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dc.contributor.authorKjærvik, Cato
dc.contributor.authorGjertsen, Jan-Erik
dc.contributor.authorStensland, Eva
dc.contributor.authorDybvik, Eva Hansen
dc.contributor.authorSøreide, Odd
dc.date.accessioned2024-09-16T08:03:01Z
dc.date.available2024-09-16T08:03:01Z
dc.date.created2024-04-14T09:17:06Z
dc.date.issued2024
dc.identifier.issn2049-4394
dc.identifier.urihttps://hdl.handle.net/11250/3152452
dc.description.abstractAims The aims of this study were to assess quality of life after hip fractures, to characterize respondents to patient-reported outcome measures (PROMs), and to describe the recovery trajectory of hip fracture patients. Methods Data on 35,206 hip fractures (2014 to 2018; 67.2% female) in the Norwegian Hip Fracture Register were linked to data from the Norwegian Patient Registry and Statistics Norway. PROMs data were collected using the EuroQol five-dimension three-level questionnaire (EQ-5D-3L) scoring instrument and living patients were invited to respond at four, 12, and 36 months post fracture. Multiple imputation procedures were performed as a model to substitute missing PROM data. Differences in response rates between categories of covariates were analyzed using chi-squared test statistics. The association between patient and socioeconomic characteristics and the reported EQ-5D-3L scores was analyzed using linear regression. Results The median age was 83 years (interquartile range 76 to 90), and 3,561 (10%) lived in a healthcare facility. Observed mean pre-fracture EQ-5D-3L index score was 0.81 (95% confidence interval 0.803 to 0.810), which decreased to 0.66 at four months, to 0.70 at 12 months, and to 0.73 at 36 months. In the imputed datasets, the reduction from pre-fracture was similar (0.15 points) but an improvement up to 36 months was modest (0.01 to 0.03 points). Patients with higher age, male sex, severe comorbidity, cognitive impairment, lower income, lower education, and those in residential care facilities had a lower proportion of respondents, and systematically reported a lower health-related quality of life (HRQoL). The response pattern of patients influenced scores significantly, and the highest scores are found in patients reporting scores at all observation times. Conclusion Hip fracture leads to a persistent reduction in measured HRQoL, up to 36 months. The patients’ health and socioeconomic status were associated with the proportion of patients returning PROM data for analysis, and affected the results reported. Observed EQ-5D-3L scores are affected by attrition and selection bias mechanisms and motivate the use of statistical modelling for adjustment.en_US
dc.language.isoengen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/deed.no*
dc.titlePatient-reported outcome measures in hip fracture patients. Data on 35,206 patients from the Norwegian Hip Fracture Register, 2014 to 2018en_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2024 The Author(s)en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2
dc.identifier.doi10.1302/0301-620X.106B4.BJJ-2023-0904.R1
dc.identifier.cristin2261455
dc.source.journalThe Bone & Joint Journalen_US
dc.source.pagenumber394-400en_US
dc.relation.projectHelse Nord RHF: hnf1482-19en_US
dc.identifier.citationThe Bone & Joint Journal. 2024, 106-B (4), 394-400.en_US
dc.source.volume106-Ben_US
dc.source.issue4en_US


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Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 Internasjonal