Hälsorelaterad livskvalitet efter total höftprotesoperation - en kvantitativ studie om könets och utbildningsnivåns påverkan på hälsorelaterad livskvalitet
Hälsorelaterad livskvalitetTotal höftprotesoperationEQ-5DKönUtbildningsgradHealth-related quality of lifeTotal hip replacementEQ-5DSexEducation level
Introduction: Sex and education level has demonstrated effects on health status.Osteoarthritis is a widespread disease that causes reduced health-related quality of life and isthe most common reason for total hip replacement. Osteoarthritis was ranked as the 11thhighest contributor to global disability as reported in the Global Burden of Disease 2010.Aim: The aim of this study was to explore how sex and education level together affectedhealth-related quality of life after total hip replacement. The aim was also to examine whatdimensions of EQ-5D that changed.Methods: The study is a prospective observational study with a quantitative approach. Dataconsisted of education level, obtained from Statistics Sweden (SCB) and health-relatedquality of life before and one year after total hip replacement from the Swedish HipArthroplasty Register (SHAR). Health-related quality of life was measured with astandardised instrument, the EQ-5D, and the study population consisted of 39,141 patients.Results: Womens? EQ-5D-value, before and one year after surgery, were lower in alleducational categories compared with men. Women did not attain as much of their potentialimprovement as men with the same education level. The proportion of women who improvedin the dimension mobility was 50.8 % and the proportion of men was 60.3 %. In thedimension of anxiety/depression, 6.9 % of women deteriorated after the surgery, while thecorresponding statistic for men was 5.9 %. 59.2 % of patients with a university degreeimproved in the mobility dimension, for patients with a primary education, the magnitude was51 %.Discussion/Conclusion: Our study has confirmed previous research findings, that sex andeducation level had an effect on health-related quality of life after total hip replacement. Byidentifying what dimensions of health that are affected by total hip arthroplasty, this study cancontribute to a more elucide picture of health-related quality of life after surgery. Increasedknowledge of individual?s different needs can contribute to further improvement for patientsin socioeconomically disadvantaged groups.