Health related quality of life in patients with Charcot arthropathy of the foot and ankle

Abstract Background Clinical observation suggests that Charcot arthropathy of the foot and ankle has major negative consequences on the quality of life of neuropathic patients, particularly those with diabetes. We hypothesized that the quality of life in patients with Charcot arthropathy may be aggr...

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Bibliographic Details
Published in:Foot and ankle surgery 2008, Vol.14 (1), p.11-15
Main Authors: Sochocki, Michael P., M.D, Verity, Shawn, M.D, Atherton, Pamela J., M.S, Huntington, Jefrey L., M.P.H, Sloan, Jeff A., Ph.D, Embil, John M., M.D.,FRCPC, Trepman, Elly, M.D
Format: Article
Language:English
Subjects:
Ankle Joint
Arthropathy, Neurogenic - diagnosis
Biological and medical sciences
Diabetes mellitus
Diabetes. Impaired glucose tolerance
Diseases of the osteoarticular system
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Etiopathogenesis. Screening. Investigations. Target tissue resistance
Female
Foot Joints
Health survey
Humans
Male
Medical sciences
Middle Aged
Miscellaneous. Osteoarticular involvement in other diseases
Neuropathy
Orthopedic surgery
Orthopedics
Quality of Life
Risk Factors
SF-36
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surveys and Questionnaires
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Summary:Abstract Background Clinical observation suggests that Charcot arthropathy of the foot and ankle has major negative consequences on the quality of life of neuropathic patients, particularly those with diabetes. We hypothesized that the quality of life in patients with Charcot arthropathy may be aggravated by Aboriginal ethnicity and rural residence because of limited access to timely specialty healthcare. Methods Sixty patients with Charcot arthropathy were interviewed with the Short Form 36 (SF-36) Health Survey. Results Mean Physical Component Summary (PCS) score was 31 ± 8 points and mean Mental Component Summary (MCS) score was 45 ± 10 points. Mean PCS and MCS scores were not affected by gender, ethnicity, residence, or Charcot stage. Mean PCS score was significantly lower in non-employed (unemployed or retired) than employed patients and in patients who did not use alcohol than those who used alcohol; MCS score was not affected by employment status or alcohol use. Conclusions Charcot arthropathy has a major negative effect on quality of life. The SF-36 survey was sensitive to the physical effects, but not to mental effects, of Charcot arthropathy.
ISSN:1268-7731
1460-9584
DOI:10.1016/j.fas.2007.07.003