Ripoll-Romero Elisabet, Agüera Zaida, Puig-Llobet Montserrat, Bassas Marta, Manzanares-Céspedes Maria Cristina, Galimany-Masclans Jordi
Department of Orthopedic Surgery, Hospital Clinic de Barcelona, Barcelona, Spain.
Departament D'Infermeria de Salut Pública, Salut Mental I Maternoinfantil, Facultat D'Infermeria, Universitat de Barcelona, Barcelona, Spain.
Front Glob Womens Health. 2025 Apr 22;6:1565899. doi: 10.3389/fgwh.2025.1565899. eCollection 2025.
There is growing evidence that gender may influence surgical outcomes, rehabilitation, and overall patient experience in various orthopedic procedures. The main objective of the present study was to explore gender-based differences in patients undergoing hip arthroplasty surgery to understand better how they might impact the preoperative experience and contribute to personalized patient care.
A cross-sectional study was conducted with = 180 pre-surgical participants ( = 84 females, = 96 males). All patients were consecutively admitted for primary hip arthroplasty surgery at the orthopedics surgery and traumatology unit of the Hospital Clínic of Barcelona (Spain), between October 1, 2023 and July 31, 2024. The assessment consisted of a socio-demographic form and two questionnaires: the Hospital Anxiety and Depression Scale (HADS) and the 5-level EQ-5D version (EQ-5D-5l).
Both groups consisted of a similar percentage of males and females. Females presented statistically significantly higher levels of preoperative anxiety than males ( = .050), but no significant differences appeared in the depression subscale ( = .382). Regarding quality of life, females reported significantly higher scores on difficulties in mobility ( = .037), usual activities ( = .027), and perceived pain ( = .004) compared to males. Finally, greater anxiety and depression scores were associated with poor self-perceived health in males but not in females.
This study is essential to bridge gaps in knowledge regarding gender differences in patients undergoing hip arthroplasty. Clinically, these results underline the importance of considering gender-specific factors when planning interventions and support for hip arthroplasty patients to improve outcomes and overall well-being.
越来越多的证据表明，性别可能会影响各种骨科手术的手术结果、康复情况以及患者的整体体验。本研究的主要目的是探讨接受髋关节置换手术患者的性别差异，以便更好地了解这些差异如何影响术前体验并有助于提供个性化的患者护理。
对180名术前参与者进行了横断面研究（84名女性，96名男性）。2023年10月1日至2024年7月31日期间，所有患者均在西班牙巴塞罗那临床医院的骨科手术与创伤科连续接受初次髋关节置换手术。评估包括一份社会人口统计学表格和两份问卷：医院焦虑抑郁量表（HADS）和5级EQ-5D版本（EQ-5D-5l）。
两组中男性和女性的比例相似。女性术前焦虑水平在统计学上显著高于男性（P = 0.050），但在抑郁子量表上未出现显著差异（P = 0.382）。在生活质量方面，与男性相比，女性在行动困难（P = 0.037）、日常活动（P = 0.027）和感知疼痛（P = 0.004）方面的得分显著更高。最后，较高的焦虑和抑郁得分与男性自我感知健康状况差相关，但与女性无关。
本研究对于弥合髋关节置换患者性别差异方面的知识差距至关重要。在临床上，这些结果强调了在规划髋关节置换患者的干预措施和支持时考虑性别特异性因素以改善结果和整体幸福感的重要性。
