Quality of life of patients with osteonecrosis of the femoral head: a multicentre study

Autor: Tetsuya Jinno, Shinya Hayashi, Yutaka Inaba, Yuko Uesugi, Tamon Kabata, Takuaki Yamamoto, Kengo Yamamoto, Nobuhiko Sugano, Satoshi Nagoya, Hiroshi Ito, Kan Sasaki, Daisuke Takahashi, Satoshi Nakasone, Akihiro Sudo, Wataru Ando, Naohiko Mashima, Goro Motomura, Junichi Nakamura, Taisuke Seki, Takashi Sakai
Rok vydání: 2018
Předmět:
Zdroj: International Orthopaedics. 42:1517-1525
ISSN: 1432-5195
0341-2695
Popis: Quality-of-life (QOL) assessments in patients with osteonecrosis of the femoral head (ONFH) have rarely been reported. This multicentre study aimed to elucidate the relationship between disease severity, including necrotic lesion type and radiological staging, and QOL, as well as between patients’ characteristics and QOL. Two hundred seventy-four patients with ONFH (108 females, 166 males; median age, 46 years) were asked to complete self-assessment QOL questionnaires including the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire, Oxford Hip Score, and SF-12v2. Patients with large necrotic lesion type or collapsed ONFH had low QOL scores. Among patients with non-collapsed lesions, patients with alcohol-associated ONFH had lower QOL scores than those with steroid-associated ONFH, those with bilateral ONFH had lower mental scores, and male patients had worse social condition scores. Among patients with collapsed lesions, middle-aged patients exhibited lower mental QOL, and a strong correlation was observed between social activity and mental health. Collapsed ONFH was associated with low QOL scores. Among patients with non-collapsed lesions, alcohol-associated ONFH, bilateral disease, and male sex were linked to low QOL scores.
Databáze: OpenAIRE