ArticleArchives of internal medicine2001
The effect of age on pain, function, and quality of life after total hip and knee arthroplasty.
Article in Archives of internal medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
128 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Pooled it
- Factors influencing the outcomes of minimally invasive total hip arthroplasty: a systematic review.Journal of orthopaedic surgery and research · 2022Pooled it
- What is the influence of single-entry models on access to elective surgical procedures? A systematic review.BMJ open · 2017Pooled it
- Pooled it
- The effects of advanced age on primary total knee arthroplasty: a meta-analysis and systematic review.BMC geriatrics · 2016Pooled it
- Tranexamic acid and the reduction of blood loss in total knee and hip arthroplasty: a meta-analysis.BMC research notes · 2013Pooled it
- The impact of non-traumatic hip and knee disorders on health-related quality of life as measured with the SF-36 or SF-12. A systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2005Pooled it
- Development and validation of a clinical prediction model for patient-reported pain and function after primary total knee replacement surgery.Scientific reports · 2018Trial
- Predictors of Patient-Reported Pain and Functional Outcomes Over 10 Years After Primary Total Knee Arthroplasty: A Prospective Cohort Study.The Journal of arthroplasty · 2017Trial
- COmmunity-based Rehabilitation after Knee Arthroplasty (CORKA): study protocol for a randomised controlled trial.Trials · 2016Trial
- Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study.Journal of alternative and complementary medicine (New York, N.Y.) · 2016Trial
- I-ONE therapy in patients undergoing total knee arthroplasty: a prospective, randomized and controlled study.BMC musculoskeletal disorders · 2012Trial
- Health-related quality of life after hip arthroplasty with and without an extended-duration continuous posterior lumbar plexus nerve block: a prospective, 1-year follow-up of a randomized, triple-masked, placebo-controlled study.Anesthesia and analgesia · 2009Trial
- Health-related quality of life after tricompartment knee arthroplasty with and without an extended-duration continuous femoral nerve block: a prospective, 1-year follow-up of a randomized, triple-masked, placebo-controlled study.Anesthesia and analgesia · 2009Trial
- Long-term pain, stiffness, and functional disability after total knee arthroplasty with and without an extended ambulatory continuous femoral nerve block: a prospective, 1-year follow-up of a multicenter, randomized, triple-masked, placebo-controlled trial.Regional anesthesia and pain medicineTrial
- Association Between Multimorbidity and Walking Independence After Total Knee Arthroplasty in Adults Aged ≥80 Years: A Retrospective Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Association of self-efficacy, risk attitudes, and time preferences with health-related quality of life and functioning after total hip or knee replacement - Results of the MobilE-TRA 2 cohort.Health and quality of life outcomes · 2025Observational
- The Outcome of Post-Surgical Hip Prosthesis Rehabilitation: Results from a Monocentric Cohort Study.Journal of clinical medicine · 2025Article
- Comparison Between Total Hip and Knee Arthroplasty on Short-Term Performance-Based Outcomes and Factors Associated with the Improvement of Gait Function During Post-Acute Inpatient Rehabilitation.Journal of clinical medicine · 2024Article
- Predictors of health-related quality of life after total knee arthroplasty: a case-control study.Scientific reports · 2024Article
68 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs utilization rates for total joint arthroplasty increase, there is a hesitancy to perform this surgery on very old patients. The objective of this prospective study was to compare pain, functional, and health-related quality-of-life outcomes after total hip and total knee arthroplasty in an older patient group (> or =80 years) and a representative younger patient group (55-79 years).
methodsIn an inception community-based cohort within a Canadian health care system, 454 patients who received primary total hip arthroplasty (n = 197) or total knee arthroplasty (n = 257) were evaluated within a month prior to surgery and 6 months postoperatively. Pain, function, and health-related quality of life were evaluated with the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index and the 36-Item Short-Form Health Survey (SF-36).
resultsThere were no age-related differences in joint pain, function, or quality-of-life measures preoperatively or 6 months postoperatively. Furthermore, after adjusting for potential confounding effects, age was not a significant determinant of pain or function. Although those in the older and younger groups had comparable numbers of comorbid conditions and complications, those in the older group were more likely to be transferred to a rehabilitation facility than younger patients. Regardless of age, patients did not achieve comparable overall physical health when matched with the general population for age and sex.
conclusionsWith increasing life expectancy and elective surgery improving quality of life, age alone is not a factor that affects the outcome of joint arthroplasty and should not be a limiting factor when considering who should receive this surgery.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.