Socioeconomic Factors Predicting PROMs in Patients With a DRF - A Study of 50 010 Cases From the Swedish Fracture Register
Hugo Jakobsson, MD1; Michael Möller, PhD2; Ole Brus, PhD3; Per Wretenberg, MD, PhD4; Marcus Sagerfors, MD, PhD4
1Örebro University, Örebro, Sweden; 2Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg/Mölndal, Sweden; 3Clinical Epidemiology and Biostatistics, Örebro University Hospital, Örebro, Sweden; 4Orebro university, Orebro, Sweden
Introduction Fracture of the distal radius (DRF) is the most common fracture in the adult population. Several Factors are known to influence patient-reported outcome measures (PROMs). The aim of this study was to identify socioeconomic factors associated with inferior PROMs one year after a distal radius fracture.
Methods The patient population was created using the Swedish Fracture Register (SFR). Patients registered with a DRF (ICD-10 codes S52.5 and S52.6) between 04-01-2012 and 12-31-2018 were included. By linking the patient population in SFR to the National Patient Register, National Prescribed Drug Register and Statistics Sweden, information about the patient's income, education level, marital status, country of birth, comorbidity and depression/anxiety (diagnosis of depression and/or intake of antidepressive medication) was obtained. The endpoint was difference in Short Musculoskeletal Function Assessment Upper Extremity sub scale (SMFA-UE) between before the injury and one year after injury. A multiple regression analysis was performed.
Results The search resulted in 50,010 fractures. The regression analysis found an association between high education level and less decline in SMFA-UE. Depression/anxiety, divorced, country of birth in Europe except Sweden was associated with a greater decline in SMFA-UE.
Conclusions This study demonstrates that anxiety/depression, lower education level and divorced as marital status are risk factors for inferior patient-reported outcome after a DRF. In contrast, a high education level was associated with better patient-reported outcome.
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