Table 1 Characteristics of the included studies assessing the effects of THA on SQoL

Todd 1972 UK

Retrospective, cohort study^d Interview (Int) and Survey

Incidence of SD and influence of THR on SQoL

Int: 123/292 (42 %) Surv: 79/134 (58 %)

HA^a

Patients undergone THR with active sexual relationship at time of onset HA;

Interview NA M61 (30–79) F 60 (29–79)

Interview NA 49(40) 36 (46)

Interview NA 74(60) 43 (54)

Int: NA Surv: NA

Wiklund 1991 Sweden

Case-control study, Survey

To evaluation of QoL before and after THR in patients with HA

56/57 (98 %)^g

Prim. HA: 40 (71 %) Sec. HA: 16 (29 %) incl 1 RA^b

Patients with HA < 80 year; awaiting THR

65 (30–79)

21 (38)

35 (63)

1 year

Stern 1991 USA

Retrospective, cohort study, Survey

To determine the effect of THR on SF incl. sexual positions and resumption SA after THA

86/100 (86 %)

Prim. HA: 74 (86 %) Sec. HA: 12 (14 %) of which 4 dysplasia and 8 RA^b

Patients with predominantly HA all undergone THR and <70 y, all satisfied about results THR

57 (20–70)

39 (45)

 47 (55)

At time postoperative routine visit

Laupacis 1993 Canada

Prospective, double-blind randomized trial, Survey

Effect of THR on health related QoL

188/ 251 (75 %)

HA^a

Patients with HA, < 75 years, no severe OA of other hip, no previous THR or THK (knee) < 5 years, nor infectious arthritis

64 (40–75)

97 (53)

91 (47)

3 months 6 months^h 1 year 2 year

Gogia 1994 USA

Prospective cohort study, Survey

Developing evaluation system to assess clinical outcome of THR related to changes in functional status and pain

22/24 (92 %)

HA^a

Patients with HA, undergoing THR; alert oriented, ambulatory with or without assistive devices

69,2 (57–86)

4 (18)

18 (82)

3 and 6 months^h

Gosens 2005, The Netherlands

Prospective, multicentre cohort study, Survey

Translating and validating Oxford Hip Score into Dutch

146/150 (100 %)

Prim. HA: 117 (78 %) Sec. HA: 33 (22 %)

Age >35 year; patients awaiting THR; No systematic illness and physically and mentally suitable, understanding Dutch language

65 (38–85)

52 (35)

98 (65)

7 weeks, 3 months, 6 months^h; 1 year; 2 year

First author, country

Study design

Aim/Objective

N of patients (Response Rate)

Diagnosis n (%)

Main inclusion criteria

Mean Age (years)

n (%), Male

n (%), Feale

Duration of follow up, after surgery

Laffosse 2007 France

Retrospective, cohort study, Survey

SD in patients before and after THR; receiving sufficient information

135/346 (39 %)

Prim. HA: 56 (42 %)

<65 year, undergone THR min. 6 months previously; Revision and Femoral Neck Fracture excluded

51,8 (22–65)

77 (57)

58 (43)

≥6 months

Sec. HA: 76 (58 %) Incl. 3 RA^b

Wall 2011 UK

Prospective cohort study, Survey

To determine the effect of HA on SQoL and to assess wheter a SQoL is considered in surgical plan

86/100 (86 %)

Prim. HA: 74 (86 %)

<75 Year, undergoing THR, living with a partner

62 (48–74)

39 (45)

47 (55)

6 months

Sec. HA: 12 (14 %) Incl. 3 RA^b

Yoon 2013 Korea

Retrospective, cohort study, face-to-face interview

To determine concerns related to SQoL; to determine changes in SA after THR

64/512 (13 %)

Prim. HA: 11 (17 %) Sec. HA: 53 (83 %) Incl. 2 RA^b, 5 AS^d

Sexual active patients during previous last year, No dislocation, infection or stiffness.

50^e

45 (NA)

19 (NA)

≥6 months, at routine follow up visit

Wang 2014 Japan

Prospective, multicentre cohort study, Survey

To evaluate the influence of ONFH and THR on SQoL

247/300 (82 %)

Sec. HA: all males, ONFH patients (247)

SA married adults, only ONFH males, Age >25- < 60. Excluded severe comorbidities^f

46,8 (34.7–58.9)

247 (100)

1 year

Nunley 2014 USA

Retrospective multicentre cohort study, Survey

To evaluate SQoL in young active patients following THR.

791/806 (98 %)^c

Prim. and non inflammentoire Sec. HA^a

≤60 year; THR and SRA patients, no history postoperative complications UCLA score >6ⁱ

49,5 (42.3–56.7)

531 (66) ^j

275 (34) ^j

2,3 years (±0,8)

Klit 2014 Denmark

Prospective multicentre cohort study, Survey

To explore any -positive or negative- effect THR have had on sexual function, sexual frequency and sexual practice, in younger THR patients

136/153 (89 %)

Young HA^a patients awaiting THR: n86) (Hip Resurfacing: n44)

<60 Year, undergoing primary THR/HR, not suffering from cognitive dysfunction or malignant disease, able to fill in questionnaire

53 (48–57)

68 (50)

68 (50)

3 months 6 months 1 year ^h