scholarly journals Effects of supervised exercise compared to non-supervised exercise early after total hip replacement on patient-reported function, pain, health-related quality of life and performance-based function – a systematic review and meta-analysis of randomized controlled trials

2018 ◽  
Vol 33 (1) ◽  
pp. 13-23 ◽  
Author(s):  
Sebrina Hansen ◽  
Jens Aaboe ◽  
Inger Mechlenburg ◽  
Søren Overgaard ◽  
Lone Ramer Mikkelsen
Keyword(s):  
Quality Of Life ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Health Related Quality ◽  
Supervised Exercise ◽  
Patient Reported ◽  
Related Quality ◽  
Health Related ◽  
And Performance

Background: The rehabilitation after a total hip replacement varies in degree of supervision; however, it remains unknown whether supervised programmes are more effective than non-supervised. Objective: This study compared the effectiveness of supervised exercise compared to non-supervised home-based exercise after total hip replacement on patient-reported function, hip-pain, health-related quality of life and performance-based function. Methods: A systematic review and meta-analysis of randomized controlled trials investigating the effect of supervised exercise compared to non-supervised home-based exercise. An electronic search was performed in Medline, Embase and CINAHL on 14 March 2018. The methodological quality was assessed using the Cochrane Risk of Bias tool. Results: Seven studies were included with a total of 389 participants. A small and non-significant difference in favour of the supervised groups was found in patient-reported function (standardized mean difference (SMD) −0.22 (95% confidence interval (CI) −0.46 to 0.02)), hip-related pain (SMD −0.03 (95% CI −0.27 to 0.21)), health-related quality of life (mean difference (MD) −3.08 (95% CI −6.29 to 0.14)) and performance-based function (SMD −0.26 (95% CI −0.68 to 0.17)) at end of treatment and in patient-reported function (MD −1.31 (95% CI −3.79 to 1.16)) at the 6- to 12-month follow-up. Limitations: The literature search was systematic, but limited to three databases. The overall quality of evidence was downgraded to moderate due to lack of blinding in included studies. Conclusion: Supervised exercise was not significantly effective compared to non-supervised home-based exercise on patient-reported function, pain, health-related quality of life and performance-based function after primary total hip replacement. Others: PROSPERO registration number: CRD42017055604.

Using patient reports to assess health-related quality of life after total hip replacement

1993 ◽  
Vol 2 (1) ◽  
pp. 3-11 ◽  
Author(s):  
P. D. Cleary ◽  
D. T. Reilly ◽  
S. Greenfield ◽  
A. G. Mulley ◽  
L. Wexler ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Health Related Quality ◽  
Total Hip ◽  
Patient Reports ◽  
Related Quality ◽  
Health Related

scholarly journals Evaluation and prediction of health-related quality of life for total hip replacement among Chinese in Taiwan

2006 ◽  
Vol 32 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Hon-Yi Shi ◽  
Herng-Chia Chiu ◽  
Je-Ken Chang ◽  
Jun-Wen Wang ◽  
Richard Culbertson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Health Related Quality ◽  
Total Hip ◽  
Related Quality ◽  
Health Related

scholarly journals Cost-effectiveness of timely versus delayed primary total hip replacement in Germany: A social health insurance perspective

2017 ◽  
Vol 9 (3) ◽  
Author(s):  
Ruben E. Mujica-Mota ◽  
Leala K. Watson ◽  
Rosanna Tarricone ◽  
Marcus Jäger
Keyword(s):  
Quality Of Life ◽  
Health Insurance ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Social Health Insurance ◽  
Social Health ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Without clinical guideline on the optimal timing for primary total hip replacement (THR), patients often receive the operation with delay. Delaying THR may negatively affect long-term health-related quality of life, but its economic effects are unclear. We evaluated the costs and health benefits of timely primary THR for functionally independent adult patients with end-stage osteoarthritis (OA) compared to non-surgical therapy followed by THR after progression to functional dependence (delayed THR), and non-surgical therapy alone (Medical Therapy), from a German Social Health Insurance (SHI) perspective. Data from hip arthroplasty registers and a systematic review of the published literature were used to populate a tunnel-state modified Markov lifetime model of OA treatment in Germany. A 5% annual discount rate was applied to costs (2013 prices) and health outcomes (Quality Adjusted Life Years, QALY). The expected future average cost of timely THR, delayed THR and medical therapy in women at age 55 were €27,474, €27,083 and €28,263, and QALYs were 20.7, 16.7, and 10.3, respectively. QALY differences were entirely due to health-related quality of life differences. The discounted cost per QALY gained by timely over delayed (median delay of 11 years) THR was €1270 and €1338 in women treated at age 55 and age 65, respectively, and slightly higher than this for men. Timely THR is cost-effective, generating large quality of life benefits for patients at low additional cost to the SHI. With declining healthcare budgets, research is needed to identify the characteristics of those able to benefit the most from timely THR.

Psychological and psychiatric factors related to health-related quality of life after total hip replacement – preliminary report

2009 ◽  
Vol 24 (2) ◽  
pp. 119-124 ◽  
Author(s):  
Karina Badura-Brzoza ◽  
Piotr Zajac ◽  
Zenon Brzoza ◽  
Alicja Kasperska-Zajac ◽  
Jerzy Matysiakiewicz ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Total Hip Replacement ◽  
Sense Of Coherence ◽  
Hip Replacement ◽  
Medical Illness ◽  
Health Related Quality ◽  
Total Hip ◽  
Related Quality ◽  
Health Related

AbstractAbstractTotal hip replacement is one of the most successful orthopaedic interventions in improving considerably the patients' performance, nevertheless some patients demonstrate declined functional ability following an operation. Such condition is not a consequence of medical illness or the surgery itself but might rather be associated with mental status. The authors conduct an investigation concerning the relation between some psychological and psychiatric factors and their influence on health-related quality of life in patients after total hip replacement.MethodsInto the study group we included 102 subjects undergoing total hip replacement (59 female, 43 male). In all subjects we measured depression (Beck Depression Inventory – BDI), anxiety (State and Trait Anxiety Inventory – STAI), sense of coherence (SOC-29), personality traits (Eysenck Personality Inventory – EPI) and health related quality of life (SF-36).ResultsThe postoperative values of the PCS and the MCS for the whole group of patients correlated negatively with the SOC values (p = 0.04 and p = 0.03 respectively). Neuroticism (EPI) and anxiety as a trait (STAI) were also associated with postoperative performance, both in mental (p = 0.03 and p = 0.008 respectively) and physical (p = 0.005 and p = 0.04 respectively terms).ConclusionTotal hip replacement improves significantly the patient’s health-related quality of life at 6 months after surgery, what is influenced by sense of coherence, neuroticism and anxiety as a trait. Above mentioned factors should be taken into account when rehabilitation and social readaptation processes are planned.

Determinants of Health-Related Quality of Life Following Elective Total Hip Replacement

1999 ◽  
Vol 14 (3) ◽  
pp. 110-116 ◽  
Author(s):  
Wilma M. Hopman ◽  
Michelle Mantle ◽  
Tanveer E. Towheed ◽  
Thomas A. MacKenzie
Keyword(s):  
Quality Of Life ◽  
Total Hip Replacement ◽  
Hip Replacement ◽  
Determinants Of Health ◽  
Health Related Quality ◽  
Total Hip ◽  
Related Quality ◽  
Health Related
Sign in / Sign up

Export Citation Format

Share Document