Table 1.
Characteristics of the included studies assessing the effects of THA on SQoL
| First author, country | Study design | Aim/Objective | N of patients (Response Rate) | Diagnosis n (%) | Main inclusion criteria | Mean Age (years) | n (%), Male | n (%), Female | Duration of follow up, after surgery |
|---|---|---|---|---|---|---|---|---|---|
| Todd 1972 UK | Retrospective, cohort studyd Interview (Int) and Survey | Incidence of SD and influence of THR on SQoL | Int: 123/292 (42 %) Surv: 79/134 (58 %) | HAa | Patients undergone THR with active sexual relationship at time of onset HA; | Interview NA M61 (30–79) F 60 (29–79) | Interview NA 49(40) 36 (46) | Interview NA 74(60) 43 (54) | Int: NA Surv: NA |
| Wiklund 1991 Sweden | Case-control study, Survey | To evaluation of QoL before and after THR in patients with HA | 56/57 (98 %)g | Prim. HA: 40 (71 %) Sec. HA: 16 (29 %) incl 1 RAb | Patients with HA < 80 year; awaiting THR | 65 (30–79) | 21 (38) | 35 (63) | 1 year |
| Stern 1991 USA | Retrospective, cohort study, Survey | To determine the effect of THR on SF incl. sexual positions and resumption SA after THA | 86/100 (86 %) | Prim. HA: 74 (86 %) Sec. HA: 12 (14 %) of which 4 dysplasia and 8 RAb | Patients with predominantly HA all undergone THR and <70 y, all satisfied about results THR | 57 (20–70) | 39 (45) | 47 (55) | At time postoperative routine visit |
| Laupacis 1993 Canada | Prospective, double-blind randomized trial, Survey | Effect of THR on health related QoL | 188/ 251 (75 %) | HAa | Patients with HA, < 75 years, no severe OA of other hip, no previous THR or THK (knee) < 5 years, nor infectious arthritis | 64 (40–75) | 97 (53) | 91 (47) | 3 months 6 monthsh 1 year 2 year |
| Gogia 1994 USA | Prospective cohort study, Survey | Developing evaluation system to assess clinical outcome of THR related to changes in functional status and pain | 22/24 (92 %) | HAa | Patients with HA, undergoing THR; alert oriented, ambulatory with or without assistive devices | 69,2 (57–86) | 4 (18) | 18 (82) | 3 and 6 monthsh |
| Gosens 2005, The Netherlands | Prospective, multicentre cohort study, Survey | Translating and validating Oxford Hip Score into Dutch | 146/150 (100 %) | Prim. HA: 117 (78 %) Sec. HA: 33 (22 %) | Age >35 year; patients awaiting THR; No systematic illness and physically and mentally suitable, understanding Dutch language | 65 (38–85) | 52 (35) | 98 (65) | 7 weeks, 3 months, 6 monthsh; 1 year; 2 year |
| First author, country | Study design | Aim/Objective | N of patients (Response Rate) | Diagnosis n (%) | Main inclusion criteria | Mean Age (years) | n (%), Male | n (%), Feale | Duration of follow up, after surgery |
| Laffosse 2007 France | Retrospective, cohort study, Survey | SD in patients before and after THR; receiving sufficient information | 135/346 (39 %) | Prim. HA: 56 (42 %) | <65 year, undergone THR min. 6 months previously; Revision and Femoral Neck Fracture excluded | 51,8 (22–65) | 77 (57) | 58 (43) | ≥6 months |
| Sec. HA: 76 (58 %) Incl. 3 RAb | |||||||||
| Wall 2011 UK | Prospective cohort study, Survey | To determine the effect of HA on SQoL and to assess wheter a SQoL is considered in surgical plan | 86/100 (86 %) | Prim. HA: 74 (86 %) | <75 Year, undergoing THR, living with a partner | 62 (48–74) | 39 (45) | 47 (55) | 6 months |
| Sec. HA: 12 (14 %) Incl. 3 RAb | |||||||||
| Yoon 2013 Korea | Retrospective, cohort study, face-to-face interview | To determine concerns related to SQoL; to determine changes in SA after THR | 64/512 (13 %) | Prim. HA: 11 (17 %) Sec. HA: 53 (83 %) Incl. 2 RAb, 5 ASd | Sexual active patients during previous last year, No dislocation, infection or stiffness. | 50e | 45 (NA) | 19 (NA) | ≥6 months, at routine follow up visit |
| Wang 2014 Japan | Prospective, multicentre cohort study, Survey | To evaluate the influence of ONFH and THR on SQoL | 247/300 (82 %) | Sec. HA: all males, ONFH patients (247) | SA married adults, only ONFH males, Age >25- < 60. Excluded severe comorbiditiesf | 46,8 (34.7–58.9) | 247 (100) | 1 year | |
| Nunley 2014 USA | Retrospective multicentre cohort study, Survey | To evaluate SQoL in young active patients following THR. | 791/806 (98 %)c | Prim. and non inflammentoire Sec. HAa | ≤60 year; THR and SRA patients, no history postoperative complications UCLA score >6i | 49,5 (42.3–56.7) | 531 (66) j | 275 (34) j | 2,3 years (±0,8) |
| Klit 2014 Denmark | Prospective multicentre cohort study, Survey | To explore any -positive or negative- effect THR have had on sexual function, sexual frequency and sexual practice, in younger THR patients | 136/153 (89 %) | Young HAa patients awaiting THR: n86) (Hip Resurfacing: n44) | <60 Year, undergoing primary THR/HR, not suffering from cognitive dysfunction or malignant disease, able to fill in questionnaire | 53 (48–57) | 68 (50) | 68 (50) | 3 months 6 months 1 year h |
aUnspecified numbers and HA type
bSome RA and AS patients were included because data could not slit up
cUsed modern bearing surfaces: SRA = Surface Replacement Arthroplasty; SRA treatment: n 122 (15 %) (181 control patients)
d started with interview, continued with survey
eMean age derived
fComorbidities e.g. affecting heart lung, liver, kidneys; patients under medications; psychiatric history; having mental retardation
gControl group not specified
hduration of follow up used in this review
iPre-symptomatic activity score of University of California Los Angeles (UCLA)
jN not corrected by gender (-15 respondents)