TY - JOUR
T1 - Quality of life of patients with osteonecrosis of the femoral head
T2 - a multicentre study
AU - Uesugi, Yuko
AU - Sakai, Takashi
AU - Seki, Taisuke
AU - Hayashi, Shinya
AU - Nakamura, Junichi
AU - Inaba, Yutaka
AU - Takahashi, Daisuke
AU - Sasaki, Kan
AU - Motomura, Goro
AU - Mashima, Naohiko
AU - Kabata, Tamon
AU - Sudo, Akihiro
AU - Jinno, Tetsuya
AU - Ando, Wataru
AU - Nagoya, Satoshi
AU - Yamamoto, Kengo
AU - Nakasone, Satoshi
AU - Ito, Hiroshi
AU - Yamamoto, Takuaki
AU - Sugano, Nobuhiko
N1 - Publisher Copyright:
© 2018, SICOT aisbl.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Purpose: 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. Methods: 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. Results: 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. Conclusion: 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.
AB - Purpose: 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. Methods: 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. Results: 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. Conclusion: 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.
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U2 - 10.1007/s00264-018-3897-8
DO - 10.1007/s00264-018-3897-8
M3 - Article
C2 - 29572640
AN - SCOPUS:85044357637
VL - 42
SP - 1517
EP - 1525
JO - International Orthopaedics
JF - International Orthopaedics
SN - 0341-2695
IS - 7
ER -