Table 3.
Changes of SQoL after THR
| Study | Quality level | Physical-Functional Outcomes of SQoL | Psychosocial Outcomes of SQoL | n in study | Pre-operative n | Post-operative n | Pre operative % (n) (score) | Post-operative % (n) (score) | Δ SQoL in % | Directionc of Change | p value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Todd, et al. 1973 [23] | L | SD in Females: None Slight Considerable Intercourse Ended |
123 | 74 | 74 | ᅟ 39(29) 12(9) 16(12) 32(24) |
ᅟ 59(44) 15(11) 5(4) 20(15) |
ᅟ 20 3 -11 -12 |
ᅟ + +/- + + |
||
| SD in Males: None Slight Considerable Intercourse ended |
49 | 49 | ᅟ 61(30) 16(8) 8(4) 14(7) |
ᅟ 76(37) 12(6) 0(0) 12(6) |
ᅟ 15 - 4 - 8 - 2 |
ᅟ + + + +/- |
|||||
| Wiklund and Romanus 1991 [3] | L | SD | 57 | 57 | 56 | 34 | 9 | -25 | + | 0.001 | |
| Stern, et al. 1991 [22] | L | SD None Slight Severe Extreme |
86a | 86 | 83 | ᅟ 14(12) 40(34) 38(33) 8(7) |
ᅟ 65(54) 34(28) 1(1) 0(0) |
ᅟ 51 - 6 -37 - 8 |
ᅟ ++ + + + |
<0.001 | |
| SF: Coital Frequency per month | 3,3 | 5,7 | 73d | +++ | <0.001 | ||||||
| Laupacis, et al. 1993 [4] | L | SF: decreased SA (score 0–10; with 0 points being the best score) | 188 | 33b | 27b | 74(7,4) | 30(3,0) | −44 | ++ | ||
| Gogia, et al. 1994 [21] | L | Pain during SA (score 1–5; with 5 points being the best score) | 22 | 7 | 7 | 47(2.36) | 100(5) | 53 | ++ | ||
| Gosens, et al. 2005 [27] | L |
SD due to hip:
Never Sometimes Often Most of time Always |
150 | 146 | 144 | ᅟ 43(63) 16(23) 6(9) 12(17) 23(33) |
ᅟ 78(112) 15(21) 1(1) 4(6) 3(4) |
ᅟ 35 - 1 - 5 - 8 -20 |
ᅟ + +/- +/- + + |
||
| Laffosse, et al. 2008 [26] | L | SD: None: Minimal: Moderate: Severe: Extreme: |
135 | 135 | 89 | ᅟ 30(40) 21(29) 30(40) 16(22) 3(4) |
ᅟ 53(47) 21(19) 26(23) 0(0) 0(0) |
ᅟ 23 0 - 4 -16 - 3 |
ᅟ + +/- +/- + +/- |
||
| SD: Females
None: Minimal: Moderate: Severe: Extreme: |
58 | 57 | 42 | ᅟ 14(8) 19(11) 37(21) 25(14) 5(3) |
ᅟ 43(18) 19(8) 36(15) 0(0) 2(1) |
ᅟ 29 0 -1 -25 - 3 |
ᅟ + +/- +/- + +/- |
0.004 | |||
| SD: Males
None: Minimal: Moderate: Severe: Extreme: |
77 | 77 | 48 | ᅟ 40(31) 23(18) 25(19) 10(8) 1(1) |
ᅟ 60(29) 23(11) 17(8) 0(0) 0(0) |
ᅟ 20 0 - 8 -10 - 1 |
ᅟ + +/- + + +/- |
0.13 | |||
| Wall, et al. 2011 [24] | L | Hip Interfering with SA: |
86 | 71 | 54 | 77(55) | 0(0) | −77 | +++ | ||
| Like more information provided: | 55(39) | 83(45) | 28 | + | |||||||
| Wang, et.al 2014 [14] | M | Effect on: | |||||||||
| SF (scale 0–8; with 0 points being the best score) | 247 | 247 | 247 | 29(2.3) | 23(1.8) | −6 | + | 0.14 | |||
| Hip-pain during SA (scale 0–10; with 0 points being the best score) | 65(6.5) | 9(0.9) | −56 | ++ | 0.009 | ||||||
| Hip-mobility during SA (scale 1–5; with 5 points being the best score) | 28(1.4) | 82(4.1) | 54 | ++ | 0.012 | ||||||
| Effect on: | |||||||||||
| Impairment relationship (scale 0–8; with 0 points being the best score) | 66(5.3) | 29(2.3) | −37 | ++ | 0.026 | ||||||
| Overall sexual satisfaction patients (scale 1–5; with 5 points being the best score) | 54(2.7) | 94(4.7) | 40 | ++ | 0.018 | ||||||
| Overall sexual satisfaction partner (scale 1–5; with 5 points being the best score) | 76(3.8) | 86(4.3) | 10 | + | 0.4 | ||||||
| Klit, et al. 2015 [25] | L | SD due to hip Females (f OHS scale 0–6; with 6 points being the best score) | 136 | 68 | 68 | 67(4.0) | 83(5.0) | 16 | + | 0.008 | |
| SD due to hip Males (fOHS scale: 0–6; with 6 points being the best score) | 68 | 68 | 92(5.0) | 100(6.0) | 8 | + | 0.102 | ||||
| SF: SA before and at twelve month follow upe | 136 | 108 | 83 | 100(108) | 100(83) | 0 | +/- |
SD Sexual Difficulty or Sexual Dysfunction, SF Sexual Function, SA Sexually Active patients
aOnly satisfied patients (with results THR)
bPatients were asked to choose five most adversely affected activities (n33)
cRating the direction of change:
Positive effect: + (5–35 %); ++ (35–70 %); +++ (>70 %)
Negative effect: - (−5 to−35 %); -- (−35 to−70 %); --- (>−70 %)
Unchanged: +/- (between 0 and 5 %; between 0 and - 5 %)
dIncrease 2.4 times: 2.4/3.3 (.73)
eOnly SA patients were included
fOHS = Oxford Hip Score: scale 0–6 (score 0 means “due to other reason than hip”; this was not included in statistics)
Thus, 1 = no sex life able due to hip; 6 never disabled by the hip)