The impact of incident fractures on health-related quality of life: 5 years of  data from the Canadian Multicentre Osteoporosis Study

Papaioannou A; Kennedy CC; Ioannidis G; Sawka A; Hopman WM; Pickard L; Brown JP; Josse RG; Kaiser S; Anastassiades T; Goltzman D; Papadimitropoulos M; Tenenhouse A; Prior JC; Olszynski WP; Adachi JD; CaMos Study Group

doi:10.1007/s00198-008-0743-7

Bone Health · Osteoporosis

The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian Multicentre Osteoporosis Study

Papaioannou A, Kennedy CC, Ioannidis G, Sawka A, Hopman WM, Pickard L, Brown JP, Josse RG, Kaiser S, Anastassiades T, Goltzman D, Papadimitropoulos M, Tenenhouse A, Prior JC, Olszynski WP, Adachi JD, CaMos Study Group

Published May 2009 Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 20(5), 703-714

DOI 10.1007/s00198-008-0743-7 PMID 18802659

Abstract

Using prospective data from the Canadian Multicentre Osteoporosis Study (CaMos), we compared health utilities index (HUI) scores after 5 years of follow-up among participants (50 years and older) with and without incident clinical fractures. Incident fractures had a negative impact on HUI scores over time.

Introduction

This study examined change in health-related quality of life (HRQL) in those with and without incident clinical fractures as measured by the HUI.

Methods

The study cohort was 4,820 women and 1,783 men (50 years and older) from the CaMos. The HUI was administered at baseline and year 5. Participants were sub-divided into incident fracture groups (hip, rib, spine, forearm, pelvis, other) and were compared with those without these fractures. The effects of both time and fracture type on HUI scores were examined in multivariable regression analyses.

Results

Men and women with hip fractures, compared to those without, had lower HUI measures that ranged from -0.05 to -0.25. Both women and men with spine fractures had significant deficits on the pain attributes (-0.07 to -0.12). In women, self-care (-0.06), mobility and ambulation (-0.05) were also negatively impacted. Women with rib fractures had deficits similar to women with spine fractures, and these effects persisted over time. In men, rib fractures did not significantly affect HUI scores. Pelvic and forearm fractures did not substantially influence HUI scores.

Conclusion

The HUI was a sensitive measure of HRQL change over time. These results will inform economic analyses evaluating osteoporosis therapies.

Topics

Bone Health Osteoporosis Diagnosis and Treatment

Bone Health › Osteoporosis › Diagnosis and Treatment

Jerilynn C Prior, Alan Tenenhouse

J Prior, A Tenenhouse

PMID 18802659 18802659 DOI 10.1007/s00198-008-0743-7 10.1007/s00198-008-0743-7 Papaioannou et al. 2009, Papaioannou 2009

The impact of incident fractures on health-related quality of life: 5 years of data from the Canadian Multicentre Osteoporosis Study

Abstract

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