(Press-News.org) Waltham — April 30, 2024 — One-third of patients undergoing surgery for adult spinal deformity (ASD) also have severe osteoarthritis (OA) of the hip – which is associated with worse spinal alignment and physical functioning, reports a study in The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.
These differences persist even following operative treatment of ASD, according to the new research by Alan H. Daniels, MD and Bassel Diebo, MD of Brown University and colleagues from 20 North American spinal surgery centers. "Concomitant hip and spine disease are common, yet they remain challenging for joint arthroplasty and spine surgeons," the researchers write.
New data on functional outcomes in patients with ASD and hip OA
Adult spinal deformity refers to various abnormalities of spinal curvature and alignment. As some of these deformities arise from wear and tear over time, they are likely to become more frequent in an aging population. For patients with ASD who do not improve with nonoperative treatment, spinal realignment surgery may be indicated.
Previous studies have reported high rates of hip OA accompanying ASD. However, little is known about how OA affects patient characteristics and the outcomes of surgery for ASD – in terms of both spinal alignment and patient-reported outcomes such as physical functioning and disability.
Drs. Daniels and Diebo and colleagues analyzed rates and outcomes of hip OA in 520 older adults who underwent surgery for ASD at one of 13 US and Canadian centers. About two-thirds of patients were women, and the average age was 59 years. Consistent with previous studies, 34% of patients were classified as having severe OA involving both hips.
The researchers compared the characteristics of ASD patients with and without severe hip OA, including key patient-reported outcome measures. Characteristics and outcomes were also compared at postoperative follow-up in 165 patients: 68 with severe bilateral hip OA, 32 with severe OA of one hip only, and 65 without severe OA in either hip.
Severe hip OA linked to increased ASD severity and disability
On preoperative analysis, patients with severe bilateral hip OA were older (average age, 68 years) than those with unilateral (66 years) and or non-severe hip OA (60 years). Patients with severe hip OA also scored higher on a standard assessment of frailty.
At one-year follow-up, all three groups had similar correction of lordosis. However, patients with severe hip OA had worse spinal alignment, based on a radiographic measure called the sagittal vertebral axis (SVA). The difference in SVA was significant both preoperatively and at follow-up.
Several patient-reported outcomes were also found to be worse in patients with severe bilateral hip OA, who had lower scores for physical functioning both preoperatively and at follow-up. Although overall disability scores were not significantly different between groups, severe hip OA was associated with persistent reductions in activities such as walking, traveling, and climbing stairs. Frailty contributed to the differences in functional outcomes.
The study is among the first "to investigate the alignment and functional outcomes of patients with concomitant hip OA at the time of surgery for severe ASD," the researchers write. The findings suggest that ASD patients with severe OA of both hips are older and frailer and have worse physical functioning and disability scores, even after accounting for correction of their spinal deformity.
"[G]iven the complexity of concomitant hip and spine disease and the relatively frail condition of these patients, they warrant careful evaluation and optimization perioperatively," Dr. Daniels and coauthors conclude. They add: "Further research is required to elucidate how to optimize outcomes in this complex patient population."
Read Article: Hip Osteoarthritis in Patients Undergoing Surgery for Severe Adult Spinal Deformity: Prevalence and Impact on Spine Surgical Outcomes
Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students in effective decision-making and outcomes across healthcare. We support clinical effectiveness, learning and research, clinical surveillance and compliance, as well as data solutions. For more information about our solutions, visit https://www.wolterskluwer.com/en/health.
###
About Wolters Kluwer
Wolters Kluwer (EURONEXT: WKL) is a global leader in information, software, and services for professionals in healthcare, tax and accounting, financial and corporate compliance, legal and regulatory, and corporate performance and ESG. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with specialized technology and services.
Wolters Kluwer reported 2022 annual revenues of €5.5 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 20,900 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.
For more information, visit www.wolterskluwer.com, follow us on LinkedIn, Facebook, and YouTube.
END
High rates of hip osteoarthritis among older adults with spinal deformity
Severe hip OA linked to worse functional impairment even after spinal surgery, reports Journal of Bone & Joint Surgery
2024-05-03
ELSE PRESS RELEASES FROM THIS DATE:
ChatGPT can be helpful for Black women’s self-education about HIV, PrEP
2024-05-03
Waltham — May 3, 2024 — The artificial intelligence (AI) chatbot called ChatGPT is a powerful way for Black women to educate themselves about HIV prevention, as it provides reliable and culturally sensitive information, according to a study in The Journal of the Association of Nurses in AIDS Care (JANAC), the official journal of the Association of Nurses in AIDS Care. JANAC is published in the Lippincott portfolio by Wolters Kluwer.
"In addition to immediately available information, regardless of time or geographic location, privacy ...
Research quantifies “gap” in carbon removal for first time
2024-05-03
New research involving the University of East Anglia (UEA) suggests that countries’ current plans to remove CO2 from the atmosphere will not be enough to comply with the 1.5 ºC warming limit set out under the Paris Agreement.
Since 2010, the United Nations environmental organisation UNEP has taken an annual measurement of the emissions gap - the difference between countries’ climate protection pledges and what is necessary to limit global heating to 1.5 ºC, or at least below 2 ºC.
The ...
Study: ChatGPT displays lower concern for child development “warning signs” than physicians
2024-05-03
Artificial intelligence (AI) tool ChatGPT displayed lower concern than physicians in 36% of potential developmental delays, according to a new study. The research will be presented at the Pediatric Academic Societies (PAS) 2024 Meeting, held May 3-6 in Toronto.
Researchers found ChatGPT made different conclusions about the abnormality of a potential delay than pediatricians 41% of the time.
The study investigated how ChatGPT responded to parents’ concerns whether their child’s development was normal or abnormal, including ...
Study: Childcare is unaffordable for U.S. medical residents
2024-05-03
Resident physicians at more than 98% of U.S. training programs aren’t paid enough to afford childcare, according to a new national study. The research will be presented at the Pediatric Academic Societies (PAS) 2024 Meeting, held May 3-6 in Toronto.
Childcare remains unaffordable even at most programs that subsidize childcare or offer it onsite, the examination of data from the Labor Department and the U.S. Census Bureau’s American Community Survey (ACS) revealed.
“People in the United States from many walks of life struggle to pay for childcare, and resident physicians are no exception,” said Ryan Brewster, MD, resident physician at Boston Children’s ...
Study: New approach to equitable social care connects pediatric caregivers to resources without screening
2024-05-03
Health care providers can more effectively connect parents and other caregivers of children to needed social resources when they present a menu of options rather than using standard screening tools, a recent study found. The research will be presented at the Pediatric Academic Societies (PAS) 2024 Meeting, held May 3-6 in Toronto.
According to researchers at the Children’s Hospital of Philadelphia, health care providers typically use risk-based screening to identify families facing food and housing insecurity, financial strain, and unsafe environments. Experts ...
Study: Rural children struggle to access hospital services
2024-05-03
Children in rural areas were more than six times as likely to check into a hospital without pediatric services compared to children in urban areas, a new study found. The research will be presented at the Pediatric Academic Societies (PAS) 2024 Meeting, held May 3-6 in Toronto.
Researchers studied approximately 80,000 hospital claims for nearly 37,000 children with multiple chronic conditions. The hospitalizations occurred between 2012 and 2017 in Colo., Mass., and N.H.
The study found that 41.9% of children in urban areas were first admitted to a children’s hospital for ...
Study: Longer use of breathing device supports lung growth in preterm infants
2024-05-03
Extending the use of a continuous positive airway pressure (CPAP) treatment in premature infants by two weeks significantly increases lung volume and lung diffusion capacity, according to a new study. The research will be presented at the Pediatric Academic Societies (PAS) 2024 Meeting, held May 3-6 in Toronto.
CPAP treatment is common for preterm infants with breathing issues, but researchers note there is no consensus on optimal treatment length when the preterm infant is doing well. Preterm birth is the most common cause of altered lung development and breathing issues that can last into adulthood, experts say.
“Extending CPAP treatment ...
Study: Newborn umbilical cord procedure safe for long-term neurodevelopment in children
2024-05-03
An alternative method of transferring blood cells to weakened newborns through their umbilical cord does not carry long-term neurodevelopmental risks compared to standard practice, a recent study found. The research will be presented at the Pediatric Academic Societies (PAS) 2024 Meeting, held May 3-6 in Toronto.
Umbilical cord blood contains oxygen and beneficial nutrients for newborns, experts say. Doctors may delay clamping a newborn’s umbilical cord to pass nutrients through their cord if they have poor breathing or a low heart rate immediately after birth. A study found that umbilical cord ...
Study: Eye ultrasounds may assist with detecting brain shunt failure in children
2024-05-03
Use of an eye ultrasound may quickly and safely identify children with brain drainage tube failure in the emergency department, according to a new study. The research will be presented at the Pediatric Academic Societies (PAS) 2024 Meeting, held May 3-6 in Toronto.
A ventricular shunt is a surgically implanted thin, plastic tube that drains extra fluid and relieves pressure on the brain. Children receive ventricular shunts for hydrocephalus, a condition where brain fluid doesn’t drain or reabsorb properly from brain bleeds, tumors, or other causes. Nearly 30% of shunts break, are ...
Study: Children with hypertension at higher long-term risk for serious heart conditions
2024-05-03
Youth with high blood pressure are nearly four times more likely to be at long-term risk of serious heart conditions including stroke and heart attack, according to a new study. The research, led by McMaster University, will be presented at the Pediatric Academic Societies (PAS) 2024 Meeting, held May 3-6 in Toronto.
Hypertension affects one of every 15 children and adolescents worldwide and is a growing concern, according to researchers. Despite this, it is unclear what happens to these children in the long-term. Researchers compared 25,605 youth diagnosed with hypertension from 1996-2021 in Ontario to peers without the condition.
The study found that ...
LAST 30 PRESS RELEASES:
To catch financial rats, a better mousetrap
Mapping the world's climate danger zones
Emory heart team implants new blood-pumping device for first time in U.S.
Congenital heart defects caused by problems with placenta
Schlechter named Cancer Moonshot Scholar
Two-way water transfers can ensure reliability, save money for urban and agricultural users during drought in Western U.S., new study shows
New issue of advances in dental research explores the role of women in dental, clinical, and translational research
Team unlocks new insights on pulsar signals
Great apes visually track subject-object relationships like humans do
Recovery of testing for heart disease risk factors post-COVID remains patchy
Final data and undiscovered images from NASA’s NEOWISE
Nucleoporin93: A silent protector in vascular health
Can we avert the looming food crisis of climate change?
Alcohol use and antiobesity medication treatment
Study reveals cause of common cancer immunotherapy side effect
New era in amphibian biology
Harbor service, VAST Data provide boost for NCSA systems
New prognostic model enhances survival prediction in liver failure
China focuses on improving air quality via the coordinated control of fine particles and ozone
Machine learning reveals behaviors linked with early Alzheimer’s, points to new treatments
Novel gene therapy trial for sickle cell disease launches
Engineering hypoallergenic cats
Microwave-induced pyrolysis: A promising solution for recycling electric cables
Cooling with light: Exploring optical cooling in semiconductor quantum dots
Breakthrough in clean energy: Scientists pioneer novel heat-to-electricity conversion
Study finds opposing effects of short-term and continuous noise on western bluebird parental care
Quantifying disease impact and overcoming practical treatment barriers for primary progressive aphasia
Sports betting and financial market data show how people misinterpret new information in predictable ways
Long COVID brain fog linked to lung function
Concussions slow brain activity of high school football players
[Press-News.org] High rates of hip osteoarthritis among older adults with spinal deformitySevere hip OA linked to worse functional impairment even after spinal surgery, reports Journal of Bone & Joint Surgery