Improvement in Sleep Patterns After Hip and Knee Arthroplasty: A Prospective Study in 780 Patients
This study assessed change in sleep patterns before and after total hip arthroplasty (THA) and total knee arthroplasty (TKA) and its relationship to patient-reported outcome measures (PROMs). Between July 2016 and June 2018, surgical data and PROMs were collected on 780 subjects before and 12 months...
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| Published in | The Journal of arthroplasty Vol. 36; no. 2; pp. 442 - 448 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.02.2021
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| Subjects | |
| Online Access | Get full text |
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| Abstract | This study assessed change in sleep patterns before and after total hip arthroplasty (THA) and total knee arthroplasty (TKA) and its relationship to patient-reported outcome measures (PROMs).
Between July 2016 and June 2018, surgical data and PROMs were collected on 780 subjects before and 12 months after THA or TKA. PROMs included Knee Injury and Osteoarthritis Outcome Score, Hip Disability and Osteoarthritis Outcome Score, patient satisfaction, and 2 questions from the Pittsburgh Sleep Quality Index.
Before surgery, 35% (270 of 780) reported poor quality sleep. Sleep quality and duration were worse in females over males, and in THA patients (39%) over TKA patients (30%; P = .011). Of those reporting bad sleep, 74% (201 of 270) were improved after arthroplasty. Satisfaction was higher in subjects reporting good sleep quality (626 of 676; 93%) compared with those reporting bad sleep quality (67 of 86; 78%) (P = .001). Sleep was positively correlated with better Hip Disability and Osteoarthritis Outcome Score/Knee Injury and Osteoarthritis Outcome Score (r = 0.2-0.3).
Improvement in sleep quality and duration can be expected after THA and TKA and is associated with better outcome scores and satisfaction. |
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| AbstractList | This study assessed change in sleep patterns before and after total hip arthroplasty (THA) and total knee arthroplasty (TKA) and its relationship to patient-reported outcome measures (PROMs).
Between July 2016 and June 2018, surgical data and PROMs were collected on 780 subjects before and 12 months after THA or TKA. PROMs included Knee Injury and Osteoarthritis Outcome Score, Hip Disability and Osteoarthritis Outcome Score, patient satisfaction, and 2 questions from the Pittsburgh Sleep Quality Index.
Before surgery, 35% (270 of 780) reported poor quality sleep. Sleep quality and duration were worse in females over males, and in THA patients (39%) over TKA patients (30%; P = .011). Of those reporting bad sleep, 74% (201 of 270) were improved after arthroplasty. Satisfaction was higher in subjects reporting good sleep quality (626 of 676; 93%) compared with those reporting bad sleep quality (67 of 86; 78%) (P = .001). Sleep was positively correlated with better Hip Disability and Osteoarthritis Outcome Score/Knee Injury and Osteoarthritis Outcome Score (r = 0.2-0.3).
Improvement in sleep quality and duration can be expected after THA and TKA and is associated with better outcome scores and satisfaction. BACKGROUNDThis study assessed change in sleep patterns before and after total hip arthroplasty (THA) and total knee arthroplasty (TKA) and its relationship to patient-reported outcome measures (PROMs). METHODSBetween July 2016 and June 2018, surgical data and PROMs were collected on 780 subjects before and 12 months after THA or TKA. PROMs included Knee Injury and Osteoarthritis Outcome Score, Hip Disability and Osteoarthritis Outcome Score, patient satisfaction, and 2 questions from the Pittsburgh Sleep Quality Index. RESULTSBefore surgery, 35% (270 of 780) reported poor quality sleep. Sleep quality and duration were worse in females over males, and in THA patients (39%) over TKA patients (30%; P = .011). Of those reporting bad sleep, 74% (201 of 270) were improved after arthroplasty. Satisfaction was higher in subjects reporting good sleep quality (626 of 676; 93%) compared with those reporting bad sleep quality (67 of 86; 78%) (P = .001). Sleep was positively correlated with better Hip Disability and Osteoarthritis Outcome Score/Knee Injury and Osteoarthritis Outcome Score (r = 0.2-0.3). CONCLUSIONImprovement in sleep quality and duration can be expected after THA and TKA and is associated with better outcome scores and satisfaction. |
| Author | Van Meirhaeghe, Jan P. Salmon, Lucy J. Pinczewski, Leo A. Gooden, Benjamin R. Lyons, Matthew C. Roe, Justin P. O'Sullivan, Michael D. |
| Author_xml | – sequence: 1 givenname: Jan P. orcidid: 0000-0003-1311-7577 surname: Van Meirhaeghe fullname: Van Meirhaeghe, Jan P. organization: North Sydney Orthopaedic & Sports Medicine Centre, Sydney, New South Wales, Australia – sequence: 2 givenname: Lucy J. surname: Salmon fullname: Salmon, Lucy J. organization: North Sydney Orthopaedic & Sports Medicine Centre, Sydney, New South Wales, Australia – sequence: 3 givenname: Michael D. surname: O'Sullivan fullname: O'Sullivan, Michael D. organization: North Sydney Orthopaedic & Sports Medicine Centre, Sydney, New South Wales, Australia – sequence: 4 givenname: Benjamin R. surname: Gooden fullname: Gooden, Benjamin R. organization: North Sydney Orthopaedic & Sports Medicine Centre, Sydney, New South Wales, Australia – sequence: 5 givenname: Matthew C. surname: Lyons fullname: Lyons, Matthew C. organization: North Sydney Orthopaedic & Sports Medicine Centre, Sydney, New South Wales, Australia – sequence: 6 givenname: Leo A. surname: Pinczewski fullname: Pinczewski, Leo A. organization: North Sydney Orthopaedic & Sports Medicine Centre, Sydney, New South Wales, Australia – sequence: 7 givenname: Justin P. surname: Roe fullname: Roe, Justin P. organization: North Sydney Orthopaedic & Sports Medicine Centre, Sydney, New South Wales, Australia |
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| Keywords | sleep total hip arthroplasty total knee arthroplasty osteoarthritis arthroplasty sleep quality |
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| SubjectTerms | arthroplasty Arthroplasty, Replacement, Hip - adverse effects Arthroplasty, Replacement, Knee - adverse effects Female Humans Male osteoarthritis Osteoarthritis, Knee - surgery Patient Reported Outcome Measures Prospective Studies Sleep sleep quality total hip arthroplasty total knee arthroplasty Treatment Outcome |
| Title | Improvement in Sleep Patterns After Hip and Knee Arthroplasty: A Prospective Study in 780 Patients |
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