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Quality of Life in Orthopedic Diseases

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (30 September 2021) | Viewed by 12298

Special Issue Editors


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Guest Editor
Operative Research Unit of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Rome, Italy
Interests: sports traumatology; arthroscopic surgery of shoulder, knee, and ankle; replacement surgery of shoulder, knee, and hip
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Guest Editor
Full Professor and Consultant in Trauma and Orthopaedic Surgery, Department of Trauma and Orthopaedic Surgery, University Campus Bio-Medico of Rome, Via Álvaro Del Portillo, 200, 00128 Roma, Italy
Interests: spine surgery (scoliosis, spondylolisthesis, spinal stenosis, spinal disc herniation, myelopathy); hip, knee, and shoulder replacement surgery; foot surgery; hand surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The importance to assess health status in patients with orthopedic diseases is well known. To date, health status can be evaluated by both subjective and objective methods. The monitoring of psychological and physiological status plays a crucial role in defining the patients’ clinical pictures. Subjective evaluations mainly focus on patient’s perceptions about e.g., emotional status, mental stress, level of satisfaction. Objective evaluations may include measures of strength, range of motion or vital signs such as respiratory rate, heart rate, body temperature, blood pressure. Choosing the most adequate evaluation methods, for a specific orthopedic disease, is decisive to avoid misleading outcomes. To what extent psychological and physiological factors may contribute to define the level of quality of life is still a wide discussion topic. The special issue aims in discussing the current methodologies to assess quality of life in patients with orthopedic diseases.

Prof. Umile Giuseppe Longo
Prof. Vicenzo Denaro
Guest Editors

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Keywords

  • orthopedic diseases
  • quality of life
  • evaluation
  • stress
  • satisfaction
  • emotional status

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Published Papers (3 papers)

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Research

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9 pages, 1777 KiB  
Article
Arthroscopic Rotator Cuff Repair Improves Sleep Disturbance and Quality of Life: A Prospective Study
by Umile Giuseppe Longo, Vincenzo Candela, Sergio De Salvatore, Ilaria Piergentili, Nicolò Panattoni, Erica Casciani, Aurora Faldetta, Anna Marchetti, Maria Grazia De Marinis and Vincenzo Denaro
Int. J. Environ. Res. Public Health 2021, 18(7), 3797; https://doi.org/10.3390/ijerph18073797 - 6 Apr 2021
Cited by 24 | Viewed by 4309
Abstract
Sleep disturbances are very common in patients with rotator cuff injury. Improvement of sleep quality in these patients can be considered a significant factor for healing in conjunction with surgery. The primary objective of this prospective study was to evaluate changes in sleep [...] Read more.
Sleep disturbances are very common in patients with rotator cuff injury. Improvement of sleep quality in these patients can be considered a significant factor for healing in conjunction with surgery. The primary objective of this prospective study was to evaluate changes in sleep quality after surgery in patients with rotator cuff repair by analyzing the PSQI (Pittsburgh Sleep Quality Index) score. The secondary aim was to evaluate the improvement in quality of life in terms of functional limitations and shoulder pain after surgery. Fifty-eight patients with rotator cuff tears treated by arthroscopic surgery were included. All the patients completed the PSQI, the 36-Item Short Form Survey (SF-36), the Simple Shoulder Test (SST), the American Shoulder and Elbow Surgeons Shoulder Score (ASES), the Oxford Shoulder Score (OSS) and the Constant-Murley Score (Constant) before and at one, three and six months after surgery. Overall improvement in all the scores analyzed (p < 0.001) was found. Preoperative and postoperative PSQI scores correlated with SF-36, SST, ASES and Constant scores at each follow-up. Preoperative and one-month postoperative OSS correlated with the PSQI score. Using the Friedman test, we found an overall improvement in all score analyses (p < 0.001). The results prove that after rotator cuff repair, sleep disturbances improve three to six months after surgery improving the quality of life of these patients. Full article
(This article belongs to the Special Issue Quality of Life in Orthopedic Diseases)
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11 pages, 1008 KiB  
Article
Total Hip Arthroplasty: Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Forgotten Joint Score 12
by Umile Giuseppe Longo, Sergio De Salvatore, Ilaria Piergentili, Anna Indiveri, Calogero Di Naro, Giulia Santamaria, Anna Marchetti, Maria Grazia De Marinis and Vincenzo Denaro
Int. J. Environ. Res. Public Health 2021, 18(5), 2267; https://doi.org/10.3390/ijerph18052267 - 25 Feb 2021
Cited by 29 | Viewed by 3352
Abstract
The Forgotten Joint Score-12 (FJS-12) is a valid patient-reported outcome measures (PROMs) used to assess prosthesis awareness during daily activities after total hip arthroplasty (THA). The minimum clinically important difference (MCID) can be defined as the smallest change or difference that is evaluated [...] Read more.
The Forgotten Joint Score-12 (FJS-12) is a valid patient-reported outcome measures (PROMs) used to assess prosthesis awareness during daily activities after total hip arthroplasty (THA). The minimum clinically important difference (MCID) can be defined as the smallest change or difference that is evaluated as beneficial and could change the patient’s clinical management. The patient acceptable symptom state (PASS) is considered the minimum PROMs cut-off value that corresponds to a patient’s satisfactory state of health. Despite the validity and reliability of the FJS-12 having been already demonstrated, the MCID and the PASS of this score have not previously been defined. Patients undergoing THA from January 2019 to October 2019 were assessed pre-operatively and six months post-surgery using the FJS-12, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and the Oxford Hip Score (OHS). Pre-operative and follow-up questionnaires were completed by 50 patients. Both distribution-based approaches and anchor approaches were used to estimate MCID. The aim of this paper was to assess the MCID and PASS values of FJS-12 after total hip replacement. The FJS-12 MCID from baseline to 6 months post-operative follow-up was 17.5. The PASS calculated ranged from 69.8 to 91.7. Full article
(This article belongs to the Special Issue Quality of Life in Orthopedic Diseases)
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Review

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19 pages, 781 KiB  
Review
A Historical Analysis of Randomized Controlled Trials in Rotator Cuff Tears
by Vincenzo Candela, Umile Giuseppe Longo, Calogero Di Naro, Gabriella Facchinetti, Anna Marchetti, Gaia Sciotti, Giulia Santamaria, Ilaria Piergentili, Maria Grazia De Marinis, Ara Nazarian and Vincenzo Denaro
Int. J. Environ. Res. Public Health 2020, 17(18), 6863; https://doi.org/10.3390/ijerph17186863 - 20 Sep 2020
Cited by 6 | Viewed by 3621
Abstract
Background and objectives: Our research aimed to evaluate the quality of reporting of randomized controlled trials (RCTs) linked to rotator cuff (RC) tears. The present study analyzed factors connected to the quality of the RCTs and trends in the quality of reporting through [...] Read more.
Background and objectives: Our research aimed to evaluate the quality of reporting of randomized controlled trials (RCTs) linked to rotator cuff (RC) tears. The present study analyzed factors connected to the quality of the RCTs and trends in the quality of reporting through time. Materials and Methods: The online databases used to search all RCTs on the topic of RC surgery completed until March 2020 were PubMed and Ovid (MEDLINE). The quality of reporting was evaluated using the modified Coleman methodology score (MCMS) and the consolidated standards of reporting trials (CONSORT). Results: The online search found 957 articles. Finally, 183 studies were included in the quantitative synthesis. A total of 97 (53%) of 183 studies had a level of evidence I and 86 (47%) of 183 studies had a level of evidence II, according to the Oxford Center of Evidence Based Medicine (EBM). A statistically significant difference in MCMS between articles written before 2010 and articles written after 2010 was found. Articles written after 2010 had, on average, the highest Coleman score. The average number of CONSORT checklist items for each article across all analyzed RCTs was 21.67. The 37 studies completed up to 2010 averaged a number of checklist items of 19.97 and the studies completed between 2011 and 2019 averaged a number of checklist items of 22.10. A statistically significant difference in the number of checklist items between articles written before 2010 and articles written after 2010 was found. Articles written after 2010 had on average more checklist items. However, low correlation (0.26) between the number of checklist items for each article and the respective Coleman score was found. On the other hand, articles with the CONSORT diagram had a significantly high Coleman score. Conclusions: An improvement in the quantity and quality of RCTs relating to RC surgery over the analyzed period was found. Full article
(This article belongs to the Special Issue Quality of Life in Orthopedic Diseases)
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