Abstract
Background: The purposes of this study were to compare the quality of life (QOL) of subjects who had untreated symptomatic hallux valgus with the QOL of the general population and to investigate factors associated with the QOL of the subjects. Methods: One hundred sixteen subjects with previously untreated and symptomatic hallux valgus were surveyed. QOL was assessed using the 36-item Short Form Health Survey (SF-36). Additionally, clinical evaluations (the visual analog scale for pain, Japanese Society for Surgery of the Foot Scale, lesser toe pain, and pain in other parts of the body) and radiographic evaluations (hallux valgus angle, intermetatarsal angle between the first and second metatarsals, and dislocation of the second metatarsophalangeal joint) were performed. Differences in the SF-36 between the subjects and the general population were tested using independent t tests. Correlations between the QOL measurements, clinical evaluations, and radiographic evaluations were assessed using Spearman rank correlation coefficient. Results: All SF-36 subscales and physical component summary scores for the subjects were significantly lower than those of the general population. Notably, the standardized physical function subscale (38.2 ± 15.8, P <.001) and physical component summary scores (38.9 ± 14.5, P <.001) were more than 10 points lower than those of the general population. Most QOL and clinical evaluation parameters were not correlated or were negligibly correlated with radiographic evaluations. Similarly, lesser toe pain or pain in other parts of the body was not correlated with QOL or clinical evaluations. Conclusion: The QOL of untreated and symptomatic hallux valgus subjects was lower than that of the general population. All QOL and clinical evaluation parameters were not significantly or negligibly correlated with the severity of toe deformities. Surgical decision making should not be based on the severity of the deformity alone, but rather patient QOL should also be carefully assessed. Level of Evidence: Level III, comparative series.
| Original language | English |
|---|---|
| Pages (from-to) | 1171-1177 |
| Number of pages | 7 |
| Journal | Foot and Ankle International |
| Volume | 37 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - 2016 Nov 1 |
| Externally published | Yes |
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Keywords
- hallux valgus
- quality of life
- Short Form 36
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Quality of Life in Patients with Untreated and Symptomatic Hallux Valgus. / Yamamoto, Yohei; Yamaguchi, Satoshi; Muramatsu, Yuta; Terakado, Atsushi; Sasho, Takahisa; Akagi, Ryuichiro; Endo, Jun; Sato, Yasunori; Takahashi, Kazuhisa.
In: Foot and Ankle International, Vol. 37, No. 11, 01.11.2016, p. 1171-1177.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Quality of Life in Patients with Untreated and Symptomatic Hallux Valgus
AU - Yamamoto, Yohei
AU - Yamaguchi, Satoshi
AU - Muramatsu, Yuta
AU - Terakado, Atsushi
AU - Sasho, Takahisa
AU - Akagi, Ryuichiro
AU - Endo, Jun
AU - Sato, Yasunori
AU - Takahashi, Kazuhisa
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Background: The purposes of this study were to compare the quality of life (QOL) of subjects who had untreated symptomatic hallux valgus with the QOL of the general population and to investigate factors associated with the QOL of the subjects. Methods: One hundred sixteen subjects with previously untreated and symptomatic hallux valgus were surveyed. QOL was assessed using the 36-item Short Form Health Survey (SF-36). Additionally, clinical evaluations (the visual analog scale for pain, Japanese Society for Surgery of the Foot Scale, lesser toe pain, and pain in other parts of the body) and radiographic evaluations (hallux valgus angle, intermetatarsal angle between the first and second metatarsals, and dislocation of the second metatarsophalangeal joint) were performed. Differences in the SF-36 between the subjects and the general population were tested using independent t tests. Correlations between the QOL measurements, clinical evaluations, and radiographic evaluations were assessed using Spearman rank correlation coefficient. Results: All SF-36 subscales and physical component summary scores for the subjects were significantly lower than those of the general population. Notably, the standardized physical function subscale (38.2 ± 15.8, P <.001) and physical component summary scores (38.9 ± 14.5, P <.001) were more than 10 points lower than those of the general population. Most QOL and clinical evaluation parameters were not correlated or were negligibly correlated with radiographic evaluations. Similarly, lesser toe pain or pain in other parts of the body was not correlated with QOL or clinical evaluations. Conclusion: The QOL of untreated and symptomatic hallux valgus subjects was lower than that of the general population. All QOL and clinical evaluation parameters were not significantly or negligibly correlated with the severity of toe deformities. Surgical decision making should not be based on the severity of the deformity alone, but rather patient QOL should also be carefully assessed. Level of Evidence: Level III, comparative series.
AB - Background: The purposes of this study were to compare the quality of life (QOL) of subjects who had untreated symptomatic hallux valgus with the QOL of the general population and to investigate factors associated with the QOL of the subjects. Methods: One hundred sixteen subjects with previously untreated and symptomatic hallux valgus were surveyed. QOL was assessed using the 36-item Short Form Health Survey (SF-36). Additionally, clinical evaluations (the visual analog scale for pain, Japanese Society for Surgery of the Foot Scale, lesser toe pain, and pain in other parts of the body) and radiographic evaluations (hallux valgus angle, intermetatarsal angle between the first and second metatarsals, and dislocation of the second metatarsophalangeal joint) were performed. Differences in the SF-36 between the subjects and the general population were tested using independent t tests. Correlations between the QOL measurements, clinical evaluations, and radiographic evaluations were assessed using Spearman rank correlation coefficient. Results: All SF-36 subscales and physical component summary scores for the subjects were significantly lower than those of the general population. Notably, the standardized physical function subscale (38.2 ± 15.8, P <.001) and physical component summary scores (38.9 ± 14.5, P <.001) were more than 10 points lower than those of the general population. Most QOL and clinical evaluation parameters were not correlated or were negligibly correlated with radiographic evaluations. Similarly, lesser toe pain or pain in other parts of the body was not correlated with QOL or clinical evaluations. Conclusion: The QOL of untreated and symptomatic hallux valgus subjects was lower than that of the general population. All QOL and clinical evaluation parameters were not significantly or negligibly correlated with the severity of toe deformities. Surgical decision making should not be based on the severity of the deformity alone, but rather patient QOL should also be carefully assessed. Level of Evidence: Level III, comparative series.
KW - hallux valgus
KW - quality of life
KW - Short Form 36
UR - http://www.scopus.com/inward/record.url?scp=84994643784&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84994643784&partnerID=8YFLogxK
U2 - 10.1177/1071100716655433
DO - 10.1177/1071100716655433
M3 - Article
C2 - 27344052
AN - SCOPUS:84994643784
VL - 37
SP - 1171
EP - 1177
JO - Foot and Ankle International
JF - Foot and Ankle International
SN - 1071-1007
IS - 11
ER -