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Early perioperative quality of recovery after hip and knee arthroplasty: a retrospective comparative cohort study

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Abstract

Purpose

Increasing our knowledge about postoperative global Quality-Of-Recovery (QoR) after THA and TKA is important to improve perioperative medicine, in particular for preoperative patient information and benchmarking of postoperative patient status.

Methods

This study is a single centre, retrospective cohort study of prospectively collected data, conducted in Strasbourg University Hospital, Strasbourg, France. The main outcome was the modified French version of the QoR-15 (mQoR-15F) score monitored preoperatively, at postoperative day one, three, 14 and 28. We questioned the hypothesis: would THA and TKA recovery patterns differ and would postoperative health status eventually overreach the preoperative reference?

Results

The mQoR-15F was statistically higher in the THA group compared to the TKA group in POD 1 and 28 (112 ± 17 vs. 107 ± 17; p < 0.01 and 131 ± 12 vs. 127 ± 15; p = 0.02, respectively). The mean postoperative time delay to reach preoperative mQoR-15F was seven and 16 days for THA and TKA patients, respectively.

Conclusion

Early postoperative health status after THA and TKA differs significantly; TKA being associated with a larger early decrease of global health status compared to THA.

Both THA and TKA groups global health status overreached preoperative levels after one and two weeks postoperatively. These surgery-specific recovery profiles may favor improved patient information to steer advised operative decision and set specific recovery goals as part of enhanced recovery pathways.

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Data availability

Corresponding author will be considering requests.

Code availability

Not applicable.

Abbreviations

QoR:

Quality-Of-Recovery

QoR-15:

Quality-Of-Recovery 15 items recovery scale

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Acknowledgements

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Funding

This work was supported by a funding from the French Regional Health Authority: “ARS Grand-Est”.

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Authors and Affiliations

  1. Department of Anesthesiology, Intensive Care & Perioperative Medicine, Hautepierre Hospital, Strasbourg University Hospital, 1 Avenue Molière 67098, Strasbourg, France

    Thomas Perrin, Sophie Diemunsch, Leopold Drawin, Julien Pottecher & Eric Noll

  2. Department of Orthopedic and Trauma Surgery, Hautepierre Hospital, Strasbourg University Hospital, Strasbourg, France

    François Bonnomet

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  1. Thomas Perrin
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  2. François Bonnomet
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  3. Sophie Diemunsch
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  4. Leopold Drawin
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  5. Julien Pottecher
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  6. Eric Noll
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Thomas Perrin, Leopold Drawin and Eric Noll. The first draft of the manuscript was written by Eric Noll and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Eric Noll.

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Perrin, T., Bonnomet, F., Diemunsch, S. et al. Early perioperative quality of recovery after hip and knee arthroplasty: a retrospective comparative cohort study. International Orthopaedics (SICOT) 47, 2637–2643 (2023). https://doi.org/10.1007/s00264-023-05903-w

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