Health Related Quality of Life in Men After Total Hip Replacement

Abstract Background: Hip osteoarthritis is a substantial health-related, social, and economic problem.The aim of the study was assessment of life quality in men with degenerative hip disease, after total hip arthroplastyor metaphyseal surgery.Material and methods: 118male patients were subjects of the study, being in the age range from 31 to 79years of age, qualified for the procedure of total hip arthroplasty. The study was a questionnaire study, in which for assessing Quality of Life in patients, the abbreviated version of WHOQoL-BREF,as well as EQ-5D-5L, and SF-36 scale. The assessment of life quality was performed before the surgery, during the first follow-up visit (6 weeks after surgery) and 6 months after the surgery. Results: The results from WHOQoL-BREF questionnaire demonstrated a statistically significant improvement regarding the assessed quality of life after the surgery –in the 6th week after the procedure by 4% and 21% (p<0.001), after 6 months by 13% and 42% (p<0.001), respectively. The most significant improvement was found in the somatic domain –by 5% after 6 weeks, and by 6% after 6 months(p<0.001). The quality of life according to the EQ-5D-5L questionnaire revealed statistically significant improvement after 6 weeks, by 18-24% (p<0.001), while after 6 months by 41-48% (p<0.001). The most considerable improvement was achieved in reducing pain complaints and enhancing the ability to move.In the SF-36 questionnaire, in turn, statistically significant improvement 6 months after the surgery refer to both physical (by 44%),and mental condition(by 54%) (p<0.001). Conclusions: The total hip arthroplasty results in improvement quality of life in examined group ofmen withhip osteoarthrosis, as early as 6 weeks after the procedure, while the improvement is more perceptible 6 months after the procedure, mainly the less severe pain experienced, and better functioning of examined patients.