ArticleJournal of public health (Oxford, England)2013
Socioeconomic differences in patient-reported outcomes after a hip or knee replacement in the English National Health Service.
Article in Journal of public health (Oxford, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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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.
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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.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Assessing demographic access to hip replacement surgery in the United Kingdom: a systematic review.International journal for equity in health · 2021Pooled it
- Impact of comorbid conditions on outcomes of hip and knee replacement surgery: a systematic review and meta-analysis.BMJ open · 2018Pooled it
- [Personality and comorbidity: are there "difficult patients" in hip arthroplasty?].Der Orthopade · 2015Pooled it
- Development and validation of a clinical prediction model for patient-reported pain and function after primary total knee replacement surgery.Scientific reports · 2018Trial
- Social inequalities in patient outcomes after total hip replacement surgery for osteoarthritis in England: A population-based cohort study of the National Joint Registry.PLoS medicine · 2026Article
- Socioeconomic inequalities in patient-reported outcome measures among total hip and knee arthroplasty patients: a comprehensive analysis of instruments and domains.International journal for equity in health · 2025Article
- The Impact of Social Deprivation on Outcomes in Forefoot Surgery.Foot & ankle international · 2025Article
- The effects of social determinants of health on anterior cruciate ligament injury recovery.Journal of orthopaedics · 2025Review
- Factors Correlated with the Quality of Life after Total Knee Arthroplasties: A Literature Review.Malaysian orthopaedic journal · 2024Review
- What is the Impact of Social Deprivation on Mental and Physical Health Before and After Primary Total Knee Arthroplasty?Arthroplasty today · 2023Article
- Risk factors for pain after total hip arthroplasty: a systematic review.Arthroplasty (London, England) · 2023Review
- Impact of the COVID-19 lockdown on patient-reported outcome measures in Dutch hip and knee arthroplasty patients.Acta orthopaedica · 2022Article
- Equity of access to NHS-funded hip replacements in England and Wales: Trends from 2006 to 2016.The Lancet regional health. Europe · 2022Article
- The Perioperative Quality Improvement Programme (PQIP patient study): protocol for a UK multicentre, prospective cohort study to measure quality of care and outcomes after major surgery.Perioperative medicine (London, England) · 2022Article
- CORR Insights®: How Should We Measure Social Deprivation in Orthopaedic Patients?Clinical orthopaedics and related research · 2022Article
- 1-year trajectories of patients undergoing primary total hip arthroplasty: Patient reported outcomes and resource needs according to education level.BMC musculoskeletal disorders · 2022Article
- Which Preoperative Factors are Associated with Not Attaining Acceptable Levels of Pain and Function After TKA? Findings from an International Multicenter Study.Clinical orthopaedics and related research · 2020Article
- Co-Morbidities and Sex Differences in Long-Term Quality-of-Life Outcomes among Patients with and without Diabetes after Total Knee Replacement: Five-Year Data from Registry Study.Journal of clinical medicine · 2019Article
- Orthopaedic registries with patient-reported outcome measures.EFORT open reviews · 2019Review
- The Effect of Age, Sex, Area Deprivation, and Living Arrangements on Total Knee Replacement Outcomes: A Study Involving the United Kingdom National Joint Registry Dataset.JB & JS open access · 2018Article
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4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundWe investigated socioeconomic differences in patient-reported outcomes after a hip or knee replacement and the contribution of health differences beforehand.
methodsOur sample included 121 983 patients in England who had an operation in 2009-2011. Socioeconomic status was measured with quintiles of the ranking of areas by the English Index of Multiple Deprivation. Outcomes at 6 months were the Oxford hip or knee score (OHS or OKS) that measure pain and disability on a scale from 0 (worst) to 48 (best), and the percentage reporting no improvement in problems. Adjustment was made for age, sex, ethnicity, comorbidity, general health, revision surgery, primary diagnosis, preoperative OHS or OKS and having longstanding problems.
resultsComparing the most- with the least-deprived group, the mean OHS was 5.0 points lower and the OKS 5.4 lower. Adjusted differences, reflecting the differences in improvement in the condition, were 2.8 [95% confidence interval (CI): 2.5-3.0] on OHS and 2.4 (95% CI: 2.2-2.7) on OKS. Adjusted odds ratios for reporting no improvement were 1.4 (1.2-1.6) for the hip and 1.4 (1.3-1.5) for the knee.
conclusionsOn average, patients living in socioeconomically deprived areas had worse outcomes after surgery, partly related to preoperative differences in health and disease severity and partly to less postoperative improvement.
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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.