caa a22 4500 477084583 CHVBK 20180405111500.0 cr unu---uuuuu 170330e19960201xx s 000 0 eng 10.1007/BF00435969 doi (NATIONALLICENCE)springer-10.1007/BF00435969 Quality of life and functional ability in hip and knee replacements: A prospective study [Elektronische Daten] [P. Rissanen, S. Aro, H. Sintonen, P. Slätis, P. Paavolainen] The impact of hip (THA) and knee arthroplasty (TKA) on patients' health-related quality of life (HRQOL), physical ability and functioning was assessed in a two year follow-up study of 276 hip and 176 knee patients. The eligibility criteria were a diagnosis of primary arthrosis, a primary operation, and total joint arthroplasty. Patients were interviewed by questionnaire prior to the operation and 6, 12 and 24 months after the surgery. Subjective health outcomes were assessed with the Nottingham Health Profile and the 15D, a fifteen dimensional HRQOL measure. Patients' physical ability was assessed using measures of activities of daily living, and of physical mobility. Patient related outcome variations were analyzed by regression models. Major improvements were observed for pain, sleep and physical mobility. On average, in most of the quality of life dimensions the patients attained a similar quality of life as the comparable general population and only 4.7% of hip and 9.7% of knee patients had a worse HRQOL score at all three post-operative measurements than at baseline. Naturally, those with the poorest HRQOL pre-operatively gained most from the operation. High age did not lessen HRQOL gains from THA, but in TKA the oldest patients gained least in terms of 15D scores. Hip, but not knee patients with a long education tended to have greater improvements in quality of life and functional ability. Rapid Science Publishers, 1996 Activities of daily living nationallicence effectiveness nationallicence hip arthroplasty nationallicence knee arthroplasty nationallicence outcome variation nationallicence quality of life nationallicence Rissanen P. STAKES (National Research and Development Centre for Welfare and Health), Health Services Research Unit, PO Box 220, Fin-00531, Helsinki, Finland aut Aro S. STAKES (National Research and Development Centre for Welfare and Health), Health Services Research Unit, PO Box 220, Fin-00531, Helsinki, Finland aut Sintonen H. Department of Health Policy and Management, University of Kuopio, Kuopio, Finland aut Slätis P. Invalid Foundation Hospital, Helsinki, Finland aut Paavolainen P. Jorvi Hospital, Espoo, Finland aut Quality of Life Research Kluwer Academic Publishers 5/1(1996-02-01), 56-64 0962-9343 5:1<56 1996 5 11136 https://doi.org/10.1007/BF00435969 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00435969 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rissanen P. STAKES (National Research and Development Centre for Welfare and Health), Health Services Research Unit, PO Box 220, Fin-00531, Helsinki, Finland aut NATIONALLICENCE 700 1- Aro S. STAKES (National Research and Development Centre for Welfare and Health), Health Services Research Unit, PO Box 220, Fin-00531, Helsinki, Finland aut NATIONALLICENCE 700 1- Sintonen H. Department of Health Policy and Management, University of Kuopio, Kuopio, Finland aut NATIONALLICENCE 700 1- Slätis P. Invalid Foundation Hospital, Helsinki, Finland aut NATIONALLICENCE 700 1- Paavolainen P. Jorvi Hospital, Espoo, Finland aut NATIONALLICENCE 773 0- Quality of Life Research Kluwer Academic Publishers 5/1(1996-02-01), 56-64 0962-9343 5:1<56 1996 5 11136 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer