ArticleBMC musculoskeletal disorders2018
The influence of preoperative determinants on quality of life, functioning and pain after total knee and hip replacement: a pooled analysis of Dutch cohorts.
Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- A randomized clinical trial of a new perioperative practice model on anxiety and health-related quality of life in arthroplasty patients.Nursing open · 2021Trial
- Effect of preservation versus sacrifice of the posterior cruciate ligament on clinical outcomes after medial congruent total knee arthroplasty using mechanical alignment: A systematic review and meta-analysis.Journal of experimental orthopaedics · 2026Review
- Biopsychosocial predictive factors for developing chronic postsurgical pain after hip replacement surgery: A systematic review.Osteoarthritis and cartilage open · 2026Review
- Association of preoperative chronic opioid use with 1-year revision rate, mortality, and patient-reported outcomes after primary hip and knee arthroplasty: age, sex and BMI matter - a Dutch register-based study.Acta orthopaedica · 2025Article
- Pooling data for primary total knee implants across national registries: is the same implant used in multiple registries and for the same patient group? An observational study.Acta orthopaedica · 2025Observational
- Biopsychosocial based machine learning models predict patient improvement after total knee arthroplasty.Scientific reports · 2025Article
- Understanding preoperative health-related quality of life in rotator cuff tear patients: role of patients' characteristics.BMC musculoskeletal disorders · 2024Article
- Do sex, age, and comorbidities modify the association of socioeconomic status and opioid use after total hip arthroplasty?: a population-based study from the Danish Hip Arthroplasty Register.Acta orthopaedica · 2024Article
- Association between Obesity and Short-Term Patient-Reported Outcomes following Total Knee Arthroplasty: A Retrospective Cohort Study in Japan.Journal of clinical medicine · 2024Article
- What is the association between gender and self-perceived health status when controlling for disease-specific conditions? A retrospective data analysis of pre- and post-operative EQ-5D-5L differences in total hip and knee arthroplasty.BMC musculoskeletal disorders · 2023Article
- Effect of osteoarthritis and its surgical treatment on patients' quality of life: a longitudinal study.BMC musculoskeletal disorders · 2023Article
- Gender related results in total knee arthroplasty: a 15-year evaluation of the Italian population.Archives of orthopaedic and trauma surgery · 2023Article
- Does obesity affect patient-reported outcomes following total knee arthroplasty?BMC musculoskeletal disorders · 2022Article
- Article
- Ultrasound Radiomics-Guided Iliac Fascia Block on Postoperative Cognitive Dysfunction in Elderly Patients Undergoing Hip Surgery.Computational and mathematical methods in medicine · 2022Article
- A comparative study of clinical effect of total knee arthroplasty in the treatment of primary osteoarthritis and osteoarthritis of Kashin-Beck disease.International orthopaedics · 2020Article
- Predictors of pain in general ageing populations: results from a multi-country analysis based on ATHLOS harmonized database.The journal of headache and pain · 2020Article
- High pre- and postoperative symptom burden in non-responders to total knee arthroplasty.PloS one · 2020Article
- Is social support associated with patient-reported outcomes after joint replacement? A systematic review and meta-analysis.The Lancet. Rheumatology · 2019Article
- Article
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6 authors.
Funding
Abstract
backgroundPrevious research has identified preoperative determinants that predict health related quality of life (HRQoL), functioning and pain after total knee or hip arthroplasty (TKA/THA), but these differed between studies and had opposite directions. This may be due to lack of power and not adjusting for confounders. The present study aims to identify the preoperative determinants that influence health related quality of life (HRQoL), functioning and pain after total knee or hip arthroplasty (TKA/THA).
methodsWe pooled individual patient from 20 cohorts with OA patients data (n = 1783 TKA and n = 2400 THA) in the Netherlands. We examined the influence of age, gender, BMI and preoperative values of HRQoL, functioning and pain on postoperative status and total improvement. Linear mixed models were used to estimate the effect of each preoperative variable on a particular outcome for each cohort separately. These effects were pooled across cohorts using a random effects model.
resultsFor each increase in preoperative point in HRQoL, the postoperative HRQoL increased by 0.51 points in TKA and 0.37 points in THA (SF-36 scale). Similarly, each point increase in preoperative functioning, resulted in a higher postoperative functioning of 0.31 (TKA) and 0.21 (THA) points (KOOS/HOOS-ADL scale). For pain this was 0.18 (TKA) and 0.15 (THA) points higher (KOOS/HOOS-pain scale) (higher means less pain). Even though patients with better preoperative values achieved better postoperative outcomes, their improvement was smaller. Women and patients with a higher BMI had more pain after a TKA and THA. Higher age and higher BMI was associated with lower postoperative HRQoL and functioning and more pain after a THA.
conclusionsPatients with a better preoperative health status have better outcomes, but less improvement. Even though the independent effects may seem small, combined results of preoperative variables may result in larger effects on postoperative outcomes.
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