The Effects of Sarcopenia on Hip and Knee Replacement Surgery: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Selection
2.2. Inclusion Criteria
2.3. Exclusion Criteria
2.4. Search
2.5. Data Collection Process
2.6. Data Items
2.7. Study Risk of Bias Assessment
3. Results
3.1. Study Selection
3.2. Study Characteristics
3.3. Quality Assessment
3.4. Outcome: PROMS Improvement
3.5. Outcome Mortality Rate
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Atala, N.A.; Bongiovanni, S.L.; Galich, A.M.; Bruchmann, M.G.; Rossi, L.A.; Tanoira, I.; Ranalletta, M. Is sarcopenia a risk factor for rotator cuff tears? J. Shoulder Elb. Surg. 2020, 30, 1851–1855. [Google Scholar] [CrossRef] [PubMed]
- Bae, G.C.; Moon, K.H. Effect of Osteosarcopenia on Postoperative Functional Outcomes and Subsequent Fracture in Elderly Hip Fracture Patients. Geriatr. Orthop. Surg. Rehabil. 2020, 11, 2151459320940568. [Google Scholar] [CrossRef] [PubMed]
- Cruz-Jentoft, A.J.; Landi, F.; Schneider, S.M.; Zúñiga, C.; Arai, H.; Boirie, Y.; Chen, L.K.; Fielding, R.A.; Martin, F.C.; Michel, J.P.; et al. Prevalence of and interventions for sarcopenia in ageing adults: A systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing 2014, 43, 748–759. [Google Scholar] [CrossRef]
- Cruz-Jentoft, A.J.; Bahat, G.; Bauer, J.; Boirie, Y.; Bruyère, O.; Cederholm, T.; Cooper, C.; Landi, F.; Rolland, Y.; Sayer, A.A.; et al. Sarcopenia: Revised European consensus on definition and diagnosis. Age Ageing 2019, 48, 601. [Google Scholar] [CrossRef] [PubMed]
- González-Montalvo, J.I.; Alarcón, T.; Gotor, P.; Queipo, R.; Velasco, R.; Hoyos, R.; Pardo, A.; Otero, A. Prevalence of sarcopenia in acute hip fracture patients and its influence on short-term clinical outcome. Geriatr. Gerontol. Int. 2016, 16, 1021–1027. [Google Scholar] [CrossRef]
- Laubscher, C.V.; Burger, M.C.; Conradie, M.M.; Conradie, M.; Jordaan, J.D. Prevalence of Sarcopenia in Older South African Patients Following Surgery for Fragility Fractures of the Hip. Geriatr. Orthop. Surg. Rehabil. 2020, 11, 2151459320971560. [Google Scholar] [CrossRef]
- Kouw, I.W.K.; Groen, B.B.L.; Smeets, J.S.J.; Kramer, I.F.; van Kranenburg, J.M.X.; Nilwik, R.; Geurts, J.A.P.; Ten Broeke, R.H.M.; Poeze, M.; van Loon, L.J.C.; et al. One Week of Hospitalization Following Elective Hip Surgery Induces Substantial Muscle Atrophy in Older Patients. J. Am. Med. Dir. Assoc. 2019, 20, 35–42. [Google Scholar] [CrossRef]
- Di Vincenzo, O.; Marra, M.; Sacco, A.M.; Pasanisi, F.; Scalfi, L. Bioelectrical impedance (BIA)-derived phase angle in adults with obesity: A systematic review. Clin. Nutr. 2021, 40, 5238–5248. [Google Scholar] [CrossRef]
- Li, G.H.; Lee, G.K.; Au, P.C.; Chan, M.; Li, H.L.; Cheung, B.M.; Wong, I.C.; Lee, V.H.; Mok, J.; Yip, B.H.; et al. The effect of different measurement modalities in the association of lean mass with mortality: A systematic review and meta-analysis. Osteoporos. Sarcopenia 2021, 7, S13–S18. [Google Scholar] [CrossRef]
- Pahor, M.; Manini, T.; Cesari, M. Sarcopenia: Clinical evaluation, biological markers and other evaluation tools. J. Nutr. Health Aging 2009, 13, 724–728. [Google Scholar] [CrossRef]
- Rubbieri, G.; Mossello, E.; Di Bari, M. Techniques for the diagnosis of sarcopenia. Clin. Cases Miner. Bone Metab. 2014, 11, 181–184. [Google Scholar] [CrossRef] [PubMed]
- Yassin, M.; Garti, A.; Khatib, M.; Weisbrot, M.; Robinson, D. Retentive Cup Arthroplasty in Selected Hip Fracture Patients—A Prospective Series with a Minimum 3-Year Follow-Up. Geriatr. Orthop. Surg. Rehabil. 2016, 7, 178–182. [Google Scholar] [CrossRef]
- Di Monaco, M.; Vallero, F.; Di Monaco, R.; Tappero, R. Prevalence of sarcopenia and its association with osteoporosis in 313 older women following a hip fracture. Arch. Gerontol. Geriatr. 2011, 52, 71–74. [Google Scholar] [CrossRef] [PubMed]
- Di Monaco, M.; Castiglioni, C.; Vallero, F.; Di Monaco, R.; Tappero, R. Sarcopenia is more prevalent in men than in women after hip fracture: A cross-sectional study of 591 inpatients. Arch. Gerontol. Geriatr. 2012, 55, e48–e52. [Google Scholar] [CrossRef]
- Siviero, P.; Marseglia, A.; Biz, C.; Rovini, A.; Ruggieri, P.; Nardacchione, R.; Maggi, S. Quality of life outcomes in patients undergoing knee replacement surgery: Longitudinal findings from the QPro-Gin study. BMC Musculoskelet. Disord. 2020, 21, 436. [Google Scholar] [CrossRef]
- Verhey, J.T.; Haglin, J.M.; Verhey, E.M.; Hartigan, D.E. Virtual, augmented, and mixed reality applications in orthopedic surgery. Int. J. Med. Robot. 2020, 16, e2067. [Google Scholar] [CrossRef]
- Ho, K.K.; Lau, L.C.; Chau, W.W.; Poon, Q.; Chung, K.Y.; Wong, R.M. End-stage knee osteoarthritis with and without sarcopenia and the effect of knee arthroplasty—A prospective cohort study. BMC Geriatr. 2021, 21, 2. [Google Scholar] [CrossRef]
- Chen, Y.P.; Wong, P.K.; Tsai, M.J.; Chang, W.C.; Hsieh, T.S.; Leu, T.H.; Jeff Lin, C.F.; Lee, C.H.; Kuo, Y.J.; Lin, C.Y. The high prevalence of sarcopenia and its associated outcomes following hip surgery in Taiwanese geriatric patients with a hip fracture. J. Formos. Med. Assoc. 2020, 119, 1807–1816. [Google Scholar] [CrossRef] [PubMed]
- Liao, C.D.; Chiu, Y.S.; Ku, J.W.; Huang, S.W.; Liou, T.H. Effects of Elastic Resistance Exercise on Postoperative Outcomes Linked to the ICF Core Sets for Osteoarthritis after Total Knee Replacement in Overweight and Obese Older Women with Sarcopenia Risk: A Randomized Controlled Trial. J. Clin. Med. 2020, 9, 2194. [Google Scholar] [CrossRef] [PubMed]
- Wang, S.H.; Shen, C.Y.; Weng, T.C.; Lin, P.H.; Yang, J.J.; Chen, I.F.; Kuo, S.M.; Chang, S.J.; Tu, Y.K.; Kao, Y.H.; et al. Detection of cartilage oligomeric matrix protein using a quartz crystal microbalance. Sensors 2010, 10, 11633–11643. [Google Scholar] [CrossRef]
- Longo, U.G.; Rizzello, G.; Frnaceschi, F.; Campi, S.; Maffulli, N.; Denaro, V. The architecture of the ipsilateral quadriceps two years after successful anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft. Knee 2014, 21, 721–725. [Google Scholar] [CrossRef] [PubMed]
- Denaro, L.; Longo, U.G.; Papalia, R.; De Salvatore, S.; Ruzzini, L.; Piergentili, I.; Denaro, V. The burden of percutaneous vertebroplasty: An epidemiological nationwide study in Italy from 2009 to 2015. Eur. Spine J. 2021, 30, 3099–3106. [Google Scholar] [CrossRef] [PubMed]
- Longo, U.G.; De Salvatore, S.; Candela, V.; Berton, A.; Casciaro, C.; Sciotti, G.; Cirimele, G.; Marchetti, A.; Piergentili, I.; De Marinis, M.G.; et al. Unicompartmental Knee Arthroplasty: Minimal Important Difference and Patient Acceptable Symptom State for the Forgotten Joint Score. Medicina 2021, 57, 324. [Google Scholar] [CrossRef] [PubMed]
- Chiang, M.H.; Kuo, Y.J.; Chen, Y.P. The Association between Sarcopenia and Postoperative Outcomes among Older Adults with Hip Fracture: A Systematic Review. J. Appl. Gerontol. 2021, 40, 1903–1913. [Google Scholar] [CrossRef] [PubMed]
- Longo, U.G.; De Salvatore, S.; Piergentili, I.; Indiveri, A.; Di Naro, C.; Santamaria, G.; Marchetti, A.; Marinis, M.G.; Denaro, V. Total Hip Arthroplasty: Minimal Clinically Important Difference and Patient Acceptable Symptom State for the Forgotten Joint Score 12. Int. J. Environ. Res. Public Health 2021, 18, 2267. [Google Scholar] [CrossRef]
- Yoo, J.I.; Kim, H.; Ha, Y.C.; Kwon, H.B.; Koo, K.H. Osteosarcopenia in Patients with Hip Fracture Is Related with High Mortality. J. Korean Med. Sci. 2018, 33, e27. [Google Scholar] [CrossRef]
- Kim, Y.K.; Yi, S.R.; Lee, Y.H.; Kwon, J.; Jang, S.I.; Park, S.H. Effect of Sarcopenia on Postoperative Mortality in Osteoporotic Hip Fracture Patients. J. Bone Metab. 2018, 25, 227–233. [Google Scholar] [CrossRef]
Author, Year of Publication, and Country | Type of Study and Level of Evidence (LOE) | Mean Age | Sample Size and Sex (Female) | Follow-Up |
---|---|---|---|---|
Bae 2020, Republic of Korea [2] | Case–control study, III | Group 1: 82.8 ± 6.6 Group 2: 83.3 ± 6.0 | 109 (87): Group 1: 64 with sarcopenia Group 2: 45 normal group | 108 m |
Chen 2020, Taiwan [18] | Prospective study, III | Group 1: 83.49 ± 9.77 Group 2: 77.99 ± 8.80 | 139 (103) Group 1: 69 with sarcopenia Group 2: 70 without sarcopenia | 12 m |
Chun-De Liao 2020, Taiwan [19] | RCT, I | Group 1 (experimental): 72.22 ± 7.75 Group 2 (control): 69.79 ± 6.72 | 40 (not specified) group 1: 20 group 2: 20 | 4 m |
Kouw2018, The Netherlands [7] | Observational study, III | 74.7 ± 0.8 | 26 (19) | 6 d |
Laubscher 2020, South Africa [6] | Case–control study, II | Group 1: 78 ± 10 Group 2: 71 ± 8 | 65 (39) group 1: 34 (24) with sarcopenia group 2: 31 (15) without sarcopenia | 4 m |
Author | Clearly Stated Aim | Inclusion of Consecutive Patients | Prospective Data Collection | Endpoints Appropriate to Study Aim | Unbiased Assessment of Study Endpoint | Follow-Up Period Appropriate to Study Aim | <5% Lost to Follow-Up | Prospective Calculation of Study Size | Adequate Control Group | Contemporary Groups | Baseline Equivalence of Groups | Adequate Statistical Analyses | Total Score (…/24) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Bae 2020 | 2 | 0 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 22 |
Chen 2020 | 2 | 0 | 0 | 2 | NA | 2 | 2 | 2 | 0 | 0 | 0 | 2 | 12 |
Kouw 2018 | 2 | 2 | 0 | 2 | 2 | 0 | 2 | 0 | 0 | 0 | 0 | 2 | 12 |
Laubscher 2020 | 2 | 0 | 2 | 2 | 2 | 1 | 2 | 2 | 0 | 0 | 0 | 2 | 15 |
Author and Year | Type of Surgery | Diagnosis | Outcome Measures | Mean Changes in Outcome Variables | ||
---|---|---|---|---|---|---|
Sarcopenia Group | Non-Sarcopenia Group | p-Value | ||||
Bae 2020, [2] | Hip replacement | Hip fracture | BMI; HHS; BI; | BMI 23.9 ± 8.0 HHS: Preoperative 78.2 ± 5.1 6 weeks 56.2 ± 7.5 3 months 59.1 ± 5.9 1 year 64.7 ± 8.5 BI: Preoperative 73.9 ± 6.8 6w 52.4 ± 8.8 3 m 58.0 ± 7.6 1 y 62.9 ± 6.4 | BMI 23.9 ± 3.1 HHS: Preoperative 81.4 ± 6.0 6 w 66.8 ± 7.1 3 m 70.2 ± 6.6 1 y 74.0 ± 7.3 BI: Preoperative 76.0 ± 8.1 6 w 61.4 ± 7.8 3 m 68.3 ± 7.1 1 y 72.8 ± 7.3 | p = 0.286 * p = 0.092 p < 0.001 * p < 0.001 * p < 0.001 * p = 0.167 p < 0.001 * p < 0.001 * p < 0.001 * |
Chen 2020, [18] | Hip replacement | Hip fracture | BMI; HGS(Kg); BI; Total body fat (%) EQ-5D | Preoperative BMI: 20.94 ± 3.27 Preoperative HGS: 9.84 ± 5.4 Preoperative BI: 80.65 ± 25.26 Preoperative Total body fat: 31.52 ± 8.43 Preoperative EQ-5D: 0.78 ± 0.21 | Preoperative BMI: 24.34 ± 3.09 Preoperative HGS: 13.84 ± 9.27 Preoperative BI: 90.29 ± 19.60 Preoperative Total body fat: 36.52 ± 6.36 Preoperative EQ-5D: 0.88 ± 0.18 | p < 0.001 * p < 0.001 * p < 0.001 * p < 0.001 * p < 0.001 * |
Chun-De Liao 2020 [19] | Total knee replacement | Knee osteoarthritis | BMI; AMI; WOMAC PAIN WOMAC PF | Group 1: BMI t0: 28.27 ± 3.25 AMI: 6.22 ± 1.10 WOMAC PAIN: t0:12.5 ± 3.23 t2–t0: −6.95 ± 2.55 WOMAC PF: t0: 4.50 ± 1.82 t2–t0: −0.95 ± 1.76 | Group 2: BMI t0: 27.60 ± 3.64 AMI: 5.95 ± 0.99 WOMAC PAIN: t0:10.28 ± 3.32 t2–t0: −5.55 ± 1.23 WOMAC PF: t0: 3.45 ± 2.11 t2–t0: 0.60 ± 2.09 | p-Value not reported |
Kouw 2018, [7] | Hip replacement | Hip osteoarthritis | BMI; Lean body mass, kg (%); Fat mass, %; SMMISF-36 | BMI: 28.0 ± 0.8 lean body mass: 47.6 ± 1.9; fat mass: 34.0 ± 1.2; SMMI: 7.6 ± 0.3; SF36: not reported | SF36: not reported | p-Value not reported |
Laubscher 2020, [6] | Hip replacement | Hip fractures | BMI; HGS; ASM; SMI. SURGICAL OUTCOMES NOT REPORTED | Group 1: BMI: 21 ± 4 Low HGS **: 34 Normal HGS: 0 Low ASM ***: 34 Normal ASM: 0 Low SMI ****: 28 Normal SMI: 6 | Group 2: BMI: 24 ± 7 Low HGS: 34 Normal HGS: 0 Low ASM: 34 Normal ASM: 0 Low SMI: 28 Normal SMI: 6 | p = 0.013 * |
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Longo, U.G.; De Salvatore, S.; Borredon, A.; Manon, K.Y.; Marchetti, A.; De Marinis, M.G.; Denaro, V. The Effects of Sarcopenia on Hip and Knee Replacement Surgery: A Systematic Review. Medicina 2023, 59, 524. https://doi.org/10.3390/medicina59030524
Longo UG, De Salvatore S, Borredon A, Manon KY, Marchetti A, De Marinis MG, Denaro V. The Effects of Sarcopenia on Hip and Knee Replacement Surgery: A Systematic Review. Medicina. 2023; 59(3):524. https://doi.org/10.3390/medicina59030524
Chicago/Turabian StyleLongo, Umile Giuseppe, Sergio De Salvatore, Alessandro Borredon, Khazrai Yeganeh Manon, Anna Marchetti, Maria Grazia De Marinis, and Vincenzo Denaro. 2023. "The Effects of Sarcopenia on Hip and Knee Replacement Surgery: A Systematic Review" Medicina 59, no. 3: 524. https://doi.org/10.3390/medicina59030524