巴西一家医院髋关节置换术患者的成本和生活质量

IF 0.5 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253302e280114

Maria-Roxana Viamont-Guerra, Alex Takao Sasai, Júlia Martins Rodrigues, Rodrigo Guimarães, Eliane Antonioli, Mario Lenza

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引用次数: 0

摘要

引言：巴西很少有研究评估全髋关节置换术（THA）患者的生活质量和成本。目的：(1)描述巴西一家私立医院THA患者的总成本、生活质量和功能评分；(2)确定术前与生活质量和总成本相关的因素；(3)评价生活成本与生活质量的关系。方法：收集1061例患者2年内的术前、围手术期资料、总费用、术前、术后功能评分（HOOS、WOMAC）和生活质量评分（EQ-5D）。结果：EQ-5D、HOOS和WOMAC分别从0.492、54.5和45.2改善至1年随访时的0.888、90和5.9,2年随访时的0.892、90.4和4.0。平均费用为43,324.22±11,323雷亚尔。EQ-5D变异与男性性别相关(RM=1.058；p=0.03)、年龄(RM=0.996；结论：患者接受THA的平均费用为43,324.22雷亚尔。生活质量和功能有所改善，生活质量与男性性别和年龄有关，但总成本和生活质量之间没有联系。证据等级IV；系列。

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COST AND QUALITY OF LIFE IN PATIENTS UNDERWENT HIP ARTHROPLASTY IN A BRAZILIAN HOSPITAL.

Introduction: There are few studies in Brazil evaluating the quality of life and costs of patients undergoing total hip arthroplasty (THA).

Purpose: (1) To describe the total cost, quality of life and functional scores of patients undergoing THA in a Brazilian private hospital; (2) to determine preoperative factors associated with quality of life and total cost; and (3) to evaluate the association between cost and quality of life.

Methods: Of the 1061 patients included, pre- and peri-operative data, total costs, pre- and post-operative functional scores (HOOS, WOMAC) and quality of life scores (EQ-5D) were collected over 2 years.

Results: EQ-5D, HOOS and WOMAC improved from 0.492, 54.5 and 45.2, respectively, to 0.888, 90 and 5.9 at 1-year follow-up, and 0.892, 90.4 and 4.0 at 2-year follow-up. The average cost was R$43,324.22±11,323. Associations were observed between EQ-5D variation and male sex (RM=1.058; p=0.03) as well as age (RM=0.996; p<0.001). No association was found between total cost and EQ-5D.

Conclusions: The average cost of patients undergoing THA was R$43,324.22. There was an improvement in quality of life and function, an association between quality of life and male sex and age, however no association was found between total cost and quality of life. Level of evidence IV; Case Series.

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.