Decline in Health-Related Quality of Life reported by more than half of those waiting for joint replacement surgery: a prospective cohort study
2011

Decline in Quality of Life for Patients Waiting for Joint Replacement Surgery

Sample size: 134 publication 10 minutes Evidence: moderate

Author Information

Author(s): Ilana N Ackerman, Kim L Bennell, Richard H Osborne

Primary Institution: The University of Melbourne

Hypothesis

Do patients with severe joint disease experience further deterioration in health-related quality of life while waiting for surgery?

Conclusion

More than half of the patients awaiting joint replacement surgery experienced a decline in their health-related quality of life during the waiting period.

Supporting Evidence

  • 53% of participants experienced a clinically important decline in health-related quality of life.
  • Participants reported significant worsening in pain, fatigue, and overall quality of life.
  • Waiting times for surgery averaged 286 days, with many waiting over 6 months.

Takeaway

Many people waiting for joint surgery feel worse while they wait, with their quality of life getting lower over time.

Methodology

Patients completed questionnaires assessing quality of life and psychological distress before and after entering the waiting list for surgery.

Potential Biases

Self-reported data may be subject to recall bias.

Limitations

The study was conducted at a single hospital and many participants were not scheduled for surgery by the end of the data collection period.

Participant Demographics

Median age was 67 years, with 59% female and 78% reporting osteoarthritis.

Statistical Information

P-Value

0.02

Confidence Interval

95%CI -0.08 to -0.01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2474-12-108

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