The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty

Peter K Aalund, Eva N Glassou, Torben B Hansen University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Aarhus University, Holstebro, Denmark Background: Total hip arthroplasty (THA) is a common surgical procedure and approximately 9,500 of these surgeries are performed an...

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Autores principales:	Aalund PK, Glassou EN, Hansen TB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Total hip arthroplasty (THA) health related quality of life (HRQoL) EuroQol-5D patient reported outcome Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/17d7ab411d5e4ce2a393095b6f1a60e9
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spelling	oai:doaj.org-article:17d7ab411d5e4ce2a393095b6f1a60e92021-12-02T02:03:46ZThe impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty1178-1998https://doaj.org/article/17d7ab411d5e4ce2a393095b6f1a60e92017-11-01T00:00:00Zhttps://www.dovepress.com/the-impact-of-age-and-preoperative-health-related-quality-of-life-on-p-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Peter K Aalund, Eva N Glassou, Torben B Hansen University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Aarhus University, Holstebro, Denmark Background: Total hip arthroplasty (THA) is a common surgical procedure and approximately 9,500 of these surgeries are performed annually in Denmark. The operation is considered effective and successful with respect to complications, mortality, and implant survival. However, using patient-reported outcome measures, up to 10% of patients are not satisfied with the outcome of their operation. To address this, it is important to find out why some patients experience impaired outcomes after THA. The purpose of this study was to investigate the impact of age and preoperative health-related quality of life (HRQoL) on improvements in HRQoL after THA.Methods: A cohort study was conducted with follow-up at 3 and 12 months. Patients were included from September 2008 to December 2013. We analyzed 1,283 THA cases. HRQoL was measured using the EuroQol-5 Domain. Analyses were carried out with multiple linear regression and adjusted for relevant variables available in the data set.Results: A significant positive association was found between age and HRQoL outcomes for patients who underwent THA at both 3 (β [regression coefficient] 0.0026, confidence interval [CI] 0.0013; 0.0039, p<0.001) and 12 (β 0.0020 CI 0.0008; 0.0032, p=0.001) months of follow-up. A clinically relevant change was achieved with an increase in age of 12–15 years. A significant negative association was found between preoperative HRQoL and HRQoL outcomes at both 3 (β−0.841 CI−0.886; −0.795, p<0.001) and 12 (β−0.804 CI−0.844; −0.764, p<0.001) months of follow-up.Conclusion: Contrary to our expectations, older patients had more improvements in HRQoL outcomes after THA. A high preoperative HRQoL seems to inhibit improvements in HRQoLs after THA. Keywords: total hip arthroplasty, THA, health-related quality of life, HRQoL, EuroQol-5D, patient-reported outcomeAalund PKGlassou ENHansen TBDove Medical PressarticleTotal hip arthroplasty (THA)health related quality of life (HRQoL)EuroQol-5Dpatient reported outcomeGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1951-1956 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Total hip arthroplasty (THA) health related quality of life (HRQoL) EuroQol-5D patient reported outcome Geriatrics RC952-954.6
spellingShingle	Total hip arthroplasty (THA) health related quality of life (HRQoL) EuroQol-5D patient reported outcome Geriatrics RC952-954.6 Aalund PK Glassou EN Hansen TB The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty
description	Peter K Aalund, Eva N Glassou, Torben B Hansen University Clinic for Hand, Hip and Knee Surgery, Regional Hospital West Jutland, Aarhus University, Holstebro, Denmark Background: Total hip arthroplasty (THA) is a common surgical procedure and approximately 9,500 of these surgeries are performed annually in Denmark. The operation is considered effective and successful with respect to complications, mortality, and implant survival. However, using patient-reported outcome measures, up to 10% of patients are not satisfied with the outcome of their operation. To address this, it is important to find out why some patients experience impaired outcomes after THA. The purpose of this study was to investigate the impact of age and preoperative health-related quality of life (HRQoL) on improvements in HRQoL after THA.Methods: A cohort study was conducted with follow-up at 3 and 12 months. Patients were included from September 2008 to December 2013. We analyzed 1,283 THA cases. HRQoL was measured using the EuroQol-5 Domain. Analyses were carried out with multiple linear regression and adjusted for relevant variables available in the data set.Results: A significant positive association was found between age and HRQoL outcomes for patients who underwent THA at both 3 (β [regression coefficient] 0.0026, confidence interval [CI] 0.0013; 0.0039, p<0.001) and 12 (β 0.0020 CI 0.0008; 0.0032, p=0.001) months of follow-up. A clinically relevant change was achieved with an increase in age of 12–15 years. A significant negative association was found between preoperative HRQoL and HRQoL outcomes at both 3 (β−0.841 CI−0.886; −0.795, p<0.001) and 12 (β−0.804 CI−0.844; −0.764, p<0.001) months of follow-up.Conclusion: Contrary to our expectations, older patients had more improvements in HRQoL outcomes after THA. A high preoperative HRQoL seems to inhibit improvements in HRQoLs after THA. Keywords: total hip arthroplasty, THA, health-related quality of life, HRQoL, EuroQol-5D, patient-reported outcome
format	article
author	Aalund PK Glassou EN Hansen TB
author_facet	Aalund PK Glassou EN Hansen TB
author_sort	Aalund PK
title	The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty
title_short	The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty
title_full	The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty
title_fullStr	The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty
title_full_unstemmed	The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty
title_sort	impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/17d7ab411d5e4ce2a393095b6f1a60e9
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The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty

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