title: Improvement in quality of lifesix months after primary total hip arthroplasty in a Pakistani population.
abstract: This prospective, cohort study was carried out to assess the improvement in quality of life of patients undergoing elective primary total hip arthroplasty (THA). It was conducted at the orthopaedic department of the Aga Khan University Hospital, Karachi, from June 2014 to May 2015, and comprised patients who had undergone THA. A total of 89 patients having a mean age of 41.5±12.0 years with a baseline core outcomes measure index (COMI)-hip score of > 3.5 were included. A decrease in COMI-hip score by >3 points six months post-operatively was considered improvement in quality of life. Patient satisfaction with restriction to squatting was assessed separately. The mean reduction in COMI-hip was 4.9±1.3 with 83(93%) patients experiencing significant improvement in quality of life. Age >50 years and American Society of Anaesthesiologists (ASA) level >III was significantly associated with no improvement in quality of life. Most patients were satisfied with their disability to squat irrespective of COMI-hip score. THA was found to be associated with significant improvement in quality of life and COMI-hip score was applicable in our population despite its inability to assess disability with restriction in squatting.
authors.affiliation: Section of Orthopedics, Department of Surgery, The Aga Khan University, Karachi, Pakistan.
authors.forename: Akbar Jaleel
authors.initials: AJ
authors.lastname: Zubairi
authors.affiliation: Medical Student, The Aga Khan University Medical College, Karachi, Pakistan.
authors.forename: Syed Usman
authors.initials: SU
authors.lastname: Bin Mahmood
authors.affiliation: Medical Student, The Aga Khan University Medical College, Karachi, Pakistan.
authors.forename: Moiz
authors.initials: M
authors.lastname: Ali
authors.affiliation: Section of Orthopedics, Department of Surgery, The Aga Khan University, Karachi, Pakistan.
authors.forename: Shahryar
authors.initials: S
authors.lastname: Noordin
mesh_terms: D000328:Adult; D019644:Arthroplasty, Replacement, Hip; D006801:Humans; D008875:Middle Aged; D010154:Pakistan; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D016896:Treatment Outcome
keywords: Hip Arthroplasty, Patient Satisfaction, Outcome Assessment, Quality of life.