Barendregt, L.D.J. (2012) Influence of media attention on the physical functioning in patients with M-o-M hip resurfacing arthroplasties. thesis, Medicine.
Full text available on request.Abstract
Background: Until recent metal-on-metal hip resurfacing arthroplasty (M-o-MHRA) was an attractive alternative for conventional total hip arthroplasty. Although good short-term results, latest outcomes showed possible complications and caught the attention of the media. Does the attention in the media affect patients with a metal-on-metal hip resurfacing arthroplasty? Methods: We performed a retrospective cohort study. We investigated if patient’s physical functioning, measured with patient reported outcome measurements (PROMs; HOOS and RAND-36), was affected by concerns about complications driven by the media. In addition we investigated if clinical outcomes, cobalt blood levels and radiographic abnormalities, affected the patient’s physical functioning. Results: In total 103 patients, mean age 58,5 year (SD 7,2), received 128 metal-on-metal hip resurfacing arthroplasties. There was a significant relationship between media information and concerns on the possible complications with M-o-MHRAs (P = 0,008). In addition there was a significant relation between the level of concern on the complications and physical functioning as measured with the total HOOS scores (P<0,001). No significant relationships were found between patient’s physical functioning and clinical outcomes. Conclusions: This study shows that media-driven concerns about complications on M-o-MHRAs have a negative effect on perceived physical functioning and quality of life in patients with a M-o-MHRA.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Nijholt, Dr. I.M. and faculty supervisor |
| Supervisor name: | Poolman, Dr. R.W. external supervisor and Scholtes, Dr. V.A.B. research coordinator and Onze Lieve Vrouwe Gasthuis, Amsterdam and Orthopaedic department |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:04 |
| Last Modified: | 25 Jun 2020 11:04 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2424 |
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