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Quality of Life and Associated Factors in Latin American Patients Undergoing Total Hip Arthroplasty.
Nunes Santos, Rodrigo; Castro, Martha; Santana, Flávio Robert; Sanches, Mário Martins; Serra Filho, Diógenes Pires; Ray, Richard; Almeida Matos, Marcos.
Afiliação
  • Nunes Santos R; Bahiana School of Medicine and Public Health, Salvador-Bahia, Brazil.
  • Castro M; Bahiana School of Medicine and Public Health, Salvador-Bahia, Brazil.
  • Santana FR; Bahiana School of Medicine and Public Health, Salvador-Bahia, Brazil.
  • Sanches MM; Bahiana School of Medicine and Public Health, Salvador-Bahia, Brazil.
  • Serra Filho DP; Bahiana School of Medicine and Public Health, Salvador-Bahia, Brazil.
  • Ray R; Allegheny General Hospital, USA.
  • Almeida Matos M; Bahiana School of Medicine and Public Health, Salvador-Bahia, Brazil.
Ortop Traumatol Rehabil ; 22(6): 439-445, 2020 Dec 31.
Article em En | MEDLINE | ID: mdl-33506797
BACKGROUND: The objective of this study was to determine whether individuals with hip osteoarthritis who undergo THA have higher HRQOL scores than those awaiting the procedure; An additional aim was to investigate associated factors exerting an impact on HRQOL. MATERIALS AND METHODS: A cross-sectional study was conducted. Participants were divided into two groups: pre-THA and post-THA. Functional capacity was assessed using the Harris Hip Score, and HRQOL was measured using a validated and adapted version of the WOMAC questionnaire. A multivariate analysis of the WOMAC results was used to identify the main variables associated with HRQOL in both groups. RESULTS: The post-THA group had higher HRQOL scores (100.4 ± 88.5) than the pre-THA group (197.8 ± 54.1). The domains Pain (68.0 ± 19.0 versus 34.7 ± 30.8), Stiffness (61.2 ± 28.9 versus 29.9 ± 33.1), and Phy-sical Act--vity (68.6 ± 16.1 versus 36.6 ± 30.2) also had higher scores in the post-THA group. Pain was the variable most frequently associated with the increase in post-THA HRQOL scores. Other variables such as occupation, time of diagnosis, joint function, and body weight also had an impact on the HRQOL of both groups. CONCLUSIONS: 1. Individuals who had undergone THA showed higher HRQOL scores in all domains when compared to those still awaiting the procedure, and pain reduction was the variable most strongly associated with the improvement in quality of life of those patients. 2. Occupation and mobility were associated with the Stiffness domain of QOL; Occupation also had a bearing on health-related quality of life as a whole. 3. Physical Activity of the WOMAC instrument was associated with time of diagnosis, patient's body weight, and function as assessed by the HHS.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Osteoartrite do Quadril / Satisfação do Paciente / Artroplastia de Quadril Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Ortop Traumatol Rehabil Assunto da revista: ORTOPEDIA / REABILITACAO / TRAUMATOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Polônia

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Osteoartrite do Quadril / Satisfação do Paciente / Artroplastia de Quadril Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Ortop Traumatol Rehabil Assunto da revista: ORTOPEDIA / REABILITACAO / TRAUMATOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Polônia