Evidence map›Paper›PMID 40604590›Full record

ArticleBMC geriatrics2025

The bumpy road to recovery: older adults' experiences during the first year after hip replacement surgery - a longitudinal qualitative study.

Lina Bergman, Amina Guenna Holmgren, Ulrica Nilsson, Anahita Amirpour, Helen Conte, Jeanette Eckerblad

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
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.

Lina BergmanDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels Allé 23, C3| 141 83 Hudding, Huddinge, Sweden.
Amina Guenna HolmgrenDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels Allé 23, C3| 141 83 Hudding, Huddinge, Sweden. amina.guenna.holmgren@ki.se.
Ulrica NilssonDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels Allé 23, C3| 141 83 Hudding, Huddinge, Sweden.
Anahita AmirpourDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels Allé 23, C3| 141 83 Hudding, Huddinge, Sweden.
Helen ConteDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels Allé 23, C3| 141 83 Hudding, Huddinge, Sweden.
Jeanette EckerbladDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels Allé 23, C3| 141 83 Hudding, Huddinge, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHalf of the older adult population worldwide is expected to undergo surgery at least once in their lifetime, with hip and knee replacements being among the most common procedures. Recovery after surgery is particularly difficult for older adults because of age-related physiological changes, an increased risk of complications, and the need for self-management at home following brief hospital stays. Emotional challenges such as fear, anxiety, and loss of independence further impact recovery, yet these aspects are often overlooked in clinical care. Currently, there is a lack of understanding of how older adults experience postoperative recovery after hip replacement surgery over time.

objectiveTo explore the experiences of recovery over time among older adults during the first year after hip replacement surgery.

methodsThis descriptive longitudinal qualitative study included 30 older adults scheduled for hip replacement surgery at a university hospital in Sweden. Semistructured interviews were conducted twice, at fourteen days and one year after surgery. The data were analyzed using qualitative content analysis, following a Pattern-Oriented Longitudinal approach to inductively describe experiences over time.

resultsThe analysis resulted in one overarching theme: "the bumpy road to recovery" and three categories: physical challenges post-surgery, cognitive and emotional changes after surgery, and social and daily life adjustments. Recovery involves a balance between resting, managing symptoms, and regaining strength. For many, recovery involves physical, emotional, and cognitive challenges that feel discouraged.

conclusionThis study highlights the complex and individualized recovery process after hip replacement surgery. The participants navigated physical, cognitive, emotional, and social challenges and reached a new stable state after surgery. Balancing rest and activity, managing symptoms, and maintaining social connections are key factors for successful recovery. Preoperative education and support from healthcare providers and family members are vital in improving the recovery process for older adults.

Indexed as

Arthroplasty, Replacement, HipRecovery of FunctionActivities of Daily LivingAgedAged, 80 and overFemaleHumansLongitudinal StudiesMaleQualitative ResearchSwedenTime FactorsLongitudinal qualitative studyOlder adultsPostoperative nursingPostoperative recovery

Identifiers

PMID40604590
PMCPMC12220040

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LicenceCC BY
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Registered trials

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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.