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.
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.
Rohde
Gudrun
G
Department of Rheumatology, Sorlandet Hospital, Kristiansand, Servicebox 416, 4604 Kristiansand, Norway. gudrun.rohde@sshf.no
Haugeberg
Glenn
G
Mengshoel
Anne Marit
AM
Moum
Torbjorn
T
Wahl
Astrid K
AK
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
Qual Life Res. 2004 Jun;13(5):1001-9
15233513
BMC Musculoskelet Disord. 2003 Oct 31;4:24
14588078
Med Care. 1992 May;30(5):400-11
1583918
Res Nurs Health. 1989 Dec;12(6):347-54
2602575
J Eval Clin Pract. 2001 Nov;7(4):411-8
11737532
Ann Intern Med. 1989 Feb 15;110(4):259-66
2913913
Arthritis Rheum. 1983 Nov;26(11):1346-53
6639693
Lancet. 2002 May 18;359(9319):1761-7
12049882
Clin Radiol. 2007 Jan;62(1):65-72
17145266
J Rheumatol. 1993 Jun;20(6):977-81
8350334
Scand J Caring Sci. 2005 Mar;19(1):64-70
15737168
J Natl Cancer Inst Monogr. 2007;(37):22-6
17951227
Osteoporos Int. 2001;12(7):555-8
11527052
Scand J Caring Sci. 1998;12(4):215-22
10067647
Transplantation. 2007 Jul 15;84(1):64-9
17627239
Acta Obstet Gynecol Scand. 2000 Jul;79(7):598-603
10929962
J Clin Epidemiol. 1998 Nov;51(11):1077-86
9817125
Am J Med. 1999 Apr;106(4):435-40
10225247
Arthritis Rheum. 1999 Oct;42(10):2220-30
10524697
Health Qual Life Outcomes. 2003 Oct 23;1:59
14613563
Calcif Tissue Int. 1993 Apr;52(4):269-72
8467406
J Rheumatol. 2000 Dec;27(12):2810-6
11128668
Hand (N Y). 2007 Sep;2(3):104-11
18780068
J Bone Joint Surg Br. 2000 Sep;82(7):972-6
11041584
Cochrane Database Syst Rev. 2007 Jul 18;(3):CD006194
17636832
Qual Life Res. 2000;9(8):887-900
11284208
JAMA. 1995 Jan 4;273(1):59-65
7996652
Osteoporos Int. 2004 Oct;15(10):834-41
15045468
Soc Sci Med. 1999 Jun;48(11):1507-15
10400253
Osteoporos Int. 2003 Dec;14(12):1028-34
14600804
J Bone Miner Res. 2006 Jun;21(6):809-16
16753011
J Hand Surg Am. 2004 Nov;29(6):1121-7
15576226
Expert Rev Pharmacoecon Outcomes Res. 2004 Apr;4(2):159-63
19807519
Health Qual Life Outcomes. 2003 Oct 23;1:60
14613562
J Clin Epidemiol. 1998 Nov;51(11):1069-76
9817124
J Natl Cancer Inst Monogr. 2007;(37):5-11
17951224
Soc Sci Med. 1999 Jul;49(1):143-9
10414847
Health Qual Life Outcomes. 2007 May 24;5:27
17524152
Scand J Soc Med. 1998 Dec;26(4):250-8
9868748
Am J Manag Care. 2002 Mar;8(3):231-40
11915973
Ann Chir Gynaecol. 1987;76(2):114-8
3497604
Support Care Cancer. 2006 Sep;14(9):943-51
16523266
J Nurs Scholarsh. 2005;37(4):336-42
16396406
Am J Med. 1993 Jun;94(6):646-50
8506892