ArticleActa orthopaedica2014
Age- and health-related quality of life after total hip replacement: decreasing gains in patients above 70 years of age.
Article in Acta orthopaedica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 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
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Preoperative predictors of health-related quality of life changes (EQ-5D and EQ VAS) after total hip and knee replacement: a systematic review.BMC musculoskeletal disorders · 2022Pooled it
- Preoperative predictors for outcomes after total hip replacement in patients with osteoarthritis: a systematic review.BMC musculoskeletal disorders · 2016Pooled it
- Cost-effectiveness of Same-day Discharge Surgery for Primary Total Hip Arthroplasty: A Pragmatic Randomized Controlled Study.Frontiers in public health · 2022Trial
- Association between preoperative radiographic osteoarthritis severity and patient-reported outcomes after total hip arthroplasty: a systematic review and meta-analysis.International orthopaedics · 2026Review
- Long-Term Outcomes of Primary Cemented Total Hip Arthroplasty with Acetabular Bone Graft for Protrusio Acetabuli: Minimum 10-Year Follow-Up.Journal of clinical medicine · 2024Article
- Total hip arthroplasty for fractured neck of femur does not restore preoperative hip-specific function, health-related quality of life, or level of fitness.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Influence of health literacy on health-related quality of life after total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Timing of Surgery for Proximal Humeral Fracture Treated with Shoulder Hemiarthroplasty, Best Results with Surgery Within 2 Weeks.Indian journal of orthopaedics · 2024Article
- Increasing age does not influence hip-specific functional outcome or health-related quality of life following total hip arthroplasty : a five-year prospective cohort study.Bone & joint open · 2022Article
- Article
- Quantifying the primary and secondary effects of antimicrobial resistance on surgery patients: Methods and data sources for empirical estimation in England.Frontiers in public health · 2022Review
- Short-term patient-reported outcomes following total hip replacement: Is the success picture overrated?Osteoarthritis and cartilage open · 2021Article
- What is the minimum response rate on patient-reported outcome measures needed to adequately evaluate total hip arthroplasties?Health and quality of life outcomes · 2020Article
- The Relationship Between Preoperative Oxford Hip and Knee Score and Change in Health-Related Quality of Life After Total Hip and Total Knee Arthroplasty: Can It Help Inform Rationing Decisions?Arthroplasty today · 2020Article
- Magnetic Resonance Imaging Assessment of Hip Abductor after Total Hip Arthroplasty Using a Direct Lateral Approach.The archives of bone and joint surgery · 2020Article
- Mid-term clinical results of the cementless R3 cup and Polarstem total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Is gain in health-related quality of life after a total hip arthroplasty depended on the comorbidity burden?Acta orthopaedica · 2018Article
- Consistency in patient-reported outcomes after total hip replacement.Acta orthopaedica · 2017Article
- The impact of age and preoperative health-related quality of life on patient-reported improvements after total hip arthroplasty.Clinical interventions in aging · 2017Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile age is a common confounder, its impact on health-related quality of life (HRQoL) after total hip replacement is uncertain. This could be due to improper statistical modeling of age in previous studies, such as treating age as a linear variable or by using age categories. We hypothesized that there is a non-linear association between age and HRQoL.
methodsWe selected a nationwide cohort from the Swedish Hip Arthroplasty Register of patients operated with total hip replacements due to primary osteoarthritis between 2008 and 2010. For estimating HRQoL, we used the generic health outcome questionnaire EQ-5D of the EuroQol group that consits or 2 parts: the EQ-5D index and the EQ VAS estimates. Using linear regression, we modeled the EQ-5D index and the EQ VAS against age 1 year after surgery. Instead of using a straight line for age, we applied a method called restricted cubic splines that allows the line to bend in a controlled manner. Confounding was controlled by adjusting for preoperative HRQoL, sex, previous contralateral hip surgery, pain, and Charnley classification.
resultsComplete data on 27,245 patients were available for analysis. Both the EQ-5D index and EQ VAS showed a non-linear relationship with age. They were fairly unaffected by age until the patients were in their late sixties, after which age had a negative effect.
interpretationThere is a non-linear relationship between age and HRQoL, with improvement decreasing in the elderly.
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