Results
Title

Evaluation of health-related quality of life before and after total hip arthroplasty in the elderly in Iran: a prospective cohort study.

Authors

Moarrefzadeh, Aida; Sarveazad, Arash; Mohammadpour, Mehdi; Zareinejad, Mohammad; Bahardoust, Mansour; Pisoudeh, Karim; Asgarian, Sara; Shamseddin, Jebreil; Semiromi, Hasan toghraei

Abstract

Background: Owing to the direct impact of total hip arthroplasty (THA) on health-related quality of life (HRQOL) and the higher prevalence of THA in the elderly, this study aimed to compare HRQOL before, and after THA in the Iranian elderly. Methods: The present prospective cohort study was performed on 161 THA candidates. Demographic data were extracted from records of patients. Before, 6, and 12 months after THA, a Short Form 36 health survey (SF-36) was used to assess HRQOL. Before THA, 6 and 12 months after THA, Physical (PCS), and mental component scores (MCS) were obtained from a hundred separately for each subscale of the questionnaire. The Paired t-test was used to compare HRQOL before and after THA. Results: Both 6 and 12 months after THA, HRQOL was significantly increased compared to previous THA (P = 0.001). In the first half-year after THA, vitality and emotional state were not different from pre-surgery. However, 12 months after THA, these two subscales also were significantly improved. Although, 6 months after THA, the PCS has dramatically gone up compared to the previous THA (P = 0.012), despite MCS was remained steady. Nonetheless, by comparison with the before surgery, 12 months after THA, MSC notably improved (P = 0.048). Conclusion: HRQOL was appreciably improved by the THA in the elderly after 12 months. The improvement in HRQoL in the first 6 months after THA is related to the promotion in the physical aspect (PCS score), and in the second 6 months after THA is related to the promotion in the psychological aspect (MCS score).

Subjects

IRAN; TOTAL hip replacement; QUALITY of life; COHORT analysis; LONGITUDINAL method; OLDER people

Publication

BMC Psychology, 2022, Vol 10, Issue 1, p1

ISSN

2050-7283

Publication type

Academic Journal

DOI

10.1186/s40359-022-00762-3