%0 Journal Article
%T Changes in health-related quality of life are associated with patient satisfaction following total hip replacement: an analysis of 69,083 patients in the Swedish Hip Arthroplasty Register
%A Gabrielle S Ray
%A Maziar Mohaddes
%A Ola Rolfson
%A Philip Ekelund
%A Szilard Nemes
%J Acta Orthopaedica
%D 2020
%R https://doi.org/10.1080/17453674.2019.1685284
%X Background and purpose 〞 Total hip replacement (THR) aims mainly to improve quality of life via restoration of hip function and provision of pain relief. This study sought to assess whether improvements in quality of life between the preoperative and 1-year postoperative period were associated with patient satisfaction Patients and methods 〞 Data were extracted for 69,083 THR operations with complete data reported to the Swedish Hip Arthroplasty Register (SHAR) between 2008 and 2015. Health-related quality of life and patient satisfaction were captured using the Euro-Qol-5D (EQ-5D) and visual analogue scale (VAS), respectively. Multivariable analysis was performed to assess associations between the changes in pre- and postoperative EQ5D and patient satisfaction. Results 〞 In patients reporting severe or moderate problems with mobility preoperatively, improvement to no problems was associated with numerically higher patient satisfaction (coefficient 每18 [95% CI 每22 to 每14] and 每18 [每18 to 每17]). Improvement in the self-care dimension from severe or moderate problems to no problems was associated with numerically higher patient satisfaction (每15 [每16 to 每14] and 每13 [每15 to 每11]). Improvement from severe problems with the ability to perform usual activities to no problems was associated with numerically higher patient satisfaction (每18 [每19 to 每17]). This association was also found for improvement in pain/discomfort and anxiety/depression (每16 [每17 to 每15] and 每15 [每16 to 每14]). Interpretation 〞 Our results indicate that satisfaction with the operated hip is a valid patient-reported outcome reflecting the changes in different EQ-5D dimensions and should be included in the follow-up of patients after THR surgery
%U https://www.tandfonline.com/doi/full/10.1080/17453674.2019.1685284