Health-related quality of life in patients with Achilles tendinopathy: Comparison to the general population of the United Kingdom |
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| Affiliation: | 1. Beaumont Hospital, Royal Oak, MI, USA;2. University of Iowa, Carver College of Medicine, Department of Orthopedics and Rehabilitation, Iowa City, IA, USA;3. Federal University of Sao Paulo, Department of Orthopedics and Traumatology, Sao Paulo, SP, Brazil;4. Department of Orthopedic Surgery, Rouen University Hospital, Rouen, France;5. University of Sao Paulo, Department of Orthopedics and Traumatology, Sao Paulo, SP, Brazil;1. Department of Orthopedic Surgery, AZ Turnhout, Turnhout, Belgium;2. Institute for Orthopedic Research and Training (IORT), KU Leuven, Leuven, Belgium;3. Department of Mechanical Engineering, Indian Institute of Technology Bombay, Mumbai, India;4. Department of Automation, Technical University of Cluj-Napoca, Romania;5. Orthopedic Department, Heilig Hartziekenhuis, Lier, Belgium;6. Biomechanics Section, Department of Mechanical Engineering, KU Leuven, Leuven, Belgium;7. Department of Human Movement Sciences, KU Leuven, Leuven, Belgium;1. Graduate School of Health Sciences, Sapporo Medical University, South-1, West-17, Chuo-ku, Sapporo, 0608556, Hokkaido, Japan;2. Second Division of Physical Therapy, Sapporo Medical University School of Health Sciences, South-1, West-17, Chuo-ku, Sapporo, 0608556, Hokkaido, Japan;3. Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, South-1, West-17, Chuo-ku, Sapporo, 0608556, Hokkaido, Japan |
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| Abstract: | BackgroundThere is little evidence available regarding the impact of Achilles Tendinopathy (AT) on health-related quality of life (HRQOL). The primary aim of this study was to quantify the clinical and health-related quality-of-life patient-reported outcome measures for a population presenting with either mid-substance or insertional Achilles tendinopathy.MethodsA prospective comparative observational study of consecutive patients with AT presenting for extracorporeal shockwave therapy (ESWT) at a large teaching hospital. The primary outcome was assessment of a validated health-related quality of life PROMs (Euroqol EQ-5D-5L) and comparison to 2 general UK population datasets. The secondary outcomes were Visual Analogue Pain Scale (VAS-Pain) and two validated foot-specific patient reported outcome measures (Foot Function Index (FFI) and Victorian Institute of Sports Assessment-Achilles (VISA-A)).ResultsBetween March 2014 and June 2021, 320 consecutive patients (125 male; 195 female) were diagnosed with AT and referred for a first course of ESWT. EQ-5D-5L PROMs were prospectively collected for 303 of these patients (94.7%). The mean age (± standard deviation(SD)) was 52.1 ± 11.4 years. The mean EQ-5D-5L Index score (mean±SD) for the AT cohort was 0.783 ± 0.131. Patients less than 55 years with AT had a statistically significantly worse quality of life compared with members of the same age group in the general population. The mean VAS-Pain, FFI, VISA-A clinical outcome scores were 6.0 ± 2.3, 49.5 ± 21.2 and 34.1 ± 14.4 respectively. There was a statistically significant moderate correlation between HRQOL and clinical PROMs (VAS-Pain and FFI vs EQ-5D) however there was no correlation with age.ConclusionThis study demonstrates that patients under the age of 55 with AT have a significantly reduced quality of life compared with the general population.Level of evidenceIII |
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| Keywords: | Achilles tendinopathy, health-related quality of life Patient reported outcome measures VISA-A FFI EQ-5D |
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