Abstract
Background and objective:The aim of this study was to investigate the health-related quality of life before and after a hip and a knee arthroplasty operation using a 15D instrument and to compare these scores to the Finnish control population 15D scores.Methods:The pre- and post-operative data of 15D were prospective collected from the patients undergoing total hip arthroplasty or total knee arthroplasty at the Kuopio University Hospital. Post-operative data were collected at 6 and 12 months after the operation.Results:The mean change of the 15D score after hip arthroplasty was +0.062 and after knee arthroplasty, it was +0.033 at the 12-month follow-up (p < 0.001). Total hip arthroplasty patients of all ages reached the control population 15D scores at the 12-month follow-up. Of the total knee arthroplasty patients, only patients aged >75 years and males aged 55–64 years did reach control population 15D scores at the 12-month follow-up. Patients experienced a statistically significant improvement in mobility, vision, sleeping, usual activities, discomfort and symptoms, distress, and vitality (p < 0.05).Conclusions:Successful hip and knee arthroplasty operations improve patients’ health-related quality of life. According to this study, hip arthroplasty improves the health-related quality of life more than knee arthroplasty.
Highlights
Hip and knee osteoarthritis (OA) causes pain and the restriction of the movement of the affected joint and the worsening of the quality of life[1]
We found that the 15D scores of the total hip arthroplasty (THA) patients improved in all age and gender groups and reached the control population level at the 12-month follow-up while the total knee arthroplasty (TKA) patients’ 15D scores reached the control population level only in males aged 55–64 years and in both genders aged >75 years, respectively
We found that patients waiting for an arthroplasty had a poorer health-related quality of life (HRQoL) compared to the standardized control population
Summary
Hip and knee osteoarthritis (OA) causes pain and the restriction of the movement of the affected joint and the worsening of the quality of life[1]. Arthroplasty has shown general positive changes in the quality of life, in the improvement of operated hip and knee joints[4,5,6]. The aim of this study was to investigate the health-related quality of life before and after a hip and a knee arthroplasty operation using a 15D instrument and to compare these scores to the Finnish control population 15D scores. Total hip arthroplasty patients of all ages reached the control population 15D scores at the 12-month follow-up. Of the total knee arthroplasty patients, only patients aged >75 years and males aged 55–64 years did reach control population 15D scores at the 12-month follow-up. Conclusions: Successful hip and knee arthroplasty operations improve patients’ health-related quality of life. Hip arthroplasty improves the health-related quality of life more than knee arthroplasty
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