Impact of Comorbidities on Outcome After Total Hip Arthroplasty

The Journal of Arthroplasty
F L LothD F Hamilton

Abstract

Patient-reported outcome scores gain increasing importance in quantifying clinical success and procedure remuneration. Our aim was to evaluate the impact of comorbidity on joint-specific outcome and general health in patients undergoing elective total hip arthroplasty (THA). Longitudinal data on THA procedures were used to evaluate the association between comorbidity and surgical outcome in terms of joint-specific measures and general health (Forgotten Joint Score-12 [FJS-12], Oxford Hip Score [OHS], and Short Form-12) at 1-year follow-up. Comorbidities comprised the Charlson comorbidity index (CCI), low back pain (LBP), pain from other joints (POJ), and body mass index. We analyzed data from 251 THA patients (age: 67.7 ± 11.8 years; 58.2% female). Most common conditions were POJ (75.9%), LBP (55.1%), connective tissue disease (12.1%), and diabetes (5.6%). With regard to postoperative improvement, we did not find statistically significant differences between patients with or without CCI comorbidities (FJS-12, +38.7 vs +43.2, P = .370; OHS, +15.6 vs +17.9, P = .100) or POJ (FJS-12, +39.9 vs +45.1, P = .325; OHS, +17.3 vs +16.6, P = .645). Patients with LBP showed less improvement on the FJS-12 than those without LBP (+35.6 vs +4...Continue Reading

Citations

Dec 29, 2019·Journal of Orthopaedic Surgery and Research·Syed Hamza MufarrihShahryar Noordin
Sep 22, 2020·Indian Journal of Orthopaedics·Karthik VishwanathanChintan Bahecharbhai Chaudhary
Feb 1, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Nicholas B FrischTad L Gerlinger
Dec 29, 2020·World Journal of Orthopedics·David F HamiltonKarlmeinrad Giesinger
May 8, 2019·The Journal of Arthroplasty·Roger ErivanWayne G Paprosky
May 4, 2021·The Bone & Joint Journal·Daphne I LingLawrence V Gulotta
Jun 29, 2021·Plastic and Reconstructive Surgery·Qurratul-Ain DarSteven M Koehler
Jul 1, 2021·Indian Journal of Orthopaedics·Łukasz PulikPaweł Łęgosz

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