAC), respectively, for an improvement in satisfaction. We conclude that the pre-operative WOMAC score does not predict the post-operative WOMAC score or patient satisfaction after THA, and that WOMAC scores can therefore not be used to prioritise patient care. Cite this article: Bone Joint J 2015;97-B:150-3.

©2015 The British Editorial Society of Bone & Joint Surgery.

Hip replacement; Patient reported outcome measures; Patient satisfaction; WOMAC score


En este estudio se evaluó si las puntuaciones osteoartritis preoperatoria Western Ontario y McMaster Universidades (WOMAC) pueden predecir la satisfacción después de una artroplastia total de cadera (THA). Se recogieron datos prospectivos para una cohorte de pacientes sometidos a una artroplastia de dos grandes centros académicos, y las puntuaciones pre-operatorio y un año después de la operación WOMAC y un cuestionario de satisfacción de 25 puntos se obtuvieron para 446 pacientes. Puntuaciones de satisfacción se dicotomizaron en cualquiera de mejora o deterioro. Gráficos de dispersión y el coeficiente de correlación de Spearman se utilizaron para describir la asociación entre el pre-operatorio y WOMAC puntajes de un año después de la operación WOMAC y satisfacción del paciente. La satisfacción se compararon mediante análisis de características operativas del receptor (ROC) en contra de las puntuaciones WOMAC pre-operatorio, post-operatorios y δ. No encontramos relación entre las puntuaciones WOMAC preoperatorios y un año después de la operación WOMAC o puntuaciones de satisfacción, con coeficientes de correlación de Spearman de 0,16 y -0,05, respectivamente. El análisis ROC mostró áreas bajo la curva (AUC) de 0.54 (WOMAC preoperatorio), 0,67 (WOMAC post-operatorio) y 0,43 (δ WOMAC), respectivamente, para una mejora de la satisfacción. Llegamos a la conclusión de que la puntuación WOMAC preoperatoria no predice la puntuación WOMAC post-operatorio o la satisfacción del paciente después de la ATC, y que las puntuaciones WOMAC tanto, no pueden utilizarse para priorizar la atención al paciente. Citar este artículo: Bone Joint J 2015; 97-B: 150-3.

© 2015 La Sociedad editorial británica de Bone & Joint Surgery.

El reemplazo de cadera; Las medidas de resultado de los pacientes reportados; La satisfacción del paciente; WOMAC





[PubMed – in process]

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