Is global quality of life reduced before fracture in patients with low-energy wrist or hip fracture? A comparison with m
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BioMed Central
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Is global quality of life reduced before fracture in patients with low-energy wrist or hip fracture? A comparison with matched controls Gudrun Rohde*1,2, Glenn Haugeberg1, Anne Marit Mengshoel2, Torbjorn Moum3 and Astrid K Wahl2,4 Address: 1Department of Rheumatology, Sorlandet Hospital, Kristiansand, Servicebox 416, 4604 Kristiansand, Norway, 2Institute of Nursing and Health Sciences, Medical Faculty the University of Oslo, Pb.1153 Blindern, 0316 Oslo, Norway, 3Dept. of Behavioural Sciences in Medicine, Medical Faculty, University of Oslo, 1111, Blindern, 0317 Oslo, Norway and 4Centre for Shared Decision Making and Nursing Research Rikshospitalet, N-0027 Oslo, Norway Email: Gudrun Rohde* - [email protected]; Glenn Haugeberg - [email protected]; Anne Marit Mengshoel - [email protected]; Torbjorn Moum - [email protected]; Astrid K Wahl - [email protected] * Corresponding author
Published: 3 November 2008 Health and Quality of Life Outcomes 2008, 6:90
doi:10.1186/1477-7525-6-90
Received: 16 May 2008 Accepted: 3 November 2008
This article is available from: http://www.hqlo.com/content/6/1/90 © 2008 Rohde et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: The aims of the study were (i) to examine global quality of life (GQOL) before fracture in patients with low-energy wrist or hip fracture compared with an age- and sex-matched control group, and (ii) to identify relationships between demographic variables, clinical fracture variables, and health- and global-focused quality of life (QOL) prior to fracture. Methods: Patients with a low-energy fracture of the wrist (n = 181) or hip (n = 97) aged ≥ 50 years at a regional hospital in Norway and matched controls (n = 226) were included. The participants answered retrospectively, within two weeks after the fracture, a questionnaire on their GQOL before the fracture occurred using the Quality of Life Scale (QOLS), and health-focused QOL using the Short Form-36, physical component summary, and mental component summary scales. A broad range of clinical data including bone density was also collected. ANOVA and multiple linear regression analysis were used to analyse the data. Results: Osteoporosis was identified in 59% of the hip fracture patients, 33% of the wrist fracture patients, and 16% of the controls. After adjusting GQOL scores and the three sub-dimensions for known covariates (sociodemographics, clinical fracture characteristics, and health-focused QOL), the hip patients reported significantly lower scores compared with the controls, except for the sub-dimension of personal, social, and community commitment (p = 0.096). Unadjusted and adjusted GQOL scores did not differ between the wrist fracture patients and control
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