Quality of life and functional status of patients with hip fractures in Thailand

Measurement of quality of life and functional status provides important additional information for priority setting in health policy formulation and resource allocation. Hip fracture has been a concern in health planning in developing countries due to an increasing trend, as reported in several stud...

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Main Authors: Suriyawongpaisal P., Chariyalertsak S., Wanvarie S.
Format: Article
Language:English
Published: 2014
Online Access:http://www.scopus.com/inward/record.url?eid=2-s2.0-0141852281&partnerID=40&md5=a2c4661aaf06d2e68368834757c1272c
http://cmuir.cmu.ac.th/handle/6653943832/3136
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Institution: Chiang Mai University
Language: English
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spelling th-cmuir.6653943832-31362014-08-30T02:25:48Z Quality of life and functional status of patients with hip fractures in Thailand Suriyawongpaisal P. Chariyalertsak S. Wanvarie S. Measurement of quality of life and functional status provides important additional information for priority setting in health policy formulation and resource allocation. Hip fracture has been a concern in health planning in developing countries due to an increasing trend, as reported in several studies. Ironically, in developing countries, studies of the impacts of hip fracture on quality of life and functional status are rare. This prompted our team to seek evidence of the impacts using a longitudinal follow-up approach in a Thai setting. In this study, health-related quality of life (HRQOL) before and after hip fractures was evaluated in 250 Thai patients. Measurement of HRQOL was based on a modified SF-12 questionnaire, which was developed with a realization of the following demands: 1) cultUral sensitivity of measurement tools; 2) disease-specific HRQOL measurement and 3) feasibility of conducting field work. Functional status was measured using an adapted version of the Index of Actiyity of Daily Living (ADL), which was previously developed in another setting in Thailand. Mild, moderate and severe deficits in quality of life were found in 36%, 60%, and 4% respectively, of surviving patients. The number of patients with physical functioning dependency, as measured by the ADL, also increased significantly in all 10 activities assessed. Comorbidities were associated with deficits in health-related quality of life but age, sex, income, education level, and surgery were not. Our findings indicate that hip fracture could lead to crippling consequences, with a pronounced effect on the quality of life of Thai patients. Further studies using control groups and longitudinal design are needed to validate the results of this study. 2014-08-30T02:25:48Z 2014-08-30T02:25:48Z 2003 Article 01251562 12971576 http://www.scopus.com/inward/record.url?eid=2-s2.0-0141852281&partnerID=40&md5=a2c4661aaf06d2e68368834757c1272c http://cmuir.cmu.ac.th/handle/6653943832/3136 English
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
language English
description Measurement of quality of life and functional status provides important additional information for priority setting in health policy formulation and resource allocation. Hip fracture has been a concern in health planning in developing countries due to an increasing trend, as reported in several studies. Ironically, in developing countries, studies of the impacts of hip fracture on quality of life and functional status are rare. This prompted our team to seek evidence of the impacts using a longitudinal follow-up approach in a Thai setting. In this study, health-related quality of life (HRQOL) before and after hip fractures was evaluated in 250 Thai patients. Measurement of HRQOL was based on a modified SF-12 questionnaire, which was developed with a realization of the following demands: 1) cultUral sensitivity of measurement tools; 2) disease-specific HRQOL measurement and 3) feasibility of conducting field work. Functional status was measured using an adapted version of the Index of Actiyity of Daily Living (ADL), which was previously developed in another setting in Thailand. Mild, moderate and severe deficits in quality of life were found in 36%, 60%, and 4% respectively, of surviving patients. The number of patients with physical functioning dependency, as measured by the ADL, also increased significantly in all 10 activities assessed. Comorbidities were associated with deficits in health-related quality of life but age, sex, income, education level, and surgery were not. Our findings indicate that hip fracture could lead to crippling consequences, with a pronounced effect on the quality of life of Thai patients. Further studies using control groups and longitudinal design are needed to validate the results of this study.
format Article
author Suriyawongpaisal P.
Chariyalertsak S.
Wanvarie S.
spellingShingle Suriyawongpaisal P.
Chariyalertsak S.
Wanvarie S.
Quality of life and functional status of patients with hip fractures in Thailand
author_facet Suriyawongpaisal P.
Chariyalertsak S.
Wanvarie S.
author_sort Suriyawongpaisal P.
title Quality of life and functional status of patients with hip fractures in Thailand
title_short Quality of life and functional status of patients with hip fractures in Thailand
title_full Quality of life and functional status of patients with hip fractures in Thailand
title_fullStr Quality of life and functional status of patients with hip fractures in Thailand
title_full_unstemmed Quality of life and functional status of patients with hip fractures in Thailand
title_sort quality of life and functional status of patients with hip fractures in thailand
publishDate 2014
url http://www.scopus.com/inward/record.url?eid=2-s2.0-0141852281&partnerID=40&md5=a2c4661aaf06d2e68368834757c1272c
http://cmuir.cmu.ac.th/handle/6653943832/3136
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