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Health status and (health-related) quality of life during the recovery of distal radius fractures: a systematic review

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Abstract

Purpose

Distal radius fractures (DRF) cause long-term functional limitations. A subgroup (21.2 %) will never fully recover after DRF. Therefore, it is important to consider the health status (HS) and (health-related) quality of life (HR)QOL of these patients. The aim of this systematic review was to describe (1) the HS and (HR)QOL outcomes following DRF, (2) sociodemographic, clinical, and psychosocial factors associated with HS and (HR)QOL, and to (3) evaluate the conceptualization of HS and (HR)QOL in these studies.

Methods

A systematic literature search was conducted in Pubmed, Embase, The Cochrane Library, and PsycINFO (January 1976–July 2012). A criteria list was used to assess the methodological quality of the studies.

Results

Twenty-six studies were included with a mean quality score of 7.7 (SD = 1.7). The majority of studies had a low methodological quality. Twenty-three studies (88.5 %) focused exclusively on HS and only three studies examined (HR)QOL. However, 34.8 % of the outcomes were labeled as (HR)QOL by the authors, while in fact, HS was assessed. Sex, age, educational level, living situation, and radiocarpal arthritis were associated with HS. In general, no differences were found in HS and (HR)QOL when comparing different treatment modalities.

Conclusions

The focus of outcome research in DRF is mainly on HS instead of (HR)QOL. HS instruments were often mislabeled as (HR)QOL instruments. With inconclusive results of mostly low-quality studies, there is a need for high-quality prospective follow-up studies measuring HS and/or (HR)QOL while using the correct terminology.

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Author information

Authors and Affiliations

  1. CoRPS, Department of Medical and Clinical Psychology, Tilburg University, P.O. Box 90153, Tilburg, 5000 LE, The Netherlands

    M. A. C. Van Son, J. De Vries, J. A. Roukema & B. L. Den Oudsten

  2. Department of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands

    M. A. C. Van Son & J. A. Roukema

  3. Department of Medical Psychology, St. Elisabeth Hospital, Tilburg, The Netherlands

    J. De Vries

  4. Department of Education and Research, St. Elisabeth Hospital, Tilburg, The Netherlands

    B. L. Den Oudsten

Authors
  1. M. A. C. Van Son
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  2. J. De Vries
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  3. J. A. Roukema
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  4. B. L. Den Oudsten
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Corresponding author

Correspondence to B. L. Den Oudsten.

Appendix

Appendix

Search strategy HS and (HR)QOL outcomes in patients with distal radius fractures for each database.

Database

Search strategy

Pubmed

First search with key terms reflecting HS and (HR)QOL outcomes:

(“Radius Fractures”[Mesh] OR “Wrist Injuries”[Mesh] OR “Radius/injuries”[Mesh] OR distal radius fracture[tiab] OR distal radius fractures[tiab] OR radius fracture[tiab] OR radius fractures[tiab] OR wrist fracture[tiab] OR wrist fractures[tiab] OR (“Fractures, Bone”[Mesh] AND (“upper extremity”[Mesh] OR “radius”[Mesh])) AND (“Quality of Life”[Mesh] OR “Health Status”[Mesh] OR quality of life[tiab] OR health-related quality of life[tiab] OR health status[tiab] OR qol[tiab] OR hrqol[tiab] OR hs[tiab] OR well being[tiab] OR “Recovery of Function”[Mesh] OR recovery of function[tiab] OR “Disability Evaluation”[Mesh] OR disability evaluation[tiab] OR disability evaluations[tiab] OR disabilities evaluation[tiab]

Second search with key terms reflecting HS and (HR)QOL measures:

(“Radius Fractures”[Mesh] OR “Wrist Injuries”[Mesh] OR “Radius/injuries”[Mesh] OR distal radius fracture[tiab] OR distal radius fractures[tiab] OR radius fracture[tiab] OR radius fractures[tiab] OR wrist fracture[tiab] OR wrist fractures[tiab] OR (“Fractures, Bone”[Mesh] AND (“upper extremity”[Mesh] OR “radius”[Mesh])) AND (sf 36[tiab] OR short form health survey 36[tiab] OR sf 12[tiab] OR short form health survey 12[tiab] OR smfa[tiab] OR mfa[tiab] OR short musculoskeletal function assessment questionnaire[tiab] OR musculoskeletal function assessment questionnaire[tiab] OR aqol[tiab] OR assessment of quality of life questionnaire[tiab] OR eq 5d[tiab] OR european quality of life instrument 5 dimensions[tiab])

Embase

First search with key terms reflecting HS and (HR)QOL outcomes:

Radius Fractures/

Wrist Injuries/

Radius Injuries/

distal radius fracture.ti,ab

distal radius fractures.ti,ab

radius fracture.ti,ab

radius fractures.ti,ab

wrist fracture.ti,ab

wrist fractures.ti,ab

Fractures/AND upper extremity/OR radius/

or/1-10

Quality of Life/

Health Status/

quality of life.ti,ab

qol.ti,ab

hrqol.ti,ab

health status.ti,ab

hs.ti,ab

well being.ti,ab

Recovery of function/

recovery of function.ti,ab

Disability Evaluation/

disability evaluation.ti,ab

disability evaluations.ti,ab

disabilities evaluation.ti,ab

or/12–25

11 and 26

Second search with key terms reflecting HS and (HR)QOL measures:

Radius Fractures/

Wrist Injuries

Radius Injuries/

distal radius fracture.ti,ab

distal radius fractures.ti,ab

radius fracture.ti,ab

radius fractures.ti,ab

wrist fracture.ti,ab

wrist fractures.ti,ab

Fractures/AND upper extremity/OR radius/

or/1-10

sf36.ti,ab

short form health survey 36.ti,ab

sf12.ti,ab

short form health survey 12.ti,ab

smfa.ti,ab

short musculoskeletal assessment questionnaire.ti,ab

mfa.ti,ab

musculoskeletal assessment questionnaire.ti,ab

aqol.ti,ab

assessment of quality of life questionnaire.ti,ab

eq 5d.ti,ab

european quality of life instrument 5 dimensions.ti,ab

or/12-23

11 and 24

The Cochrane Library

First search with key terms reflecting HS and (HR)QOL outcomes:

(distal radius fracture OR distal radius fractures) AND (quality of life OR health status OR health-related quality of life OR hs OR qol OR hrqol OR well being OR recovery of function OR disability evaluation OR disability evaluations OR disabilities evaluation)

Second search with key terms reflecting HS and (HR)QOL measures:

(distal radius fracture OR distal radius fractures) AND (sf36 OR short form health survey 36 OR sf12 OR short form health survey 12 OR smfa OR mfa OR short musculoskeletal function assessment questionnaire OR musculoskeletal function assessment questionnaire OR aqol OR assessment of quality of life OR eq5d OR european quality of life instrument 5 dimensions)

PsycINFO

First search with key terms reflecting HS and (HR)QOL outcomes:

S1: radius fractures OR radius fracture OR wrist injuries OR radius injuries OR distal radius fracture OR distal radius fractures OR wrist fracture OR wrist fractures

S2: fractures bone AND upper extremity

S3: fractures bone AND radius

S4: S1 OR S2 OR S3

S5: quality of life OR health status OR qol OR hs OR hrqol OR health-related quality of life OR well-being OR recovery of function OR disability evaluation

S6: S4 AND S5

Second search with key terms reflecting HS and (HR)QOL measures:

S1: radius fractures OR radius fracture OR wrist injuries OR radius injuries OR distal radius fracture OR distal radius fractures OR wrist fracture OR wrist fractures

S2: fractures bone AND upper extremity

S3: fractures bone AND radius

S4: S1 OR S2 OR S3

S5: sf36 OR short form health survey 36 OR sf12 OR short form health survey 12 OR smfa OR mfa OR short musculoskeletal function assessment questionnaire OR musculoskeletal function assessment questionnaire OR aqol OR assessment of quality of life OR eq5d OR european quality of life instrument 5 dimensions

S6: S4 AND S5

  1. HS health status, (HR)QOL (health-related) quality of life, QOL quality of life

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Van Son, M.A.C., De Vries, J., Roukema, J.A. et al. Health status and (health-related) quality of life during the recovery of distal radius fractures: a systematic review. Qual Life Res 22, 2399–2416 (2013). https://doi.org/10.1007/s11136-013-0391-z

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  • DOI: https://doi.org/10.1007/s11136-013-0391-z

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