Health-related quality of life after total hip replacement: a Taiwan study.
This study applied the generalised estimating equations (GEE) in a large-scale prospective cohort study of predictors of health-related quality of life (HRQoL) in a Taiwan population. The study population included all patients who had undergone primary total hip replacement (THR) performed between March 1998 and December 2002 by either of two orthopaedic surgeons in two hospitals. The SF-36 was used in pre- and postoperative assessments of 335 patients. Young age, male gender, minimal comorbidity, use of epidural anaesthesia, lack of readmission within the previous 30 days, and higher preoperative functional status were positively associated with HRQoL (P < 0.05). Patients should be advised that their postoperative HRQoL may depend not only on their postoperative health care but also on their preoperative functional status. These analytical results should be applicable to other Taiwan hospitals and to other countries with similar social and cultural practices.
Shi
Hon-Yi
HY
Graduate Institute of Healthcare Administration, Kaohsiung Medical University, 100 Shih-Chun 1st Road, Kaohsiung, 807, Taiwan, Republic of China.
Khan
Mahmud
M
Culbertson
Richard
R
Chang
Je-Ken
JK
Wang
Jun-Wen
JW
Chiu
Herng-Chia
HC
D000203:Activities of Daily Living; D019644:Arthroplasty, Replacement, Hip / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D006304:Health Status; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D020127:Recovery of Function; D013624:Taiwan; D016896:Treatment Outcome