Quality of life and cost-utility analysis in patients with femoral neck fracture: a propensity score matching study comparing monopolar hemiarthroplasty and total hip arthroplasty.
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| Title: | Quality of life and cost-utility analysis in patients with femoral neck fracture: a propensity score matching study comparing monopolar hemiarthroplasty and total hip arthroplasty. |
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| Authors: | Gómez-Palomo, Juan Miguel (AUTHOR), Martínez-Crespo, Ana (AUTHOR), Passini-Sánchez, Julieta (AUTHOR), Ignatyev-Simonov, Nikita (AUTHOR), Zamora-Navas, Plácido (AUTHOR), Guerado, Enrique (AUTHOR) |
| Source: | Quality of Life Research. Jul2025, Vol. 34 Issue 7, p2049-2060. 12p. |
| Subjects: | Quality of life, Quality-adjusted life years, Total hip replacement, Propensity score matching, Comorbidity, Cost effectiveness, Hemiarthroplasty, Femoral neck fractures |
| Abstract: | Introduction: Femoral neck fracture impacts patients' quality of life. Patients treated with a total hip arthroplasty (THA) versus a hemiarthroplasty (HA) may have higher quality of life scores after the intervention. This work aims to analyze and compare quality of life among patients with femoral neck fracture treated with THA versus monopolar HA and to perform a cost-utility analysis (CUA) on the procedures. Materials and methods: A prospective, comparative study was conducted on 424 patients with femoral neck fractures, 268 treated with monopolar HA and 156 with THA. To ensure comparability between the groups, Propensity Score Matching (PSM) was performed based on variables such as age and the Charlson Comorbidity Index. The index accounted for comorbidities including cardiovascular disease, diabetes, chronic pulmonary disease, renal disease, and malignancy. After PSM, 156 matched pairs were analyzed. Follow-up data, including quality of life (QoL) assessed via the EQ-5D scale, were collected at 1 year. Results: Twelve months after the procedure, patients treated with THA had significantly higher EuroQol-5D (EQ-5D) index values than those treated with monopolar HA (0.83 vs. 0.68; p = 0.001), with a large effect size (Cohen's d = 0.92), however, both procedures presented similar results on the EQ-5D visual analog scale (VAS) (86.59 vs. 87.11; p = 0.255). THA led to a gain of 0.15 quality-adjusted life years (QALY) compared to monopolar HA (0.83 QALY vs. 0.68 QALY) and demonstrated greater cost-effectiveness, particularly in patients younger than 80 years and those with fewer comorbidities. Conclusions: Patients with femoral neck fracture treated with THA may have higher quality of life levels than those treated with monopolar HA. Likewise, the greatest gain in QALY with THA versus monopolar HA was observed in patients younger than 80 years of age and those who had less comorbidity. [ABSTRACT FROM AUTHOR] |
| Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 186105266 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Quality of life and cost-utility analysis in patients with femoral neck fracture: a propensity score matching study comparing monopolar hemiarthroplasty and total hip arthroplasty. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Gómez-Palomo%2C+Juan+Miguel%22">Gómez-Palomo, Juan Miguel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martínez-Crespo%2C+Ana%22">Martínez-Crespo, Ana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Passini-Sánchez%2C+Julieta%22">Passini-Sánchez, Julieta</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ignatyev-Simonov%2C+Nikita%22">Ignatyev-Simonov, Nikita</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zamora-Navas%2C+Plácido%22">Zamora-Navas, Plácido</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guerado%2C+Enrique%22">Guerado, Enrique</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Jul2025, Vol. 34 Issue 7, p2049-2060. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Quality-adjusted+life+years%22">Quality-adjusted life years</searchLink><br /><searchLink fieldCode="DE" term="%22Total+hip+replacement%22">Total hip replacement</searchLink><br /><searchLink fieldCode="DE" term="%22Propensity+score+matching%22">Propensity score matching</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Cost+effectiveness%22">Cost effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Hemiarthroplasty%22">Hemiarthroplasty</searchLink><br /><searchLink fieldCode="DE" term="%22Femoral+neck+fractures%22">Femoral neck fractures</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Introduction: Femoral neck fracture impacts patients' quality of life. Patients treated with a total hip arthroplasty (THA) versus a hemiarthroplasty (HA) may have higher quality of life scores after the intervention. This work aims to analyze and compare quality of life among patients with femoral neck fracture treated with THA versus monopolar HA and to perform a cost-utility analysis (CUA) on the procedures. Materials and methods: A prospective, comparative study was conducted on 424 patients with femoral neck fractures, 268 treated with monopolar HA and 156 with THA. To ensure comparability between the groups, Propensity Score Matching (PSM) was performed based on variables such as age and the Charlson Comorbidity Index. The index accounted for comorbidities including cardiovascular disease, diabetes, chronic pulmonary disease, renal disease, and malignancy. After PSM, 156 matched pairs were analyzed. Follow-up data, including quality of life (QoL) assessed via the EQ-5D scale, were collected at 1 year. Results: Twelve months after the procedure, patients treated with THA had significantly higher EuroQol-5D (EQ-5D) index values than those treated with monopolar HA (0.83 vs. 0.68; p = 0.001), with a large effect size (Cohen's d = 0.92), however, both procedures presented similar results on the EQ-5D visual analog scale (VAS) (86.59 vs. 87.11; p = 0.255). THA led to a gain of 0.15 quality-adjusted life years (QALY) compared to monopolar HA (0.83 QALY vs. 0.68 QALY) and demonstrated greater cost-effectiveness, particularly in patients younger than 80 years and those with fewer comorbidities. Conclusions: Patients with femoral neck fracture treated with THA may have higher quality of life levels than those treated with monopolar HA. Likewise, the greatest gain in QALY with THA versus monopolar HA was observed in patients younger than 80 years of age and those who had less comorbidity. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=186105266 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s11136-025-03965-4 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 2049 Subjects: – SubjectFull: Quality of life Type: general – SubjectFull: Quality-adjusted life years Type: general – SubjectFull: Total hip replacement Type: general – SubjectFull: Propensity score matching Type: general – SubjectFull: Comorbidity Type: general – SubjectFull: Cost effectiveness Type: general – SubjectFull: Hemiarthroplasty Type: general – SubjectFull: Femoral neck fractures Type: general Titles: – TitleFull: Quality of life and cost-utility analysis in patients with femoral neck fracture: a propensity score matching study comparing monopolar hemiarthroplasty and total hip arthroplasty. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Gómez-Palomo, Juan Miguel – PersonEntity: Name: NameFull: Martínez-Crespo, Ana – PersonEntity: Name: NameFull: Passini-Sánchez, Julieta – PersonEntity: Name: NameFull: Ignatyev-Simonov, Nikita – PersonEntity: Name: NameFull: Zamora-Navas, Plácido – PersonEntity: Name: NameFull: Guerado, Enrique IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 07 Text: Jul2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 09629343 Numbering: – Type: volume Value: 34 – Type: issue Value: 7 Titles: – TitleFull: Quality of Life Research Type: main |
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