TY - JOUR AU - Wik, Tina S AU - Klaksvik, Jomar AU - Husby, Otto S AU - Rasch, Astrid AU - Winther, Siri B PY - 2022/01/03 Y2 - 2024/03/28 TI - Patient-reported outcome after primary and aseptic revision hip arthroplasty: 1-year follow-up of 3,559 primary and 406 revision THAs in an institutional registry JF - Acta Orthopaedica JA - ActaO VL - 93 IS - SE - Clinical observational study DO - 10.2340/17453674.2021.852 UR - https://actaorthop.org/actao/article/view/852 SP - 132-137 AB - <p><strong>Background and purpose —</strong> Patient-reported outcomes (PROMs) after primary total hip arthroplasty (THA) and revision THA are important information in the preoperative shared decision-making process. We present 1-year results on pain, function, and quality of life following primary and revision THA.</p><p><strong>Patients and methods —</strong> From 2010 to 2018, 3,559 primary THA and 406 revision THAs were included in our institutional quality registry. PROMs were registered preoperatively, 3 months, and 1 year after surgery, numeric rating scale (0–10) for pain during mobilization and at rest, healthrelated quality of life (EQ-5D), and a hip-specific physical function score (HOOS-PS). 2 anchor questions were asked 1 year after surgery concerning joint function and willingness to go through surgery again.</p><p><strong>Results —</strong> There were statistically significant improvements in all PROMs at the 3-month follow-up in both groups. All PROMs improved more in the primary group relative to the revision group. 1 year after surgery, pain during mobilization was reduced with a mean change of 5.1 (SD 2.6) for primary THA and 2.9 (SD 3.0) for revision THA. 93% of primary THA patients reported both better function 1 year after surgery and that they would have gone through surgery again, compared with 78% and 79% in the revision THA group.</p><p><strong>Interpretation —</strong> Primary THA patients reported better function and more pain relief than the revision THA group 1 year after surgery. Pain during mobilization shows the most marked improvement in both groups, which is important preoperative information for patients.</p> ER -