scholarly journals Health Related Quality of Life in Men After Total Hip Replacement

2020 ◽  
Author(s):  
Monika Białkowska ◽  
Tomasz Stołtny ◽  
Jarosław Pasek ◽  
Michał Mielnik ◽  
Karol Szyluk ◽  
...  

Abstract Background: Hip osteoarthritis is a substantial health-related, social, and economic problem.The aim of the study was assessment of life quality in men with degenerative hip disease, after total hip arthroplastyor metaphyseal surgery.Material and methods: 118male patients were subjects of the study, being in the age range from 31 to 79years of age, qualified for the procedure of total hip arthroplasty. The study was a questionnaire study, in which for assessing Quality of Life in patients, the abbreviated version of WHOQoL-BREF,as well as EQ-5D-5L, and SF-36 scale. The assessment of life quality was performed before the surgery, during the first follow-up visit (6 weeks after surgery) and 6 months after the surgery. Results: The results from WHOQoL-BREF questionnaire demonstrated a statistically significant improvement regarding the assessed quality of life after the surgery –in the 6th week after the procedure by 4% and 21% (p<0.001), after 6 months by 13% and 42% (p<0.001), respectively. The most significant improvement was found in the somatic domain –by 5% after 6 weeks, and by 6% after 6 months(p<0.001). The quality of life according to the EQ-5D-5L questionnaire revealed statistically significant improvement after 6 weeks, by 18-24% (p<0.001), while after 6 months by 41-48% (p<0.001). The most considerable improvement was achieved in reducing pain complaints and enhancing the ability to move.In the SF-36 questionnaire, in turn, statistically significant improvement 6 months after the surgery refer to both physical (by 44%),and mental condition(by 54%) (p<0.001). Conclusions: The total hip arthroplasty results in improvement quality of life in examined group ofmen withhip osteoarthrosis, as early as 6 weeks after the procedure, while the improvement is more perceptible 6 months after the procedure, mainly the less severe pain experienced, and better functioning of examined patients.

2020 ◽  
Vol 73 (12) ◽  
pp. 2627-2633
Author(s):  
Monika Białkowska ◽  
Tomasz Stołtny ◽  
Jarosław Pasek ◽  
Michał Mielnik ◽  
Karol Szyluk ◽  
...  

Introduction: Hip osteoarthritis is a disabling disease which become substantial health-related, social, and economic issue. The aim: To assess short term quality of life in male population with hip ostheoarthritis, after total hip arthroplasty. Material and methods: 118 male patients were included in the study, age range from 31 to 79 year-old, who underwent total hip arthroplasty. Patients quality of life was assessed using questioners: abbreviated version of WHOQoL-BREF, as well as EQ-5D-5L, and SF-36 scale. Patients condition was investigated before surgery, 6 weeks and 6 months after the surgery. Results: The results from WHOQoL-BREF questionnaire demonstrated a statistically significant improvement of quality of life after the surgery – 6 weeks after the procedure by 4% and 21% (p<0.001), after 6 months by 13% and 42% (p<0.001), respectively. The most significant improvement was found in the somatic domain – by 5% after 6 weeks, and by 6% after 6 months (p<0.001). The quality of life according to the EQ-5D-5L questionnaire revealed statistically significant improvement after 6 weeks, by 18-24% (p<0.001), after 6 months by 41-48% (p<0.001). Substantial improvement was achieved in reducing pain and improving mobility. SF-36 questionnaire showed statistically significant improvement after 6 months from the surgery in both physical (by 44%), and mental condition (by 54%) (p<0.001). Conclusions: Improvement of the quality of life – mainly less severe pain and better mobility after total hip arthroplasty in the investigated group of men was proven in 6 weeks after the procedure, while the further progress was more noticeable 6 months after the procedure.


2015 ◽  
Vol 133 (4) ◽  
pp. 290-297 ◽  
Author(s):  
Mariana Kátia Rampazo-Lacativa ◽  
Ariene Angelini dos Santos ◽  
Arlete Maria Valente Coimbra ◽  
Maria José D'Elboux

CONTEXT AND OBJECTIVES: Quality-of-life results have increasingly been evaluated among patients undergoing joint replacements. The objective of this study was to compare two assessment instruments for health-related quality of life (one generic and the other specific), among elderly patients undergoing total hip arthroplasty.DESIGN AND SETTING: Cross-sectional descriptive study in a reference hospital in the region of Campinas.METHODS: The subjects were 88 elderly outpatients aged 60 years or over who underwent primary total hip arthroplasty. Two instruments for assessing health-related quality of life were applied: the generic Medical Study 36-item Short-Form Health Survey (SF-36) and the specific Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Cronbach's alpha and the ceiling and floor effects of the instruments were evaluated.RESULTS: The scores from both instruments showed that issues of a physical nature affected these elderly people's quality of life most. The pain and stiffness dimensions of WOMAC showed ceiling effects and only the functional capacity and pain dimensions of the SF-36 did not show the ceiling effect. The SF-36 presented floor effects in the dimensions of physical and emotional aspects. Cronbach's alpha was considered satisfactory in both instruments (α > 0.70).CONCLUSIONS: The floor and ceiling effects that were observed suggest that these instruments may present some limitations in detecting changes to the majority of the SF-36 dimensions, except for functional capacity and pain, and to the pain and stiffness dimensions of WOMAC, when applied to elderly people with total hip arthroplasty.


2014 ◽  
Vol 473 (11) ◽  
pp. 3383-3390 ◽  
Author(s):  
Meridith E. Greene ◽  
Kevin A. Rader ◽  
Göran Garellick ◽  
Henrik Malchau ◽  
Andrew A. Freiberg ◽  
...  

2007 ◽  
Vol 3 (3) ◽  
pp. 219-227 ◽  
Author(s):  
Liisa Montin ◽  
Helena Leino-Kilpi ◽  
Jouko Katajisto ◽  
Jyri Lepistö ◽  
Jyrki Kettunen ◽  
...  

2017 ◽  
Vol 99 (6) ◽  
pp. 494-498 ◽  
Author(s):  
Randa K. Elmallah ◽  
Morad Chughtai ◽  
Farshad Adib ◽  
Kevin J. Bozic ◽  
Steven M. Kurtz ◽  
...  

2015 ◽  
Vol 30 (9) ◽  
pp. 1551-1554 ◽  
Author(s):  
Scott A. Foster ◽  
Dustin S. Hambright ◽  
Valentin Antoci ◽  
Meridith E. Greene ◽  
Henrik Malchau ◽  
...  

2021 ◽  
Vol 10 (14) ◽  
pp. 3096
Author(s):  
Franziska Leiss ◽  
Melanie Schindler ◽  
Julia Sabrina Götz ◽  
Günther Maderbacher ◽  
Matthias Meyer ◽  
...  

Background: The concept of enhanced recovery after total hip arthroplasty is gaining worldwide interest, as it shortens the length of hospital stay without an increase of complications. The aim of the study was to investigate the functional outcome and health-related quality of life 12 months after cementless total hip arthroplasty with the use of an enhanced recovery concept in comparison to a conventional rehabilitation. Material and Methods: 320 patients were retrospectively analyzed who underwent primary cementless total hip arthroplasty (THA). A total of 123 of the patients received an enhanced recovery program (ERAS) and 197 patients a conventional rehabilitation (Non-ERAS). Twelve months postoperatively, a clinical examination was performed regarding satisfaction, function and pain. Results were evaluated using WOMAC, EQ-5D-5L and EQ-VAS. A 1:1 matching was performed to correct for confounding variables, regarding age, sex and ASA score. Finally, 122 patients (n = 61, in each group) were analyzed and compared. Results: Patients showed a significant improvement of WOMAC total score, subscale pain, subscale stiffness and subscale function from preoperative to the follow up after 12 months in both groups, with significantly superior results for the WOMAC total score for the ERAS group (p = 0.042). EQ-5D and EQ-5D VAS showed a significant improvement from preoperative to 12 months postoperative (p < 0.001) for both groups, while no difference regarding the group-comparison was shown. Conclusion: Health-related quality of life and functional outcome increased to excellent values after total hip arthroplasty with the use of an enhanced recovery concept and a conventional rehabilitation, with a superior WOMAC total score for ERAS and a tendency to better results for health-related quality of life for patients with ERAS within the follow up after 12 months.


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