research10.1016/j.rbo.2013.12.005

Avaliação da qualidade de vida em pacientes submetidos à artroplastia total do joelho em Manaus

Abstract

ResumoObjetivoavaliar a qualidade de vida em pacientes submetidos à artroplastia total do joelho (ATJ) com o uso dos questionários SF‐36 (Medical Outcomes Study 36 – Item Short Form Health Survey) e WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) e compará‐los com os valores pré‐operatórios.Métodosfoi feito um estudo prospectivo, observacional, coorte com análise cega dos resultados, com 107 ATJ em 99 pacientes, de junho de 2010 a outubro de 2011. Incluídos no estudo 55 joelhos/pacientes: 73% eram do sexo feminino e 27% do masculino. A média de idade foi de 68 anos. Foram aplicados os questionários SF‐36 e WOMAC, validados para língua portuguesa, imediatamente antes e seis meses após o procedimento cirúrgico.Resultadosa análise estatística e gráfica indica que as variáveis tiveram distribuição normal. Observando os dados, verifica‐se que todos os índices sofreram alterações positivas depois da cirurgia.Conclusõesa artroplastia total do joelho, apesar da morbidade inicial, é uma modalidade bem‐sucedida de tratamento para osteoartrite grave (mais de dois compartimentos articulares acometidos e/ou classificação de Ahlback maior do que 3) do joelho do ponto de vista funcional, com melhoria da qualidade de vida dos pacientes, dados esses confirmados nesta pesquisa. Nível de evidência IV, descrição de série de casos, com análise de resultados, sem estudo comparativo.AbstractObjectivethis study had the aim of assessing the quality of life among patients undergoing total knee arthroplasty (TKA). For this, the SF‐36 and WOMAC questionnaires respectively were used to make comparisons with preoperative values.Methodsa prospective observational cohort study was conducted, with blinded analysis on the results from 107 TKAs in 99 patients, between June 2010 and October 2011. The present study included 55 knees/patients, among whom 73% were female and 27% were male. The patients’ mean age was 68 years. The SF‐36 and WOMAC questionnaires (which have been validated for the Portuguese language) were applied immediately before and six months after the surgical procedure.Resultsthe statistical and graphical analysis indicated that the variables presented normal distribution. From the data, it was seen that all the indices underwent positive changes after the surgery.Conclusionsdespite the initial morbidity, TKA is a very successful form of treatment for severe osteoarthritis of the knee (i.e. more than two joint compartments affected and/or Ahlback classification greater than 3), from a functional point of view, with improvement of the patients’ quality of life, as confirmed in the present study. This study presented evidence level IV (description of case series), with analysis on the results, without a comparative study

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This paper was published in Elsevier - Publisher Connector .

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