131 The Health-Related Quality of Life of Patients Waiting for Anterior Cruciate Ligament Reconstruction Is Worse Than an Age and Sex Match Population: Increasing Time on Waiting List Was Independently Associated With a Worse Quality of Life

Aim

To assess the health-related quality of life (HRQoL) of patients waiting for an anterior cruciate ligament (ACL) reconstruction compared to the population at risk, and whether knee specific function was predictive of HRQoL and to identify factors associated with a worse HRQoL.

Method

Sixty-seven patients (male n = 50, female n = 17, mean age 29) identified from the surgical waiting list completed a questionnaire that included demographics, BMI, time of injury, EuroQol 5-demension (EQ-5D), short-form (SF-)36 and International Knee Documentation Committee (IKDC) scores. Age and sex matched HRQoL data were obtained from population level data.

Results

The mean EQ-5D score for the study cohort was significantly worse than the matched score (difference 0.367, p<0.001), and the same trend was observed for all eight dimensions of the SF-36 score. Thirty-three (49%) patients felt their health in general was somewhat or much worse compared to one-year ago. There was a correlation between the IKDC and EQ-5D scores (r = 0.540, p<0.001), and linear regression was used to formulate the EQ-5D score: EQ-5D = (IKDCx0.013)–0.015(constant). The SF-36 physical component and the length of time on the waiting list were independently associated the HRQoL, with each 14-point drop or for every 200-days a clinically significant deterioration in a patients HRQoL occurred, respectively.

Conclusions

Patients had a significantly worse HRQoL when compared to age and sex match population, which deteriorates with worsening physical function and increasing length of time on the waiting list. The knee specific IKDC correlated with HRQoL and could be used to estimate the EQ-5D score.