Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 23822
HEALTH RELATED QUALITY OF LIFE FOR PATIENTS ELIGIBLE FOR TOTAL
HIP REPLACEMENT
Ola ROLFSON 1 , Sofia LöFVENDAHL 2 , Göran GARELLICK 3
1 Deptartment of Orthopeadics, Mölndal (SWEDEN), 2 The MORSE project,
Musculoskeletal Research Center, Lund (SWEDEN), 3 The Swedish Hip Arthroplasty
Register, Gothenburg (SWEDEN)
In this study we hypothesized that health related quality of life (HRQoL) decreases
during waiting time for total hip replacement (THR). To examine the change in
HRQoL we used the EQ-5D self assessment questionnaire which was administered
when the patient was put on waiting list for surgery and immediately preoperatively.
1270 patients (1296 hips, mean age 68.5 years, 57.1% females) completed both
questionnaires. Mean waiting time for surgery was 100 days (SD 89.3). The cohort
was representative with regard to age, gender, diagnosis and comorbidity as
reported to the Swedish Hip Arthroplasty Register. Mean EQ-5D index, when the
patient was put on waiting, list was 0.33 and preoperatively 0.40 (p>0.001). Among
all patients 47% reported higher EQ-5D index preoperatively, while 22% had
unchanged index and 31% reported lower index.The results did not support our
hypothesis. There are probably several explanations for this. The decision about
surgery could inspire the patients with courage which brings positive effects on
HRQoL. Furthermore, the consultation where the decision about surgery was made
probably resulted in actions such as physiotherapy, change of medication,
prescription of walking aid and information about the disease. Another explanation
could be that patients tended to exaggerate the impact of disease on HRQoL at the
consultation where the decision about surgery was supposed to be made.
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