Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Arthroplasty - Hip
Abstract number: 24290
PHYSICAL FUNCTIONING AND HEALTH-RELATED QUALITY OF LIFE AFTER
TOTAL HIP REPLACEMENT
Plamen KINOV, Encho YANKOV
University Hospital Queen Giovanna - ISUL, Sofia (BULGARIA)
Total hip replacement (THR) is an effective surgical intervention for treatment of endstage
arthritis. Clinical outcome can be assessed in many different ways by both
patient and surgeon. Health-related quality of life is acknowledged to be the primary
aim of surgical treatment and various authors have recommended that selfadministered
tools should be included when evaluating results. Aim: Evaluation of
effect of THR on physical functioning and health-related quality of life.Material and
methods: 63 patients hospitalized for elective hip replacement were evaluated with
Short Form 8 Health Survey (SF-8) and Western Ontario and McMaster University
Osteoarthritis Index (WOMAC). Harris hip score was used for surgeon’s assessment
of clinical result. The mean follow up period was 3 years. Results: The eight domains
of SF-8 as well as the other two instruments showed significant improvement at three
months after surgery that lasted till the final follow-up. We established good
correlation between the instruments. Patients with poor preoperative function
measured with WOMAC had greater improvement, however, less optimal outcome.
Discussion and conclusions: Our findings confirm the effectiveness of THR outcomes
in terms of physical functioning and health-related quality of life measured by selfadministered
disease-specific (WOMAC) and generic health instruments (SF-8).
Expectations of patients on outcome after treatment are ever higher and this raises
the standard of outcome after surgical treatment. Use of subjective and objective
instruments improves assessment of the benefit of THR.
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