ArticleActa orthopaedica2017
Comorbidity does not predict long-term mortality after total hip arthroplasty.
Article in Acta orthopaedica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 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
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Predictive Ability of Comorbidity Indices for Surgical Morbidity and Mortality: a Systematic Review and Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Pooled it
- The ability of comorbidity indices to predict mortality in an orthopedic setting: a systematic review.Systematic reviews · 2021Pooled it
- [Effect of enhanced recovery after surgery on postoperative function and pain in total hip arthroplasty patients with high comorbidity].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Trial
- Association of preoperative health status with risk of complications after primary total hip arthroplasty: how useful are the measures self-rated health, ASA classification and comorbidity count?BMC musculoskeletal disorders · 2025Article
- Analysis of risk factors for lower deep vein thrombosis (DVT) in patients over 60 years of age after total hip arthroplasty.BMC musculoskeletal disorders · 2025Article
- Efficacy and Safety Study of Low-Molecular-Weight Heparin and Fondaparinux Sodium After Hip Arthroplasty: A Retrospective Cohort Study.Orthopedic research and reviews · 2023Article
- Effects of Comorbidities on Pain and Function After Total Hip Arthroplasty.Frontiers in surgery · 2022Article
- Article
- Influence of pre-existing multimorbidity on receiving a hip arthroplasty: cohort study of 28 025 elderly subjects from UK primary care.BMJ open · 2021Article
- The Update on Instruments Used for Evaluation of Comorbidities in Total Hip Arthroplasty.Indian journal of orthopaedics · 2021Review
- Important perioperative factors, guidelines and outcomes in the management of hip fracture.Journal of perioperative practice · 2021Article
- Article
- Impact of comorbidity on the short- and medium-term risk of revision in total hip and knee arthroplasty.BMC musculoskeletal disorders · 2020Article
- Is Parkinson's Disease Associated with Increased Mortality, Poorer Outcomes Scores, and Revision Risk After THA? Findings from the Swedish Hip Arthroplasty Register.Clinical orthopaedics and related research · 2019Article
- How Does Mortality Risk Change Over Time After Hip and Knee Arthroplasty?Clinical orthopaedics and related research · 2019Article
- Relative survival following hemi-and total hip arthroplasty for hip fractures in Sweden.BMC musculoskeletal disorders · 2018Article
- Risk of further surgery on the same or opposite side and mortality after primary total hip arthroplasty: A multi-state analysis of 133,654 patients from the Swedish Hip Arthroplasty Register.Acta orthopaedica · 2018Article
- Do Patients Live Longer After THA and Is the Relative Survival Diagnosis-specific?Clinical orthopaedics and related research · 2018Article
- Prevalence and treatment of hip and knee osteoarthritis in people aged 60 years or older in Germany: an analysis based on health insurance claims data.Clinical interventions in aging · 2018Article
- Is Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement?International journal of environmental research and public health · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - In-hospital death following total hip arthroplasty (THA) is related to comorbidity. The long-term effect of comorbidity on all-cause mortality is, however, unknown for this group of patients and it was investigated in this study. Patients and methods - We used data from the Swedish Hip Arthroplasty Register, linked to the National Patient Register from the National Board of Health and Welfare, for patients operated on with THA in 1999-2012. We identified 120,836 THAs that could be included in the study. We evaluated the predictive power of the Charlson and Elixhauser comorbidity indices on mortality, using concordance indices calculated after 5, 8, and 14 years after THA. Results - All comorbidity indices performed poorly as predictors, in fact worse than a base model with age and sex only. Elixhauser was, however, the least bad choice and it predicted mortality with concordance indices 0.59, 0.58, and 0.56 for 5, 8, and 14 years after THA. Interpretation - Comorbidity indices are poor predictors of long-term mortality after THA.
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