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Is Preoperative Pat...
Is Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement?
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- Cnudde, Peter, 1970 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Nemes, Szilard, 1977 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Mohaddes, Maziar, 1974 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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Timperley, J. (author)
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- Garellick, Göran, 1948 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Burstrom, K. (author)
- Karolinska Institutet
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- Rolfson, Ola, 1973 (author)
- Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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(creator_code:org_t)
- 2017-08-10
- 2017
- English.
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In: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1660-4601. ; 14:8
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https://gup.ub.gu.se...
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https://doi.org/10.3...
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- total hip replacement
- PROMs
- EQ-5D
- mortality
- register
- quality-of-life
- long-term mortality
- national joint registry
- self-rated health
- arthroplasty register
- knee arthroplasty
- musculoskeletal complaints
- hospital discharge
- relative survival
- follow-up
- Environmental Sciences & Ecology
- Public
- Environmental & Occupational
- Health
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Cnudde, Peter, 1 ...
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Nemes, Szilard, ...
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Mohaddes, Maziar ...
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Timperley, J.
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Garellick, Göran ...
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Burstrom, K.
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show more...
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Rolfson, Ola, 19 ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Orthopaedics
- Articles in the publication
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International Jo ...
- By the university
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University of Gothenburg
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Karolinska Institutet