Quality of life and depression among older patients waiting for joint replacement surgery

Crotty, M., Mercer, G., Graves, S. E., Giles, L. C., Osborne, R. H., Prendergast, J. and Battersby, M. 2006, Quality of life and depression among older patients waiting for joint replacement surgery, in AGS 2006 : Proceedings of the 2006 American Geriatrics Society Scientific Meeting, American Geriatrics Society, [New York, N.Y.], pp. S107-S107.

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Title Quality of life and depression among older patients waiting for joint replacement surgery
Author(s) Crotty, M.
Mercer, G.
Graves, S. E.
Giles, L. C.
Osborne, R. H.
Prendergast, J.
Battersby, M.
Conference name American Geriatrics Society Scientific Meeting (2006 : Chicago, Illinois)
Conference location Chicago, Illinois
Conference dates 3-7 May 2006
Title of proceedings AGS 2006 : Proceedings of the 2006 American Geriatrics Society Scientific Meeting
Publication date 2006
Start page S107
End page S107
Publisher American Geriatrics Society
Place of publication [New York, N.Y.]
Summary Purpose: Older patients waiting for joint replacement surgery in many western countries experience lengthy waits for their surgery. Although these patients suffer with mobility problems the nature of the disability associated with waiting for surgery is unclear. The purpose of this study was to determine health-related quality of life and symptoms of depression in persons waiting for their initial orthopaedic consultation following referral for total knee or total hip replacement surgery.

Methods: All patients who were waiting for an initial orthopaedic consultation for lower-limb joint replacement as at 25 August 2005 were surveyed. Participants were mailed questionnaires concerning demographic information, medical history, health-related quality of life (the Assessment of Quality of Life (AQoL) instrument), and symptoms of depression (Center for Epidemiologic Studies – Depression (CES-D) Scale).

Results:
The 84 respondents (response rate 64%) had a mean age of 68.3 (SD 11.5 years), and 60% or respondents were women. Respondents reported an average of 1.6 (SD 0.9) medical conditions, and 85% reported osteoarthritis.} The average health-related quality of life was low (mean AQoL 0.38; SD 0.27), and near death-equivalent or worse than death-equivalent health-related quality of life (AQoL<0.1 of a maximum possible 1.0) was reported by 23% of the participants.The mean depression scale score was 16.5 (SD 11.1), and symptoms of depression (CES-D>16 of a maximum possible 60) were reported by 35% of the sample. There was a strong correlation between health-related quality of life and depression (r=–0.6).

Conclusions:
Almost a third of patients waiting to see an orthopaedic surgeon about joint replacement surgery for their hip or knee had symptoms of depression. Geriatric rehabilitation services often provide interventions to these patients. The very poor quality of life reported suggests that more than exercise and strengthening will be needed to reduce disability.
Notes The abstract for this paper has been published in : Journal of the American Geriatrics Society, Volume 54, Issue S4, 2006.
Language eng
Field of Research 110308 Geriatrics and Gerontology
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category E3.1 Extract of paper
Copyright notice ©2010, John Wiley & Sons, Inc.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30025446

Document type: Conference Paper
Collection: School of Health and Social Development
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