The Health-Related Quality of Life of Patients Waiting for Anterior Cruciate Ligament Reconstruction Is Worse Than an Age- and Sex-Matched Population: Increasing Time on Waiting List for Surgery Was Independently Associated with a Worse Quality of Life
Background. The aims of this study were to assess the health-related quality of life (HRQoL) of patients awaiting anterior cruciate ligament (ACL) reconstruction compared to the population at risk: whether knee-specific function was predictive of HRQoL and to identify factors associated with a worse...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2022/8146897 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549227127898112 |
|---|---|
| author | Siddharth Sripada Harrison Loader Man Hei Marcus Kam Arslan Khaliq Raja Joshua Haggart Thomas Fawcett Cameron Peattie Samuel Molyneux Nicholas Clement |
| author_facet | Siddharth Sripada Harrison Loader Man Hei Marcus Kam Arslan Khaliq Raja Joshua Haggart Thomas Fawcett Cameron Peattie Samuel Molyneux Nicholas Clement |
| author_sort | Siddharth Sripada |
| collection | DOAJ |
| description | Background. The aims of this study were to assess the health-related quality of life (HRQoL) of patients awaiting anterior cruciate ligament (ACL) reconstruction compared to the population at risk: whether knee-specific function was predictive of HRQoL and to identify factors associated with a worse HRQoL. Methods. Sixty-seven patients (male, n = 50; female, n = 17; mean age, 29) identified from the surgical waiting list completed a questionnaire that included demographics, BMI, time of injury, EuroQol 5-dimension (EQ-5D), Short-Form (SF-36), and International Knee Documentation Committee (IKDC) scores. Age- and sex-matched HRQoL data were obtained from population level data. Results. The mean EQ-5D score for the study cohort was significantly worse than the matched score (difference, 0.367; p<0.001), and the same trend was observed for all eight dimensions of the SF-36 score. Thirty-three (49%) patients felt their health, in general, was somewhat or much worse compared to one year ago. There was a correlation between IKDC and EQ-5D scores (r = 0.540, p<0.001). Linear regression was used to formulate the EQ-5D score: EQ-5D = (IKDCx0.013)–0.015 (constant). The SF-36 physical component and length of time on the waiting list were independently associated with the HRQoL, with each 14-point drop or for every 200 days, a clinically significant deterioration in patients’ HRQoL occurred, respectively. Conclusions. Patients had a significantly worse HRQoL when compared to the age- and sex-matched population, which deteriorates with worsening physical function and increasing length of time on the waiting list. The knee-specific IKDC correlated with HRQoL and could be used to estimate the EQ-5D score. |
| format | Article |
| id | doaj-art-4254d50c123948f9b97c0653cc105dc6 |
| institution | Kabale University |
| issn | 2090-3472 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-4254d50c123948f9b97c0653cc105dc62025-02-03T06:11:54ZengWileyAdvances in Orthopedics2090-34722022-01-01202210.1155/2022/8146897The Health-Related Quality of Life of Patients Waiting for Anterior Cruciate Ligament Reconstruction Is Worse Than an Age- and Sex-Matched Population: Increasing Time on Waiting List for Surgery Was Independently Associated with a Worse Quality of LifeSiddharth Sripada0Harrison Loader1Man Hei Marcus Kam2Arslan Khaliq Raja3Joshua Haggart4Thomas Fawcett5Cameron Peattie6Samuel Molyneux7Nicholas Clement8University of Edinburgh Medical SchoolUniversity of Edinburgh Medical SchoolUniversity of Edinburgh Medical SchoolUniversity of Edinburgh Medical SchoolUniversity of Edinburgh Medical SchoolUniversity of Edinburgh Medical SchoolUniversity of Edinburgh Medical SchoolEdinburgh OrthopaedicsEdinburgh OrthopaedicsBackground. The aims of this study were to assess the health-related quality of life (HRQoL) of patients awaiting anterior cruciate ligament (ACL) reconstruction compared to the population at risk: whether knee-specific function was predictive of HRQoL and to identify factors associated with a worse HRQoL. Methods. Sixty-seven patients (male, n = 50; female, n = 17; mean age, 29) identified from the surgical waiting list completed a questionnaire that included demographics, BMI, time of injury, EuroQol 5-dimension (EQ-5D), Short-Form (SF-36), and International Knee Documentation Committee (IKDC) scores. Age- and sex-matched HRQoL data were obtained from population level data. Results. The mean EQ-5D score for the study cohort was significantly worse than the matched score (difference, 0.367; p<0.001), and the same trend was observed for all eight dimensions of the SF-36 score. Thirty-three (49%) patients felt their health, in general, was somewhat or much worse compared to one year ago. There was a correlation between IKDC and EQ-5D scores (r = 0.540, p<0.001). Linear regression was used to formulate the EQ-5D score: EQ-5D = (IKDCx0.013)–0.015 (constant). The SF-36 physical component and length of time on the waiting list were independently associated with the HRQoL, with each 14-point drop or for every 200 days, a clinically significant deterioration in patients’ HRQoL occurred, respectively. Conclusions. Patients had a significantly worse HRQoL when compared to the age- and sex-matched population, which deteriorates with worsening physical function and increasing length of time on the waiting list. The knee-specific IKDC correlated with HRQoL and could be used to estimate the EQ-5D score.http://dx.doi.org/10.1155/2022/8146897 |
| spellingShingle | Siddharth Sripada Harrison Loader Man Hei Marcus Kam Arslan Khaliq Raja Joshua Haggart Thomas Fawcett Cameron Peattie Samuel Molyneux Nicholas Clement The Health-Related Quality of Life of Patients Waiting for Anterior Cruciate Ligament Reconstruction Is Worse Than an Age- and Sex-Matched Population: Increasing Time on Waiting List for Surgery Was Independently Associated with a Worse Quality of Life Advances in Orthopedics |
| title | The Health-Related Quality of Life of Patients Waiting for Anterior Cruciate Ligament Reconstruction Is Worse Than an Age- and Sex-Matched Population: Increasing Time on Waiting List for Surgery Was Independently Associated with a Worse Quality of Life |
| title_full | The Health-Related Quality of Life of Patients Waiting for Anterior Cruciate Ligament Reconstruction Is Worse Than an Age- and Sex-Matched Population: Increasing Time on Waiting List for Surgery Was Independently Associated with a Worse Quality of Life |
| title_fullStr | The Health-Related Quality of Life of Patients Waiting for Anterior Cruciate Ligament Reconstruction Is Worse Than an Age- and Sex-Matched Population: Increasing Time on Waiting List for Surgery Was Independently Associated with a Worse Quality of Life |
| title_full_unstemmed | The Health-Related Quality of Life of Patients Waiting for Anterior Cruciate Ligament Reconstruction Is Worse Than an Age- and Sex-Matched Population: Increasing Time on Waiting List for Surgery Was Independently Associated with a Worse Quality of Life |
| title_short | The Health-Related Quality of Life of Patients Waiting for Anterior Cruciate Ligament Reconstruction Is Worse Than an Age- and Sex-Matched Population: Increasing Time on Waiting List for Surgery Was Independently Associated with a Worse Quality of Life |
| title_sort | health related quality of life of patients waiting for anterior cruciate ligament reconstruction is worse than an age and sex matched population increasing time on waiting list for surgery was independently associated with a worse quality of life |
| url | http://dx.doi.org/10.1155/2022/8146897 |
| work_keys_str_mv | AT siddharthsripada thehealthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT harrisonloader thehealthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT manheimarcuskam thehealthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT arslankhaliqraja thehealthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT joshuahaggart thehealthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT thomasfawcett thehealthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT cameronpeattie thehealthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT samuelmolyneux thehealthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT nicholasclement thehealthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT siddharthsripada healthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT harrisonloader healthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT manheimarcuskam healthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT arslankhaliqraja healthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT joshuahaggart healthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT thomasfawcett healthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT cameronpeattie healthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT samuelmolyneux healthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife AT nicholasclement healthrelatedqualityoflifeofpatientswaitingforanteriorcruciateligamentreconstructionisworsethananageandsexmatchedpopulationincreasingtimeonwaitinglistforsurgerywasindependentlyassociatedwithaworsequalityoflife |