Evidence map›Paper›PMID 40167845›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2025

Quality of life and cost-utility analysis in patients with femoral neck fracture: a propensity score matching study comparing monopolar hemiarthroplasty and total hip arthroplasty.

Juan Miguel Gómez-Palomo, Ana Martínez-Crespo, Julieta Passini-Sánchez, Nikita Ignatyev-Simonov, Plácido Zamora-Navas, Enrique Guerado

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Juan Miguel Gómez-PalomoDepartment of Orthopedic Surgery and Traumatology, Virgen de La Victoria University Hospital, Campus Teatinos, S/N, 29010, Málaga, Spain. jmgomezpalomo@gmail.com.ORCID http://orcid.org/0000-0002-2873-5602
Ana Martínez-CrespoDepartment of Orthopedic Surgery and Traumatology, Virgen de La Victoria University Hospital, Campus Teatinos, S/N, 29010, Málaga, Spain.ORCID http://orcid.org/0000-0002-5757-0050
Julieta Passini-SánchezDepartment of Orthopedic Surgery and Traumatology, Virgen de La Victoria University Hospital, Campus Teatinos, S/N, 29010, Málaga, Spain.ORCID http://orcid.org/0009-0009-8447-6834
Nikita Ignatyev-SimonovDepartment of Orthopedic Surgery and Traumatology, Virgen de La Victoria University Hospital, Campus Teatinos, S/N, 29010, Málaga, Spain.ORCID http://orcid.org/0000-0002-9141-705X
Plácido Zamora-NavasDepartment of Orthopedic Surgery and Traumatology, Virgen de La Victoria University Hospital, Campus Teatinos, S/N, 29010, Málaga, Spain.ORCID http://orcid.org/0000-0002-2784-2035
Enrique GueradoUniversity of Málaga Faculty of Medicine (UMA), Campus de Teatinos, 29071, Málaga, CP, Spain.ORCID http://orcid.org/0000-0002-8711-5307

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFemoral neck fracture impacts patients' quality of life. Patients treated with a total hip arthroplasty (THA) versus a hemiarthroplasty (HA) may have higher quality of life scores after the intervention. This work aims to analyze and compare quality of life among patients with femoral neck fracture treated with THA versus monopolar HA and to perform a cost-utility analysis (CUA) on the procedures. MATERIALS AND

methodsA prospective, comparative study was conducted on 424 patients with femoral neck fractures, 268 treated with monopolar HA and 156 with THA. To ensure comparability between the groups, Propensity Score Matching (PSM) was performed based on variables such as age and the Charlson Comorbidity Index. The index accounted for comorbidities including cardiovascular disease, diabetes, chronic pulmonary disease, renal disease, and malignancy. After PSM, 156 matched pairs were analyzed. Follow-up data, including quality of life (QoL) assessed via the EQ-5D scale, were collected at 1 year.

resultsTwelve months after the procedure, patients treated with THA had significantly higher EuroQol-5D (EQ-5D) index values than those treated with monopolar HA (0.83 vs. 0.68; p = 0.001), with a large effect size (Cohen's d = 0.92), however, both procedures presented similar results on the EQ-5D visual analog scale (VAS) (86.59 vs. 87.11; p = 0.255). THA led to a gain of 0.15 quality-adjusted life years (QALY) compared to monopolar HA (0.83 QALY vs. 0.68 QALY) and demonstrated greater cost-effectiveness, particularly in patients younger than 80 years and those with fewer comorbidities.

conclusionsPatients with femoral neck fracture treated with THA may have higher quality of life levels than those treated with monopolar HA. Likewise, the greatest gain in QALY with THA versus monopolar HA was observed in patients younger than 80 years of age and those who had less comorbidity.

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesHemiarthroplastyQuality of LifeAgedAged, 80 and overCost-Benefit AnalysisFemaleHumansMaleMiddle AgedPropensity ScoreProspective StudiesSurveys and QuestionnairesFemoral neck fracturesMonopolar hip hemiarthroplastyQuality-adjusted life yearsQuality of lifeTotal hip arthroplasty

Identifiers

PMID40167845

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.