Comorbidity‐related quality of life in anterior cruciate ligament insufficiency: A cross‐sectional study involving 282 candidates for arthroscopic reconstruction

Abstract

Comorbidity-related HRQoL in ACL-insufficient candidates for arthroscopic reconstruction showed statistically significant differences from the norm. Comorbid illness acting as confounder should thus be controlled for when reporting SF-36 profiles, in order to avoid selection bias. Our findings may also be used as benchmark data for researchers investigating SF-36 profiles in ACLI.

Comorbidities in Patients With Anterior Cruciate Ligament Reconstruction Compared With Matched Controls Without Anterior Cruciate Ligament Injury From Danish Registries

“…22,24 Finally, we evaluated the association between common comorbid conditions and the risk of revision ACL reconstruction after primary ACL reconstruction. The increased risk of revision ACL reconstruction among patients with diseases of the back or back pain is in accordance with the results of Calvisi et al, 20 who found an association between comorbidity and Short Form 36 profiles in ACL-insufficient patients. It seems obvious that there is an association between comorbidity and Short Form 36, which is a questionnaire evaluating quality of life.…”

“…Although a large variety of diseases were present in the ACL-reconstructed group, the high prevalence of a CCI equal to 0 did indicate that the severity of their illness was low. Calvisi et al 20 conducted a cross-sectional study of 282 ACL-insufficient patients to assess comorbidity-adjusted health-related quality of life in ACL-insufficient patients and to determine if these patients differ from the Italian norm. The comorbid conditions were self-reported, which increases the risk of information bias.…”

“…20 These groups included back pain and diseases of the back (M40-M54), asthma (J45-J46), epilepsy (G40), obesity (E65-E66), essential hypertension (I10), and diabetes (E10-E14).…”

Health-related quality of life in patients with anterior cruciate ligament insufficiency undergoing arthroscopic reconstruction: a practice-based Italian normative group in comorbid-free patients

“…It has also been advocated that assessment of HRQoL should be incorporated for outcome assessment in patients with ACL insufficiency [7]. However, a recent report demonstrated that comorbidity should be controlled when assessing HRQoL in candidates for ACL reconstruction because it acts as a confounder [8]. …”