Bilateral Hallux Valgus: A Utility Outcome Score Assessment.
Hallux valgus is the most common forefoot problem in adults. Although it can cause considerable disability and affect the quality of life of those affected, many patients seek medical attention because of cosmetic concerns. Our aim was to objectively measure the perceived health burden of living with bilateral hallux valgus. Previously validated utility outcome measures, including the visual analog scale, time trade-off, and standard gamble tests, were used to quantify the health burden for single-eye blindness, double-eye blindness, and bilateral hallux valgus in 103 healthy subjects using an online survey. The Student t test and linear regression analysis were used for statistical analysis. The mean visual analog scale, time trade-off, and standard gamble scores for bilateral hallux valgus were 0.86 ± 1.6, 0.95 ± 0.5, and 0.95 ± 0.14, respectively. These were significantly greater than the utility scores for single-eye and double-eye blindness (p < .05). Age, gender, race, income, and education were not statistically significant independent predictors of the utility scores for hallux valgus. In conclusion, we have objectively demonstrated the effect of living with bilateral hallux valgus deformities. Our sample population reported being willing to undergo a procedure with a 5% mortality rate and sacrifice 1.8 years of life to attain perfect health and avoid the bilateral hallux valgus health state. Our findings will guide us in counseling our patients and understanding how they perceive their foot deformity.
Orthopedist, Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, Montreal, Quebec, Canada; Orthopedist, Department of Orthopaedic Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.
Asim M
AM
Makhdom
Plastic Surgeon, Division of Plastic and Reconstructive Surgery, Montreal Children's Hospital, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Hani
H
Sinno
Orthopedist, Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, Montreal, Quebec, Canada; Orthopedist, Department of Orthopaedic Surgery, King Fahad Medical City, Riyadh, Saudi Arabia. Electronic address: sultan.aldebeyan@gmail.com.
Sultan
S
Aldebeyan
Orthopedist, Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, Montreal, Quebec, Canada.
Adam
A
Cota
Orthopedist, Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, Montreal, Quebec, Canada.
Reggie Charles
RC
Hamdy
Orthopedist, Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, Montreal, Quebec, Canada; Orthopedist, Department of Orthopaedic Surgery, University of Dammam, Dammam, Saudi Arabia.
Mohammad
M
Alzahrani
Orthopedist, Division of Orthopaedic Surgery, Shriners Hospital for Children, Montreal Children Hospital, McGill University, Montreal, Quebec, Canada.
Chantal
C
Janelle
D000328:Adult; D000465:Algorithms; D001294:Attitude to Health; D005260:Female; D006215:Hallux Valgus / Q000601:surgery; D006801:Humans; D008297:Male; D011788:Quality of Life; D011795:Surveys and Questionnaires; D055815:Young Adult
bunion; foot deformity; hallux valgus; standard gamble; time trade-off; utility score; visual analog scale