Is Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement?
Peter Cnudde,
Szilard Nemes,
Maziar Mohaddes,
John Timperley,
Göran Garellick,
Kristina Burström and
Ola Rolfson
Additional contact information
Peter Cnudde: Swedish Hip Arthroplasty Register, Centre of Registers Västra Götaland, Medicinargatan 18G, SE 413 45 Gothenburg, Sweden
Szilard Nemes: Swedish Hip Arthroplasty Register, Centre of Registers Västra Götaland, Medicinargatan 18G, SE 413 45 Gothenburg, Sweden
Maziar Mohaddes: Swedish Hip Arthroplasty Register, Centre of Registers Västra Götaland, Medicinargatan 18G, SE 413 45 Gothenburg, Sweden
John Timperley: Hip Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon & Exeter Hospital Barrack Road, Exeter EX2 5DW, UK
Göran Garellick: Swedish Hip Arthroplasty Register, Centre of Registers Västra Götaland, Medicinargatan 18G, SE 413 45 Gothenburg, Sweden
Kristina Burström: Department of Learning, Informatics, Management and Ethics (LIME), Health Outcomes and Economic Evaluation Research Group, Karolinska Institutet, Tomtebodavägen 18 a, SE 171 77 Stockholm, Sweden
Ola Rolfson: Swedish Hip Arthroplasty Register, Centre of Registers Västra Götaland, Medicinargatan 18G, SE 413 45 Gothenburg, Sweden
IJERPH, 2017, vol. 14, issue 8, 1-13
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.
Keywords: total hip replacement; PROMs; EQ-5D; mortality; register (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations:
Downloads: (external link)
https://www.mdpi.com/1660-4601/14/8/899/pdf (application/pdf)
https://www.mdpi.com/1660-4601/14/8/899/ (text/html)
Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
HTML/Text
Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:14:y:2017:i:8:p:899-:d:107719
Access Statistics for this article
IJERPH is currently edited by Ms. Jenna Liu
More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().