The course of health status and (health-related) quality of life following fracture of the lower extremity: A 6-month follow-up study

Marleen van Son, J. de Vries, J.A. Roukema, T. Gosens, M. H. J. Verhofstad, B.L. den Oudsten

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Abstract

Purpose
The aim of this prospective study was to describe the course of health status (HS), health-related quality of life, and quality of life (QOL) in patients with lower extremity fractures (LEF) up to 6 months post-fracture.
Methods
Patients (n = 171; age range 18–100 years) completed the World Health Organization Quality of Life assessment instrument-Bref (WHOQOL-Bref) and the Short Musculoskeletal Function Assessment questionnaire (SMFA) at time of diagnosis (i.e., pre-injury status), 1 week, and 6 months post-fracture. Linear mixed modeling was performed.
Results
Interaction effects of time with treatment were detected for the WHOQOL-Bref facet Overall QOL and General health (p = .002) and Physical health (p = .003). Patients did not return to their pre-injury Physical health, Psychological health, and Environment 6 months post-fracture (p < .05). No effects were found for Social relationships. The SMFA subscale Lower extremity dysfunction showed main effects for time and treatment (p < .0001) with full recovery at 6 months (p = .998). An interaction effect of time with treatment was found for Daily life consequences (p < .0001) with nonoperatively treated patients showing full recovery (p = 1.00), whereas surgically treated patients did not (p = .002).
Conclusions
Six months after LEF, patients still experienced impaired physical and psychological health on the WHOQOL-Bref compared to their pre-injury status. However, patients showed full recovery on SMFA Lower extremity dysfunction, indicating that the choice of the questionnaire influences the derived conclusions. LEF did not affect satisfaction with social relationships.KeywordsHealth status, Health-related quality of life, Quality of life, Lower extremity fractures
Original languageEnglish
Pages (from-to)1285-1294
JournalQuality of Life Research
Volume25
Issue number5
DOIs
Publication statusPublished - 2016

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@article{6ea708fb63f7428cbb859d20a68df528,
title = "The course of health status and (health-related) quality of life following fracture of the lower extremity: A 6-month follow-up study",
abstract = "PurposeThe aim of this prospective study was to describe the course of health status (HS), health-related quality of life, and quality of life (QOL) in patients with lower extremity fractures (LEF) up to 6 months post-fracture.MethodsPatients (n = 171; age range 18–100 years) completed the World Health Organization Quality of Life assessment instrument-Bref (WHOQOL-Bref) and the Short Musculoskeletal Function Assessment questionnaire (SMFA) at time of diagnosis (i.e., pre-injury status), 1 week, and 6 months post-fracture. Linear mixed modeling was performed.ResultsInteraction effects of time with treatment were detected for the WHOQOL-Bref facet Overall QOL and General health (p = .002) and Physical health (p = .003). Patients did not return to their pre-injury Physical health, Psychological health, and Environment 6 months post-fracture (p < .05). No effects were found for Social relationships. The SMFA subscale Lower extremity dysfunction showed main effects for time and treatment (p < .0001) with full recovery at 6 months (p = .998). An interaction effect of time with treatment was found for Daily life consequences (p < .0001) with nonoperatively treated patients showing full recovery (p = 1.00), whereas surgically treated patients did not (p = .002).ConclusionsSix months after LEF, patients still experienced impaired physical and psychological health on the WHOQOL-Bref compared to their pre-injury status. However, patients showed full recovery on SMFA Lower extremity dysfunction, indicating that the choice of the questionnaire influences the derived conclusions. LEF did not affect satisfaction with social relationships.KeywordsHealth status, Health-related quality of life, Quality of life, Lower extremity fractures",
author = "{van Son}, Marleen and {de Vries}, J. and J.A. Roukema and T. Gosens and Verhofstad, {M. H. J.} and {den Oudsten}, B.L.",
year = "2016",
doi = "10.1007/s11136-015-1167-4",
language = "English",
volume = "25",
pages = "1285--1294",
journal = "Quality of Life Research",
issn = "0962-9343",
publisher = "Springer",
number = "5",

}

The course of health status and (health-related) quality of life following fracture of the lower extremity : A 6-month follow-up study. / van Son, Marleen; de Vries, J.; Roukema, J.A.; Gosens, T.; Verhofstad, M. H. J.; den Oudsten, B.L.

In: Quality of Life Research, Vol. 25, No. 5, 2016, p. 1285-1294.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - The course of health status and (health-related) quality of life following fracture of the lower extremity

T2 - A 6-month follow-up study

AU - van Son, Marleen

AU - de Vries, J.

AU - Roukema, J.A.

AU - Gosens, T.

AU - Verhofstad, M. H. J.

AU - den Oudsten, B.L.

PY - 2016

Y1 - 2016

N2 - PurposeThe aim of this prospective study was to describe the course of health status (HS), health-related quality of life, and quality of life (QOL) in patients with lower extremity fractures (LEF) up to 6 months post-fracture.MethodsPatients (n = 171; age range 18–100 years) completed the World Health Organization Quality of Life assessment instrument-Bref (WHOQOL-Bref) and the Short Musculoskeletal Function Assessment questionnaire (SMFA) at time of diagnosis (i.e., pre-injury status), 1 week, and 6 months post-fracture. Linear mixed modeling was performed.ResultsInteraction effects of time with treatment were detected for the WHOQOL-Bref facet Overall QOL and General health (p = .002) and Physical health (p = .003). Patients did not return to their pre-injury Physical health, Psychological health, and Environment 6 months post-fracture (p < .05). No effects were found for Social relationships. The SMFA subscale Lower extremity dysfunction showed main effects for time and treatment (p < .0001) with full recovery at 6 months (p = .998). An interaction effect of time with treatment was found for Daily life consequences (p < .0001) with nonoperatively treated patients showing full recovery (p = 1.00), whereas surgically treated patients did not (p = .002).ConclusionsSix months after LEF, patients still experienced impaired physical and psychological health on the WHOQOL-Bref compared to their pre-injury status. However, patients showed full recovery on SMFA Lower extremity dysfunction, indicating that the choice of the questionnaire influences the derived conclusions. LEF did not affect satisfaction with social relationships.KeywordsHealth status, Health-related quality of life, Quality of life, Lower extremity fractures

AB - PurposeThe aim of this prospective study was to describe the course of health status (HS), health-related quality of life, and quality of life (QOL) in patients with lower extremity fractures (LEF) up to 6 months post-fracture.MethodsPatients (n = 171; age range 18–100 years) completed the World Health Organization Quality of Life assessment instrument-Bref (WHOQOL-Bref) and the Short Musculoskeletal Function Assessment questionnaire (SMFA) at time of diagnosis (i.e., pre-injury status), 1 week, and 6 months post-fracture. Linear mixed modeling was performed.ResultsInteraction effects of time with treatment were detected for the WHOQOL-Bref facet Overall QOL and General health (p = .002) and Physical health (p = .003). Patients did not return to their pre-injury Physical health, Psychological health, and Environment 6 months post-fracture (p < .05). No effects were found for Social relationships. The SMFA subscale Lower extremity dysfunction showed main effects for time and treatment (p < .0001) with full recovery at 6 months (p = .998). An interaction effect of time with treatment was found for Daily life consequences (p < .0001) with nonoperatively treated patients showing full recovery (p = 1.00), whereas surgically treated patients did not (p = .002).ConclusionsSix months after LEF, patients still experienced impaired physical and psychological health on the WHOQOL-Bref compared to their pre-injury status. However, patients showed full recovery on SMFA Lower extremity dysfunction, indicating that the choice of the questionnaire influences the derived conclusions. LEF did not affect satisfaction with social relationships.KeywordsHealth status, Health-related quality of life, Quality of life, Lower extremity fractures

U2 - 10.1007/s11136-015-1167-4

DO - 10.1007/s11136-015-1167-4

M3 - Article

VL - 25

SP - 1285

EP - 1294

JO - Quality of Life Research

JF - Quality of Life Research

SN - 0962-9343

IS - 5

ER -