Literature review on QOL in patients undergoing Revision Total Hip

Abstract

A systematic literature review was conducted to clarify QOL after revision of total hip arthroplasty (THA) and the factors associated with changes in QOL in Japan. Twelve studies THAt met the criteria were selected for analysis out of 243 original articles searched from Ichushi-Web (Version 5), Medical Online, CINII, MEDLINE/CINAHL, and PUBMED. The mean age of the patients selected was primarily those in their 60s, which is young for patients undergoing this type of surgery. Women were predominantly included in the analysis. Currently, quality of life is mainly assessed on patient-rated outcomes (MOS Short-Form 36-Item Health Survey (SF-36), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and Oxford Hip Score (OHS), however, the Japanese Orthopaedic Association Hip Score (JOA Hip score), which is a provider-rated outcome, is still widely used. The quality of life (QOL) after revision surgery continued to recover for several years after initial THA, but then stalled and declined, and QOL after surgery was related to the preoperative physical function. Further studies are needed in order to clarify the factors THAt affect the change in quality of life as well as the change in the quality of life of elderly patients undergoing revision surgery.