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Table 3 Changes of SQoL after THR

From: Does total hip replacement affect sexual quality of life?

Study

Quality level

Physical-Functional Outcomes of SQoL

Psychosocial Outcomes of SQoL

n in study

Pre-operative n

Post-operative n

Pre operative % (n) (score)

Post-operative % (n) (score)

Δ SQoL in %

Directionc of Change

p value

Todd, et al. 1973 [23]

L

SD in Females:

None

Slight

Considerable

Intercourse Ended

 

123

74

74

39(29)

12(9)

16(12)

32(24)

59(44)

15(11)

5(4)

20(15)

20

3

-11

-12

+

+/-

+

+

 
  

SD in Males:

None

Slight

Considerable

Intercourse ended

  

49

49

61(30)

16(8)

8(4)

14(7)

76(37)

12(6)

0(0)

12(6)

15

- 4

- 8

- 2

+

+

+

+/-

 

Wiklund and Romanus 1991 [3]

L

SD

 

57

57

56

34

9

-25

+

0.001

Stern, et al. 1991 [22]

L

SD

None

Slight

Severe

Extreme

 

86a

86

83

14(12)

40(34)

38(33)

8(7)

65(54)

34(28)

1(1)

0(0)

51

- 6

-37

- 8

++

+

+

+

<0.001

  

SF: Coital Frequency per month

    

3,3

5,7

73d

+++

<0.001

Laupacis, et al. 1993 [4]

L

SF: decreased SA (score 0–10; with 0 points being the best score)

 

188

33b

27b

74(7,4)

30(3,0)

−44

++

 

Gogia, et al. 1994 [21]

L

Pain during SA (score 1–5; with 5 points being the best score)

 

22

7

7

47(2.36)

100(5)

53

++

 

Gosens, et al. 2005 [27]

L

SD due to hip:

Never

Sometimes

Often

Most of time

Always

 

150

146

144

43(63)

16(23)

6(9)

12(17)

23(33)

78(112)

15(21)

1(1)

4(6)

3(4)

35

- 1

- 5

- 8

-20

+

+/-

+/-

+

+

 

Laffosse, et al. 2008 [26]

L

SD:

None:

Minimal:

Moderate:

Severe:

Extreme:

 

135

135

89

30(40)

21(29)

30(40)

16(22)

3(4)

53(47)

21(19)

26(23)

0(0)

0(0)

23

0

- 4

-16

- 3

+

+/-

+/-

+

+/-

 
  

SD: Females

None:

Minimal:

Moderate:

Severe:

Extreme:

 

58

57

42

14(8)

19(11)

37(21)

25(14)

5(3)

43(18)

19(8)

36(15)

0(0)

2(1)

29

0

-1

-25

- 3

+

+/-

+/-

+

+/-

0.004

  

SD: Males

None:

Minimal:

Moderate:

Severe:

Extreme:

 

77

77

48

40(31)

23(18)

25(19)

10(8)

1(1)

60(29)

23(11)

17(8)

0(0)

0(0)

20

0

- 8

-10

- 1

+

+/-

+

+

+/-

0.13

Wall, et al. 2011 [24]

L

Hip Interfering with

SA:

 

86

71

54

77(55)

0(0)

−77

+++

 
   

Like more information provided:

   

55(39)

83(45)

28

+

 

Wang, et.al 2014 [14]

M

Effect on:

         
 

SF (scale 0–8; with 0 points being the best score)

 

247

247

247

29(2.3)

23(1.8)

−6

+

0.14

  

Hip-pain during SA (scale 0–10; with 0 points being the best score)

    

65(6.5)

9(0.9)

−56

++

0.009

  

Hip-mobility during SA (scale 1–5; with 5 points being the best score)

    

28(1.4)

82(4.1)

54

++

0.012

   

Effect on:

        
   

Impairment relationship (scale 0–8; with 0 points being the best score)

   

66(5.3)

29(2.3)

−37

++

0.026

   

Overall sexual satisfaction patients (scale 1–5; with 5 points being the best score)

   

54(2.7)

94(4.7)

40

++

0.018

   

Overall sexual satisfaction partner (scale 1–5; with 5 points being the best score)

   

76(3.8)

86(4.3)

10

+

0.4

Klit, et al. 2015 [25]

L

SD due to hip Females (f OHS scale 0–6; with 6 points being the best score)

 

136

68

68

67(4.0)

83(5.0)

16

+

0.008

  

SD due to hip Males (fOHS scale: 0–6; with 6 points being the best score)

  

68

68

92(5.0)

100(6.0)

8

+

0.102

  

SF: SA before and at twelve month follow upe

 

136

108

83

100(108)

100(83)

0

+/-

 
  1. SD Sexual Difficulty or Sexual Dysfunction, SF Sexual Function, SA Sexually Active patients
  2. aOnly satisfied patients (with results THR)
  3. bPatients were asked to choose five most adversely affected activities (n33)
  4. cRating the direction of change:
  5. Positive effect: + (5–35 %); ++ (35–70 %); +++ (>70 %)
  6. Negative effect: - (−5 to−35 %); -- (−35 to−70 %); --- (>−70 %)
  7. Unchanged: +/- (between 0 and 5 %; between 0 and - 5 %)
  8. dIncrease 2.4 times: 2.4/3.3 (.73)
  9. eOnly SA patients were included
  10. fOHS = Oxford Hip Score: scale 0–6 (score 0 means “due to other reason than hip”; this was not included in statistics)
  11. Thus, 1 = no sex life able due to hip; 6 never disabled by the hip)