ArticleRheumatology international2015
The association between comorbidities and pain, physical function and quality of life following hip and knee arthroplasty.
Article in Rheumatology international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 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.
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.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.
- Pooled it
- Comorbidity scores reported in anatomic and reverse total shoulder arthroplasty: a systematic review.International orthopaedics · 2022Pooled it
- Trial
- Impact of preoperative mental health status on functional outcome 1 year after total hip arthroplastyCanadian journal of surgery. Journal canadien de chirurgie · 2019Trial
- Supervised neuromuscular exercise prior to hip and knee replacement: 12-month clinical effect and cost-utility analysis alongside a randomised controlled trial.BMC musculoskeletal disorders · 2017Trial
- The longitudinal relationship between physical capacity and self-perceived physical functioning after total hip and knee arthroplasty.Osteoarthritis and cartilage open · 2026Article
- Trajectory of test components of a comprehensive geriatric assessment in orthogeriatric patients following total hip and knee arthroplasty.BMC geriatrics · 2026Article
- Do lifestyle factors affect clinical outcomes following total knee replacement? An integrated qualitative study exploring the perceptions and experiences of participants in the PRO Knee feasibility cohort study.Pilot and feasibility studies · 2026Article
- Postoperative Depression, Anxiety, and Stress in Relation to Health-Related Quality of Life Among Patients Undergoing Total Knee Replacement in Jordan.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Measurement of expectations regarding exercise therapy of patients with hip and knee osteoarthritis: A scoping review.Osteoarthritis and cartilage open · 2025Article
- Fear of Falling After Total Knee Replacement: A Saudi Experience.Clinics and practice · 2025Article
- Urinary Incontinence in Men and Women After Total Hip Arthroplasty: A Retrospective Observational Cohort Study.Cureus · 2025Article
- Effect of co-morbidities on outcomes of first metatarsophalangeal joint fusion: A systematic review.Journal of orthopaedics · 2024Review
- Incontinence Is an Independent Risk Factor for Total Hip and Knee Arthroplasty.Arthroplasty today · 2024Article
- The impact of comorbidity status on knee function 1 year after total knee arthroplasty: a population-based cohort study.Acta orthopaedica · 2024Article
- Republication of "Keeping It in the Fairway: Golf Handicap Following Total Ankle Arthroplasty".Foot & ankle orthopaedics · 2023Article
- Functional recovery following hip and knee arthroplasty: subjective vs. objective assessment?Acta orthopaedica · 2022Article
- Cannabidiol as a treatment for arthritis and joint pain: an exploratory cross-sectional study.Journal of cannabis research · 2022Article
- Article
- Recovery and the use of postoperative physical therapy after total hip or knee replacement.BMC musculoskeletal disorders · 2022Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The aim of the study was to examine the relationship between comorbidities and pain, physical function and health-related quality of life (HRQoL) after total hip arthroplasty (THA) and total knee arthroplasty (TKA). A cross-sectional retrospective survey was conducted including 19 specific comorbidities, administered in patients who underwent THA or TKA in the previous 7-22 months in one of 4 hospitals. Outcome measures included pain, physical functioning, and HRQoL. Of the 521 patients (281 THA and 240 TKA) included, 449 (86 %) had ≥1 comorbidities. The most frequently reported comorbidities (>15 %) were severe back pain; neck/shoulder pain; elbow, wrist or hand pain; hypertension; incontinence of urine; hearing impairment; vision impairment; and cancer. Only the prevalence of cancer was significantly different between THA (n = 38; 14 %) and TKA (n = 52; 22 %) (p = 0.01). The associations between a higher number of comorbidities and worse outcomes were stronger in THA than in TKA. In multivariate analyses including all comorbidities with a prevalence of >5 %, in THA dizziness in combination with falling and severe back pain, and in TKA dizziness in combination with falling, vision impairments, and elbow, wrist or hand pain was associated with worse outcomes in most of the analyses. A broad range of specific comorbidities needs to be taken into account with the interpretation of patients' health status after THA and TKA. More research including the ascertainment of comorbidities preoperatively is needed, but it is conceivable that in particular, the presence of dizziness with falling, pain in other joints, and vision impairments should be assessed and treated in order to decrease the chance of an unfavorable outcome.
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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.