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The Journal of Bone and Joint Surgery, Vol 75, Issue 11 1619-1626, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc
The effect of elective total hip replacement on health-related quality of life
A Laupacis, R Bourne, C Rorabeck, D Feeny, C Wong, P Tugwell, K Leslie and R Bullas
University Hospital of the University of Western Ontario, London, Canada.
The effect of total hip replacement on the health-related quality of life
of patients who have osteoarthrosis was examined as part of a randomized,
controlled trial comparing femoral head prostheses that were inserted with
or without cement. One hundred and eighty-eight patients were followed for
three months: 179 of them, for six months; 156, for one year; and ninety,
for two years. The health-related quality of life was assessed with use of
the Harris hip score, the Merle d'Aubigne hip score, the Sickness Impact
Profile, the Western Ontario and McMaster University (WOMAC) Osteoarthritis
Index, the McMaster--Toronto Arthritis (MACTAR) Patient Preference
Disability Questionnaire, and the time trade-off technique as a measure of
utility. Patients also took the six-minute-walk test. The mean age of the
patients in the study was sixty-four years (range, forty to seventy-five
years); ninety-seven patients (53 per cent) were men and ninety-four (50
per cent) had a prosthesis inserted with cement. Only three of 188 patients
refused to return for quality-of-life assessments. There was significant
improvement in all health-related quality-of-life measures and in the
six-minute-walk test after the operation (p < 0.01 for all items, except
for the work dimension of the Sickness Impact Profile at three months [p =
0.07]). Most of the improvement had occurred by three months
postoperatively.(ABSTRACT TRUNCATED AT 250 WORDS)
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