title: No long-term impact of low-energy distal radius fracture on health-related quality of life and global quality of life: a case-control study.
abstract: BACKGROUND
  Changes in patient-reported outcomes like health related quality of life (HRQOL) and global quality of life (GQOL) in patients with low-energy distal radius fracture might be related to fracture, or be within the normal range of variation in an elderly population. Hence, the present study aims to examine: Whether patients with low-energy distal radius fracture attain their pre-fracture levels in HRQOL and GQOL one year after the fracture and compare these levels with age- and sex-matched controls; and whether objective factors predict changes in HRQOL and GQOL during the same one year period.
  
  
  METHODS
  We examined 160 patients and 169 age- and sex matched controls, respectively (mean +/- SD) 67 +/- 9 and 66 +/- 9 years of age. HRQOL was assessed by the Modified Health Assessment Questionnaire (MHAQ) and the Short-Form 36 (SF-36). The Quality of Life Scale (QOLS) assessed GQOL. Paired sample t-tests and multiple linear regression analyses were applied.
  
  
  RESULTS
  After one year no differences were found in HRQOL (assessed as arm functions, physical health and mental health) compared to pre-fracture level in the patient group. Both patients with distal radius fracture and controls reported a reduced GQOL after one year (p < 0.001). Low-energy distal radius fracture did not predict worsened HRQOL or GQOL one year after inclusion, and few predictors of changes were identified. Worsened arm function was predicted by low BMI (B = -0.20, p = 0.019) at baseline, worsened physical health was predicted by low education (B = 1.37, p = 0.017) at baseline, and living with someone predicted worsened mental health (B = 2.85, p = 0.009)
  
  
  CONCLUSIONS
  Patients with a distal radius fracture seem to manage well despite the fracture, and distal radius fracture is not an independent predictor of worsened HRQOL and GQOL.
authors.affiliation: Department of Rheumatology, Sorlandet Hospital, Kristiansand, Servicebox 416, 4604 Kristiansand, Norway. gudrun.rohde@sshf.no
authors.forename: Gudrun
authors.initials: G
authors.lastname: Rohde
authors.forename: Glenn
authors.initials: G
authors.lastname: Haugeberg
authors.forename: Anne Marit
authors.initials: AM
authors.lastname: Mengshoel
authors.forename: Torbjorn
authors.initials: T
authors.lastname: Moum
authors.forename: Astrid K
authors.initials: AK
authors.lastname: Wahl
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D011885:Radius Fractures / Q000523:psychology* / Q000628:therapy; D013997:Time Factors
references.citation: Qual Life Res. 2004 Jun;13(5):1001-9
references.pmid: 15233513
references.citation: BMC Musculoskelet Disord. 2003 Oct 31;4:24
references.pmid: 14588078
references.citation: Med Care. 1992 May;30(5):400-11
references.pmid: 1583918
references.citation: Res Nurs Health. 1989 Dec;12(6):347-54
references.pmid: 2602575
references.citation: J Eval Clin Pract. 2001 Nov;7(4):411-8
references.pmid: 11737532
references.citation: Ann Intern Med. 1989 Feb 15;110(4):259-66
references.pmid: 2913913
references.citation: Arthritis Rheum. 1983 Nov;26(11):1346-53
references.pmid: 6639693
references.citation: Lancet. 2002 May 18;359(9319):1761-7
references.pmid: 12049882
references.citation: Clin Radiol. 2007 Jan;62(1):65-72
references.pmid: 17145266
references.citation: J Rheumatol. 1993 Jun;20(6):977-81
references.pmid: 8350334
references.citation: Scand J Caring Sci. 2005 Mar;19(1):64-70
references.pmid: 15737168
references.citation: J Natl Cancer Inst Monogr. 2007;(37):22-6
references.pmid: 17951227
references.citation: Osteoporos Int. 2001;12(7):555-8
references.pmid: 11527052
references.citation: Scand J Caring Sci. 1998;12(4):215-22
references.pmid: 10067647
references.citation: Transplantation. 2007 Jul 15;84(1):64-9
references.pmid: 17627239
references.citation: Acta Obstet Gynecol Scand. 2000 Jul;79(7):598-603
references.pmid: 10929962
references.citation: J Clin Epidemiol. 1998 Nov;51(11):1077-86
references.pmid: 9817125
references.citation: Am J Med. 1999 Apr;106(4):435-40
references.pmid: 10225247
references.citation: Arthritis Rheum. 1999 Oct;42(10):2220-30
references.pmid: 10524697
references.citation: Health Qual Life Outcomes. 2003 Oct 23;1:59
references.pmid: 14613563
references.citation: Calcif Tissue Int. 1993 Apr;52(4):269-72
references.pmid: 8467406
references.citation: J Rheumatol. 2000 Dec;27(12):2810-6
references.pmid: 11128668
references.citation: Hand (N Y). 2007 Sep;2(3):104-11
references.pmid: 18780068
references.citation: J Bone Joint Surg Br. 2000 Sep;82(7):972-6
references.pmid: 11041584
references.citation: Cochrane Database Syst Rev. 2007 Jul 18;(3):CD006194
references.pmid: 17636832
references.citation: Qual Life Res. 2000;9(8):887-900
references.pmid: 11284208
references.citation: JAMA. 1995 Jan 4;273(1):59-65
references.pmid: 7996652
references.citation: Osteoporos Int. 2004 Oct;15(10):834-41
references.pmid: 15045468
references.citation: Soc Sci Med. 1999 Jun;48(11):1507-15
references.pmid: 10400253
references.citation: Osteoporos Int. 2003 Dec;14(12):1028-34
references.pmid: 14600804
references.citation: J Bone Miner Res. 2006 Jun;21(6):809-16
references.pmid: 16753011
references.citation: J Hand Surg Am. 2004 Nov;29(6):1121-7
references.pmid: 15576226
references.citation: Expert Rev Pharmacoecon Outcomes Res. 2004 Apr;4(2):159-63
references.pmid: 19807519
references.citation: Health Qual Life Outcomes. 2003 Oct 23;1:60
references.pmid: 14613562
references.citation: J Clin Epidemiol. 1998 Nov;51(11):1069-76
references.pmid: 9817124
references.citation: J Natl Cancer Inst Monogr. 2007;(37):5-11
references.pmid: 17951224
references.citation: Soc Sci Med. 1999 Jul;49(1):143-9
references.pmid: 10414847
references.citation: Health Qual Life Outcomes. 2007 May 24;5:27
references.pmid: 17524152
references.citation: Scand J Soc Med. 1998 Dec;26(4):250-8
references.pmid: 9868748
references.citation: Am J Manag Care. 2002 Mar;8(3):231-40
references.pmid: 11915973
references.citation: Ann Chir Gynaecol. 1987;76(2):114-8
references.pmid: 3497604
references.citation: Support Care Cancer. 2006 Sep;14(9):943-51
references.pmid: 16523266
references.citation: J Nurs Scholarsh. 2005;37(4):336-42
references.pmid: 16396406
references.citation: Am J Med. 1993 Jun;94(6):646-50
references.pmid: 8506892