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See Latest ArticlesPredictors of health-related quality-of-life change after total hip arthroplasty
Clinical Orthopedics and Related Research, 05/07/09
Quintana JM et al. – Data supports the hypotheis that preintervention health status, measured by the WOMAC or SF-36, and mental health status uniformly predicte health-related quality-of-life (HRQoL) changes, whereas some clinical parameters predicted some domains. SF-36 and WOMAC seem to be appropriate tools for predicting total hip arthroplasty (THA) outcomes.
Methods- Aim was to investigate if:
- preintervention health status is the main and more homogeneous predictor of changes of the different aspects of HRQoL
- mental health status has an important influence on results
- whereas other sociodemographic or clinical factors had only a punctual influence
- All pts who fulfilled the selection criteria completed the SF-36 and WOMAC before and 6 mo after the intervention
- 788 pts completed the questionnaire before the intervention and 590 completed it (74.9%) at 6 mo
- Preintervention score in each SF-36 and WOMAC domain and the SF-36 mental health domain predicted changes after the intervention
- Female gender, having comorbidities, contralateral hip OA, or back pain predicted less improvement on some SF-36 domains
- Older age, the presence of contralateral hip OA, or back pain predicted less improvement on some of the WOMAC domains
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