Abstract
BackgroundHip replacement is highly effective procedure to decrease pain and disability in patients with hip arthritis and accordingly can affect health related quality of life (HRQOL). Globally, limited studies have reported impact of total hip replacement (THR) on HRQOL and there is no previous reports of HRQOL among Iraqi patients after THR.ObjectiveTo evaluate HRQOL in patients after THR and to assess impact of sociodemographic characteristics on it if present.Patients and methodsA multicenter cross sectional study was conducted on 96 patients with THR in Iraq. Sociodemographic characteristics were measured. HRQOL after THR was evaluated using Harris hip score (HHS).ResultsThe mean age of patients was 56.76, (13.88) years with a range of 23–90 years. Most of patients were females (52 patients (54.2%). Mean BMI was 44.87(8.07) kg/m2 with a range of 28.1–56.7 kg/m2. The mean(SD) of HHS was 84.39 (7.25) with minimum score of 61.7 and maximum score 93.8. Sociodemographic characteristics had no statistically significant effect on HRQOL measured by HHS except BMI. For each 1 unit increase in BMI, there is significantly and independently decrease in HHS by −0.276.ConclusionsTHR improved HRQOL. BMI was the only significant independent factor that was negatively correlated with HRQOL.
Highlights
Total hip replacement (THR) is a commonly performed surgical procedure for advanced hip arthritis and avascular necrosis [1,2]
Patients were excluded if they had another disease that could affect HRQOL like inflammatory arthritis, heart failure, uncontrolled respiratory diseases like chronic obstructive or interstitial or suppurative lung diseases, chronic infections like tuberculosis, or malignancy like solid tumors or hematological malignancies
Health related quality of life was measured using outcome measures that evaluate hip function and symptoms and included: Harris Hip score (HHS): This score has a maximum of 100 points covering pain (1 item, 0–44 points), function (7 items, 0–47 points), absence of deformity (1 item, 4 points), and range of motion (2 items, 5 points)
Summary
Total hip replacement (THR) is a commonly performed surgical procedure for advanced hip arthritis and avascular necrosis [1,2]. Short- and medium-term THR studies have reported substantial benefits in the generic HRQOL [9,10], About 20% of THR are done in people younger than 60 years with different diagnoses; the general increment in survival is expected to further increase the need for this procedure. These data indicate that greater attention should be paid to the long-term follow-up results of hip replacement surgery [11]. The goals of the current study were 1) to evaluate HRQOL after TAR in a sample of Iraqi patients, and 2) to identify possible association between HRQOL with sociodemographic and clinical characteristics of the patients
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