Orthopedics Section, Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Sweden.
Acta Orthop. 2011 Feb;82(1):82-9. doi: 10.3109/17453674.2010.548026. Epub 2010 Dec 29.
Population data on mortality and life expectancy are generally available for most countries. However, no longitudinal data based on the health-related quality of life outcome from the EQ-5D instrument have been reported for orthopedic patients. We assessed the effect of orthopedic surgery as measured by EQ-5D.
We analyzed EQ-5D data from 2,444 patients who were operated at the Department of Orthopedic Surgery at Karolinska University Hospital, 2001-2005. We also made a comparison between results from this cohort and those from a Swedish EQ-5D population survey.
The mean EQ-5D (index) score improved from 0.54 to 0.72. Hip and knee arthroplasty, operations related to previous surgery, trauma-related procedures, and rheumatoid arthritis surgeries had preoperative EQ-5D (index) scores of 0.48 to 0.52. All of these groups showed substantial improvement in scores (0.63 to 0.80). Patients with tumors or diseases of the elbow/hand showed higher preoperative scores (0.66 to 0.77), which were similar postoperatively. In most patients, the EQ-5D (index) score improved but did not reach the level reported for an age- and sex-matched population sample (mean difference = 0.11).
Our results can be used as part of the preoperative patient information to increase the level of patient awareness and cooperation, and to facilitate rehabilitation. In future it will be possible-but not easy-to use the EQ-5D instrument as a complementary consideration in clinical priority assessment.
人口死亡率和预期寿命数据在大多数国家都有。然而，基于 EQ-5D 工具的健康相关生活质量结果的纵向数据尚未报告给骨科患者。我们评估了骨科手术的效果，这是通过 EQ-5D 测量的。
我们分析了 2001 年至 2005 年在卡罗林斯卡大学医院骨科接受手术的 2444 名患者的 EQ-5D 数据。我们还将该队列的结果与瑞典 EQ-5D 人群调查的结果进行了比较。
平均 EQ-5D（指数）评分从 0.54 提高到 0.72。髋关节和膝关节置换术、与既往手术相关的手术、创伤相关手术和类风湿关节炎手术的术前 EQ-5D（指数）评分为 0.48 至 0.52。所有这些组的评分都有明显提高（0.63 至 0.80）。患有肘部/手部肿瘤或疾病的患者术前评分较高（0.66 至 0.77），术后评分相似。在大多数患者中，EQ-5D（指数）评分有所提高，但未达到与年龄和性别匹配的人群样本报告的水平（平均差异= 0.11）。
我们的结果可以用作术前患者信息的一部分，以提高患者的意识和合作水平，并促进康复。将来，使用 EQ-5D 工具作为临床优先评估的补充考虑因素将成为可能——但并不容易。
