We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Quality of life following hip fractures: results from the Norwegian hip fracture register.
- Authors
Gjertsen, Jan-Erik; Baste, Valborg; Fevang, Jonas M.; Furnes, Ove; Birger Engesæter, Lars; Engesæter, Lars Birger
- Abstract
<bold>Background: </bold>Patient-reported health-related quality of life is an important outcome measure when assessing the quality of hip fracture surgery. The frequently used EQ-5D index score has unfortunately important limitations. One alternative can be to assess the distribution of each of the five dimensions of the patients' descriptive health profile. The objective of this paper was to investigate health-related quality of life (HRQoL) after hip fractures.<bold>Methods: </bold>Data from hip fracture operations from 2005 through 2012 were obtained from The Norwegian Hip Fracture Register. Patient reported HRQoL, (EQ-5D-3L) was collected from patients preoperatively and at four and twelve months postoperatively n = 10325. At each follow-up the distribution of the EQ-5D-3L and mean pain VAS was calculated.<bold>Results: </bold>Generally, a higher proportion of patients reported problems in all 5 dimensions of the EQ-5D-3L at all follow-ups compared to preoperative. Also a high proportion of patients with no preoperative problems reported problems after surgery; At 4 and 12 months follow-ups 71 % and 58 % of the patients reported walking problems, and 65 % and 59 % of the patients reported pain respectively. Patients with femoral neck fractures and the youngest patients (age < 70 years) reported least problems both preoperatively and at all follow-ups.<bold>Conclusions: </bold>A hip fracture has a dramatic impact on the patients' HRQoL, and the deterioration in HRQoL sustained also one year after the fracture. Separate use of the descriptive profile of the EQ-5D is informative when assessing quality of life after hip fracture surgery.
- Subjects
NORWAY; BONE fractures; HIP surgery; QUALITY of life; PREOPERATIVE care; POSTOPERATIVE care; AGE distribution; FRACTURE fixation; HIP joint injuries; LONGITUDINAL method; PAIN; POSTOPERATIVE period; REOPERATION; TIME; TOTAL hip replacement; PAIN measurement; TREATMENT effectiveness; ACQUISITION of data; RETROSPECTIVE studies; PREOPERATIVE period; HEMIARTHROPLASTY; DISEASE complications
- Publication
BMC Musculoskeletal Disorders, 2016, Vol 17, p1
- ISSN
1471-2474
- Publication type
journal article
- DOI
10.1186/s12891-016-1111-y