Is Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement?

2.50
Hdl Handle:
http://hdl.handle.net/11287/620461
Title:
Is Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement?
Authors:
Cnudde, P.; Nemes, S.; Mohaddes, M.; Timperley, John; Garellick, G.; Burström, K.; Rolfson, O.
Abstract:
The influence of comorbidities and worse physical status on mortality following total hip replacement (THR) leads to the idea that patient-reported health status may also be a predictor of mortality. The aim of this study was to investigate the relationship between patient-reported health status before THR and the risk of dying up to 5 years post-operatively. For these analyses, we used register data on 42,862 THR patients with primary hip osteoarthritis operated between 2008 and 2012. The relative survival ratio was calculated by dividing the observed survival in the patient group by age- and sex-adjusted expected survival of the general population. Pre-operative responses to the five EQ-5D-3L (EuroQol Group) dimensions along with age, sex, education status, year of surgery, and hospital type were used as independent variables. Results shown that, as a group, THR patients had a better survival than the general population. Broken down by the five EQ-5D-3L dimensions we observed differentiated survival patters. For all dimensions, those reporting extreme problems had higher mortality than those reporting moderate or no problems. In conclusion, worse health status according to the EQ-5-3L before THR is associated with higher mortality up to five years after surgery. EQ-5D-3L responses may be useful in a multifactorial individualized risk assessment before THR.
Citation:
Is Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement? 2017, 14 (8) Int J Environ Res Public Health
Publisher:
MDPI
Journal:
International journal of environmental research and public health
Issue Date:
10-Aug-2017
URI:
http://hdl.handle.net/11287/620461
DOI:
10.3390/ijerph14080899
PubMed ID:
28796159
Additional Links:
http://www.mdpi.com/resolver?pii=ijerph14080899
Note:
This article is freely available via Open Access. Click on the Additional Link above to access the full-text via the publisher's site.
Type:
Journal Article
Language:
en
ISSN:
1660-4601
Appears in Collections:
Exeter Hip Unit; 2017 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorCnudde, P.en
dc.contributor.authorNemes, S.en
dc.contributor.authorMohaddes, M.en
dc.contributor.authorTimperley, Johnen
dc.contributor.authorGarellick, G.en
dc.contributor.authorBurström, K.en
dc.contributor.authorRolfson, O.en
dc.date.accessioned2017-10-19T10:41:17Z-
dc.date.available2017-10-19T10:41:17Z-
dc.date.issued2017-08-10-
dc.identifier.citationIs Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement? 2017, 14 (8) Int J Environ Res Public Healthen
dc.identifier.issn1660-4601-
dc.identifier.pmid28796159-
dc.identifier.doi10.3390/ijerph14080899-
dc.identifier.urihttp://hdl.handle.net/11287/620461-
dc.description.abstractThe influence of comorbidities and worse physical status on mortality following total hip replacement (THR) leads to the idea that patient-reported health status may also be a predictor of mortality. The aim of this study was to investigate the relationship between patient-reported health status before THR and the risk of dying up to 5 years post-operatively. For these analyses, we used register data on 42,862 THR patients with primary hip osteoarthritis operated between 2008 and 2012. The relative survival ratio was calculated by dividing the observed survival in the patient group by age- and sex-adjusted expected survival of the general population. Pre-operative responses to the five EQ-5D-3L (EuroQol Group) dimensions along with age, sex, education status, year of surgery, and hospital type were used as independent variables. Results shown that, as a group, THR patients had a better survival than the general population. Broken down by the five EQ-5D-3L dimensions we observed differentiated survival patters. For all dimensions, those reporting extreme problems had higher mortality than those reporting moderate or no problems. In conclusion, worse health status according to the EQ-5-3L before THR is associated with higher mortality up to five years after surgery. EQ-5D-3L responses may be useful in a multifactorial individualized risk assessment before THR.en
dc.language.isoenen
dc.publisherMDPIen
dc.relation.urlhttp://www.mdpi.com/resolver?pii=ijerph14080899en
dc.rightsArchived with thanks to International journal of environmental research and public health. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).en
dc.subjectWessex Classification Subject Headings::Orthopaedicsen
dc.titleIs Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement?en
dc.typeJournal Articleen
dc.identifier.journalInternational journal of environmental research and public healthen
dc.description.noteThis article is freely available via Open Access. Click on the Additional Link above to access the full-text via the publisher's site.en
dc.type.versionPublisheden

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