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Changes in quality of life associated with fragility fractures: Australian arm of the International Cost and Utility Related to Osteoporotic Fractures Study (AusICUROS)

Citation

Abimanyi-Ochom, J and Watts, JJ and Borgstrom, F and Nicholson, GC and Shore-Lorenti, C and Stuart, AL and Zhang, Y and Iuliano, S and Seeman, E and Prince, R and March, L and Cross, M and Winzenberg, T and Laslett, LL and Duque, G and Ebeling, PR and Sanders, KM, Changes in quality of life associated with fragility fractures: Australian arm of the International Cost and Utility Related to Osteoporotic Fractures Study (AusICUROS), Osteoporosis International, 26, (6) pp. 1-10. ISSN 0937-941X (2015) [Refereed Article]

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Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0) http://creativecommons.org/licenses/by/4.0/

DOI: doi:10.1007/s00198-015-3088-z

Abstract

Summary We investigated change in health-related quality of life due to fracture in Australian adults aged over 50 years. Fractures reduce quality of life with the loss sustained at least over 12 months. At a population level, the loss was equivalent to 65 days in full health per fracture.

Purpose: We aimed to quantify the change in health-related quality of life (HRQoL) that occurred as a consequence of a fracture using the EQ-5D-3 L questionnaire.

Methods: Adults aged ≥50 years with a low to moderate energy fracture were recruited from eight study centres across Australia. This prospective study included an 18-month follow-up of participants recruited within 2 weeks of a fracture (hip, wrist, humerus, vertebral and ankle). Information collected at baseline and 4, 12 and 18 months included characteristics of participants such as income level, education and prior fracture status. At 12 months post-fracture, the cumulative loss of quality of life was estimated using multivariate regression analysis to identify the predictors of HRQoL loss.

Results: Mean HRQoL for all participants before fracture was 0.86, with wrist fracture having the highest pre-fracture HRQoL (0.90), while vertebral fracture had the lowest (0.80). HRQoL declined to 0.42 in the immediate post-fracture period. Only participants with a wrist, humerus or ankle fracture returned to their pre-fracture HRQoL after 18 months. An increased loss of HRQoL over 12 months was associated with HRQoL prior to the fracture, hospitalisation, education and fracture site. The multiple regression explained 30 % of the variation in the cumulative HRQoL loss at 12 months post-fracture for all fractures.

Conclusion: Low to moderate energy fractures reduce HRQoL, and this loss is sustained for at least 12 months or, in the case of hip and spine fractures, at least 18 months. At a population level, this represents an average loss of 65 days in full health per fragility fracture. This significant burden reinforces the need for cost-effective fracture prevention strategies.

Item Details

Item Type:Refereed Article
Keywords:osteoporosis, fracture, ankle, health-related quality of life, humeral, prospective
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Rheumatology and Arthritis
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Skeletal System and Disorders (incl. Arthritis)
UTAS Author:Winzenberg, T (Professor Tania Winzenberg)
UTAS Author:Laslett, LL (Dr Laura Laslett)
ID Code:99457
Year Published:2015
Web of Science® Times Cited:28
Deposited By:Menzies Institute for Medical Research
Deposited On:2015-03-24
Last Modified:2017-11-03
Downloads:435 View Download Statistics

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