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Evaluation and prediction of health-related quality of life for total hip replacement among Chinese in Taiwan

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Abstract

The objective of this study was to examine and predict the time trend of health-related quality of life (HRQoL) after total hip replacement (THR). A total of 383 patients receiving primary THR at two medical centers in Taiwan during 1997 to 2000 were enrolled for the study. Face-to-face interviews were conducted by using physician-rated Harris hip score and patient-reported short-form 36-item health survey (SF-36) immediately before the surgery and at 3, 6, 12, 24, and 60 months after surgery. Data analysed by piecewise linear regression revealed remarkable improvements in HRQoL dimensions at the third month after surgery and kept improving until the threshold level of from 39 months to 81 months, at which it reached a plateau. Role limitations due to physical and emotional problems and social functioning after surgery saw the most remarkable improvements, which appear to be related to improvements in functioning in many other dimensions of health. Such interdependence of the dimensions should be examined carefully to see if improvements in social roles can help improve the overall HRQoL in a more effective manner. The results should be applicable to other hospitals in Taiwan and in other countries with similar social and cultural practices.

Résumé

L’objectif de ce travail était d’examiner l’évolution de la qualité de vie après une prothèse totale de hanche par l’étude d’un groupe de 383 patients opérés dans 2 centres de Taiwan entre 1997 et 2000. Des interview ont été menés par des médecins utilisant le score de Harris et le score SF-36 juste après la chirurgie puis à 3, 6, 12, 24 et 60 mois d’évolution. L’analyse en régression linéaire montrait une augmentation notable de la qualité de vie au troisième mois et progressant jusqu’à un plateau atteint entre 39 à 81 mois. Les aspects physique, émotionnel et social étaient les plus améliorés en relation avec l’amélioration d’autres paramètres de santé. Une telle interdépendance doit être examinée soigneusement pour voir si l’amélioration de l’aspect social peut améliorer l’ensemble de la qualité de vie de façon effective. Les résultats peuvent être étendus à d’autres populations de même pratiques culturelles et sociales.

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Acknowledgments

The authors would like to thank Dr. Ted Chen and Dr. Gene Beyt for their helpful comments on an earlier version of this manuscript. This study was supported by a grant from the National Science Council, Taiwan (NSC92-2320-B-037-055).

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Correspondence to M. Mahmud Khan.

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Shi, HY., Chiu, HC., Chang, JK. et al. Evaluation and prediction of health-related quality of life for total hip replacement among Chinese in Taiwan. International Orthopaedics (SICO 32, 27–32 (2008). https://doi.org/10.1007/s00264-006-0268-7

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  • DOI: https://doi.org/10.1007/s00264-006-0268-7

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