Deficits in preference-based health-related quality of life after complications associated with tibial fracture
Autor: | Sheila Sprague, Ida Leah Gitajn, Marc F. Swiontkowski, Kyle J. Jeray, Gerard P. Slobogean, Alexander J. Titus, Brad Petrisor, A. N. Tosteson, Mohit Bhandari |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male medicine.medical_specialty Bone Nails 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Postoperative Complications Medicine Health Status Indicators Humans Orthopedics and Sports Medicine 030212 general & internal medicine Tibial fracture Prospective Studies Health related quality of life Fracture Healing Tibia business.industry 030503 health policy & services Middle Aged Preference Fracture Fixation Intramedullary Tibial Fractures Quality of Life Surgery Female Quality-Adjusted Life Years 0305 other medical science business Follow-Up Studies |
Zdroj: | The bonejoint journal. (9) |
ISSN: | 2049-4408 |
Popis: | AimsThe aims of this study were to quantify health state utility values (HSUVs) after a tibial fracture, investigate the effect of complications, to determine the trajectory in HSUVs that result in these differences and to quantify the quality-adjusted life years (QALYs) experienced by patients.Patients and MethodsThis is an analysis of 2138 tibial fractures enrolled in the Fluid Lavage of Open Wounds (FLOW) and Study to Prospectively Evaluate Reamed Intramedullary Nails in Patients with Tibial Fractures (SPRINT) trials. Patients returned for follow-up at two and six weeks and three, six, nine and 12 months. Short-Form Six-Dimension (SF-6D) values were calculated and used to calculate QALYs.ResultsCompared with those who did not have a complication, those with a complication treated either nonoperatively or operatively had lower HSUVs at all times after two weeks. The HSUVs improved in all patients with the passage of time. However, they did not return to the remembered baseline preinjury values nor to US age-adjusted normal values by 12 months after the injury.ConclusionWhile the acute fracture and complications may have resolved clinically, the detrimental effect on a patient’s quality of life persists up to 12 months after the injury. Cite this article: Bone Joint J 2018;100-B:1227–33. |
Databáze: | OpenAIRE |
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