Analysis of the Quality of Life of Patients Undergoing Hip Replacement Surgery Using the SF-36 Questionnaire

Author(s)

Luca Fanni Kajos, MSc1, Bálint Molics, MSc, PhD2, Dalma Pónusz-Kovács, MSc1, Bettina Kovács, MSc1, Tímea Csákvári, MSc, PhD3, Róbert Pónusz, MSc, PhD1, József Bódis, MD, Ph.D., Habil4, Imre Boncz, MSc, PhD, MD1.
1Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Pécs, Hungary, 2Institute of Physiotherapy and Sport Science, University of Pécs, Faculty of Health Sciences, Pécs, Hungary, 3Institute for Health Insurance, University of Pécs, Faculty of Health Sciences, Zalaegerszeg, Hungary, 4National Laboratory on Human Reproduction, University of Pécs, Pécs, Hungary.
OBJECTIVES: Assessing the quality of life of patients undergoing hip replacement surgery is essential for evaluating the effectiveness of medical and rehabilitation care. The aim of our study was to examine the quality of life of patients undergoing hip replacement surgery using the SF-36 questionnaire.
METHODS: Patients were selected through simple convenience sampling from patients treated at a public hospital and a private clinic in Pécs (Hungary), between 2019 and 2023. Patients completed the internationally validated SF-36 questionnaire, which evaluates general health status across eight dimensions, both preoperatively and three months postoperatively. Data were analyzed using SPSS statistical software, employing the Kolmogorov-Smirnov test, paired t-test, and Wilcoxon test (p<0.05).
RESULTS: A total of 318 participants (144 males and 174 females) with an average age of 66.19 years were included in the study. Significant improvements in quality of life were observed in the following dimensions by the third month after surgery: physical functioning improved from 26.33 to 66.75 points, role limitations due to physical health problems from 23.79 to 52.67 points, bodily pain from 23.31 to 80.0 points, general health perceptions from 48.85 to 62.82 points, energy/fatigue from 57.22 to 76.74 points, social functioning from 74.35 to 87.34 points, and emotional well-being from 71.27 to 84.18 points (p<0.001). No significant improvement was observed in role limitations due to emotional problems, which increased only from 77.24 to 78.21 points (p=0.735). Overall, patients' Physical Health improved from 31.31 to 65.47 points, and Mental Health improved from 68.47 to 80.82 points (p<0.001).
CONCLUSIONS: The quality of life of patients undergoing hip replacement surgery showed significant improvements in most dimensions by the third month postoperatively. The substantial enhancement in physical and mental health highlights the effectiveness of the surgery, although no measurable improvement was observed in role limitations caused by emotional problems.

Conference/Value in Health Info

2025-05, ISPOR 2025, Montréal, Quebec, CA

Value in Health, Volume 28, Issue S1

Code

PCR28

Topic

Patient-Centered Research

Topic Subcategory

Patient Behavior and Incentives, Patient-reported Outcomes & Quality of Life Outcomes

Disease

SDC: Injury & Trauma, SDC: Mental Health (including addition), SDC: Musculoskeletal Disorders (Arthritis, Bone Disorders, Osteoporosis, Other Musculoskeletal), STA: Surgery

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