000152109 001__ 152109
000152109 005__ 20250326144156.0
000152109 0247_ $$2doi$$a10.3390/life15020248
000152109 0248_ $$2sideral$$a143391
000152109 037__ $$aART-2025-143391
000152109 041__ $$aeng
000152109 100__ $$aGallego-Peñalver, Francisco
000152109 245__ $$aCohort-Based Evaluation of the Risk of Low Back Pain After Total Hip Arthroplasty: A Long-Term Study
000152109 260__ $$c2025
000152109 5060_ $$aAccess copy available to the general public$$fUnrestricted
000152109 5203_ $$aLow back pain (LBP) is a potential complication after total hip arthroplasty (THA). However, some studies suggest that THA not only alleviates joint pain but also resolves LBP in up to 88.2% of patients. Most of these observations are limited to short-term follow-ups. This study investigates the long-term relationship between THA and LBP, challenging the notion that THA resolves LBP. A retrospective review was conducted on 236 patients who underwent THA (2010–2020). Multiple statistical models were applied, including unadjusted unmatched, adjusted unmatched, adjusted matched, and target trial emulation with 7887 subjects, to evaluate LBP incidence. Of the 236 patients, 119 developed postoperative LBP. The unadjusted unmatched analysis showed a relative risk (RR) of 2.23 (95%CI: 1.5–3.2). Adjusting for age, sex, body mass index (BMI), and recruitment period reduced the RR to 1.64 (95%CI: 1.0–2.6). The adjusted matched analysis showed an RR of 1.09 (95%CI: 0.4–3.0), while the target trial emulation simulated an RR of 1.03 (95%CI: 0.7–1.8), indicating no significant differences. Despite an apparent initial association, adjusted analyses do not support a significant long-term relationship between THA and LBP. No reduction in postoperative LBP incidence was observed, suggesting THA is safe regarding LBP risk but lacks a curative effect. Rigorous confounding adjustment is essential in retrospective studies.
000152109 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000152109 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000152109 700__ $$aChaure-Pardos, Armando
000152109 700__ $$aRomero-de-la-Higuera, Silvia
000152109 700__ $$0(orcid)0000-0002-7876-4735$$aGómez-Trullén, Eva$$uUniversidad de Zaragoza
000152109 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor.
000152109 773__ $$g15, 2 (2025), 248 [10 pp.]$$pLife (Basel)$$tLife$$x2075-1729
000152109 8564_ $$s518127$$uhttps://zaguan.unizar.es/record/152109/files/texto_completo.pdf$$yVersión publicada
000152109 8564_ $$s2641550$$uhttps://zaguan.unizar.es/record/152109/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000152109 909CO $$ooai:zaguan.unizar.es:152109$$particulos$$pdriver
000152109 951__ $$a2025-03-26-13:55:20
000152109 980__ $$aARTICLE