Associations between baseline factors and preoperative quality of life using the EQ-5D-5L for patients undergoing arthroscopic rotator cuff repair

Brune, D.; Stojanov, T.; Müller, A. M.; Weibel, David; Hunziker-Schütz, S.; Audigé, L. (8 September 2023). Associations between baseline factors and preoperative quality of life using the EQ-5D-5L for patients undergoing arthroscopic rotator cuff repair. In: 7th International Congress on Shoulder and Elbow Therapy. Rome, Italy. 5-8 September 2023.

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Background: The EuroQol-5 Dimensions questionnaire (EQ-5D) is a widely used generic instrument and commonly applied in the field of upper extremity surgery to assess preoperative health-related quality of life (HRQoL) status. However, associations between baseline factors and preoperative HRQoL scores have been poorly reported. The aim of this study was to identify associations between baseline factors and the preoperative EQ-5D index and EQ-VAS score in patients undergoing arthroscopic rotator cuff repair (ARCR).
Methods: For this study, 5 sociodemographic, 7 patient-related and 9 injury-related factors were retrieved as part of a multicenter prospective Swiss cohort study (ARCR_Pred). Univariable and multivariable ordinary least-square linear regression models were designed to assess the associations between these 21 factors and preoperative HRQoL. Final models were selected using stepwise backwards regression using the coefficient of determination (R2) and Akaike information criterion (AIC) for model comparison.
Results: A total of 973 patients (male: 611; 63%) with a mean age of 57.3 (SD: 9.4) were included in the analysis. The mean EQ-5D index value score was 0.7 (SD: 0.2) and mean EQ-VAS score 68.7 (SD: 19.8). In the multivariable regression analysis, male gender (regression coefficient (β) = 0.05; p = .001) and higher education such as apprenticeship or high school (β = 0.07; p = .003) and university or college (β = 0.11; p < .001) were associated with a higher EQ-Index; mass index (β = -0.01; p = .002) and affected sleep-quality (β = -0.03; p < .001) were associated with lower EQ-Index. The described model resulted in a R2 = 0.194 and an AIC = -0.265. Factors negatively associated with overall health measured with EQ-VAS score were mild (β = -9.39; p < .001), moderate (β = -12.7; p < .001) and severe (β = -40.79; p < .001) depression, presence of comorbidities (β = -3.71; p = .001) and pain (β =-1.81; p < .001). The model shows a goodness of fit with R2 of 0.243 and AIC of 8.542.
Conclusions: Our results highlight the importance of a holistic approach to orthopedic care and the importance of sociodemographic and patient-related factors on the multidimensional construct of HRQoL.

Item Type:	Conference or Workshop Item (Paper)
Division/Institute:	07 Faculty of Human Sciences > Institute of Psychology 07 Faculty of Human Sciences > Institute of Psychology > Cognitive Psychology, Perception and Methodology
UniBE Contributor:	Weibel, David
Subjects:	100 Philosophy > 150 Psychology
Language:	English
Submitter:	David Weibel
Date Deposited:	02 May 2024 08:16
Last Modified:	06 May 2024 15:22
URI:	https://boris.unibe.ch/id/eprint/196439