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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2021

Associations between comorbidity and quality of life outcomes after total joint replacement.

Deborah L Snell, Jennifer A Dunn, K Anne Sinnott Jerram, C Jean Hsieh, Gerben DeJong, Gary J Hooper

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Deborah L SnellDepartment of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand. debbie.snell@otago.ac.nz.ORCID http://orcid.org/0000-0003-1664-0603
Jennifer A DunnDepartment of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand.
K Anne Sinnott JerramBurwood Academy of Independent Living, Christchurch, New Zealand.
C Jean HsiehAgency for Healthcare Research and Quality, Rockville, MD, USA.
Gerben DeJongDepartment of Rehabilitation Medicine, Georgetown University School of Medicine, Washington, DC, USA.
Gary J HooperDepartment of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand.

Funding

Canterbury Medical Research Foundation 14/07
6 · The paper itself

Abstract

purposeWe examined associations between self-reported and clinician-assessed comorbidity and quality of life (QOL) outcomes after hip and knee replacement.

methodsThis is a cross-sectional, questionnaire-based national survey. Participants aged 45 years or older (n = 409) were recruited from the New Zealand Joint Registry six months after a total hip (THR), total knee (TKR) or unicompartmental knee replacement (UKR). The main outcome QOL was measured using an 8-item short form of the World Health Organisation Quality of Life (WHOQOL-Bref) questionnaire six months following joint replacement surgery. The WHOQOL is a generic and non-health condition specific measure of QOL.

resultsParticipants were on average 68 years of age, with more men (54%) than women (46%). Number of coexisting conditions and body mass index were correlated with age, pain and function scores, and QOL (p < 0.01), but not with each other. Linear regression analyses showed that comorbidities such as number of comorbid conditions and BMI had moderate associations with QOL outcomes.

conclusionThis study showed that general QOL outcomes following hip and knee joint replacement, while generally high, were associated with comorbidity burden and BMI. Future prospective research examining change in QOL before and following surgery would help to advance understandings of the various factors that contribute to patient satisfaction with their joint replacement.

Indexed as

AgedArthroplasty, ReplacementComorbidityCross-Sectional StudiesFemaleHumansMaleMiddle AgedQuality of LifeSurveys and QuestionnairesSurvival AnalysisComorbidityEUROHIS-QOLQuality of life outcomesTotal hip replacementTotal knee replacementUnicompartmental knee replacement

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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.