Feedback

Comparison of Patient-Reported Outcomes Measures and Quality-Adjusted Life Years Following One- and Two-Stage Septic Knee Exchange

Affiliation
Helios ENDO-Klinik Hamburg, 22767 Hamburg, Germany
Budin, Maximilian;
Affiliation
Helios ENDO-Klinik Hamburg, 22767 Hamburg, Germany
Abuljadail, Salahulddin;
Affiliation
Helios ENDO-Klinik Hamburg, 22767 Hamburg, Germany
Traverso, Giacomo;
Affiliation
Helios ENDO-Klinik Hamburg, 22767 Hamburg, Germany
Ekhtiari, Seper;
Affiliation
Helios ENDO-Klinik Hamburg, 22767 Hamburg, Germany
Gehrke, Thorsten;
Affiliation
Institute for Health Services Research in Dermatology and Nursing (IVDP), University Medical Center Hamburg-Eppendorf (UKE), 20246 Hamburg, Germany
Sommer, Rachel;
ORCID
0000-0003-3207-7101
Affiliation
Helios ENDO-Klinik Hamburg, 22767 Hamburg, Germany
Citak, Mustafa

(1) Background: Periprosthetic joint infection (PJI) can be managed with one- or two-stage revision surgery protocol. Despite several studies analyzing the eradication rates between both procedures, there are no comparative studies that analyze patient-reported outcome measures (PROMs) and quality-adjusted life years (QALYs) in both treatment strategies. (2) Methods: All patients who underwent a two-stage knee revision between January 2017 to December 2018, due to a periprosthetic joint infection were included in the study. From the time interval, we selected a comparative group with the one-stage septic procedure. All patients received the following questionnaires: Oxford Knee Score, EQ-5D-5L, SSQ-8, and the SF-36. Additionally, demographic patient data were collected. The quality-adjusted life years (QALY) were calculated using the EQ-5D-5L. (3) Results: A total of 35 patients with a mean age of 67.7 years (SD = 8.9) were included in the final evaluation. The mean follow-up period was 54.5 months (SD = 5.5). There was no statistically significant difference regarding the Charlson Comorbidity Index (CCI), postoperative complications, or all evaluated questionnaires. There was no statistically significant difference in QALYs between the one- and two-stage revision. (4) Conclusion: Our study results show that the one-stage revision for PJI achieves similar PROMs compared to two-stage revision.

Cite

Citation style:
Could not load citation form.

Access Statistic

Total:
Downloads:
Abtractviews:
Last 12 Month:
Downloads:
Abtractviews:

Rights

License Holder: © 2022 by the authors.

Use and reproduction: