ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026
Do smokers achieve the same clinically meaningful improvement after total hip arthroplasty?
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe effect of smoking on patient-reported outcome measures (PROMs) after primary total hip arthroplasty (THA) has not been fully established. The aim of this study is to evaluate the effect of active smoking on postoperative functional outcomes and quality of life.
methodsA retrospective study was conducted on 950 patients who underwent primary THA between January 2020 and January 2023. Patients were divided into two groups: smokers (n = 115) and non-smokers (n = 835). All patients underwent preoperative and 12-month postoperative evaluations of EQ-5D-5L, EQ-VAS, and Hip Disability and Osteoarthritis Outcome Score (HOOS). Multivariate linear regression analysis was used to determine the independent effect of smoking.
resultsNo significant differences were found between the groups in terms of age, gender, BMI, and follow-up duration (all p > 0.05). All PROM scores were similar in the preoperative period. At the 12-month postoperative evaluation, non-smoking patients achieved significantly higher scores on the EQ-5D-5L (0.83 ± 0.10 vs. 0.76 ± 0.12; p < 0.001), EQ-VAS (76.5 ± 13.6 vs. 69.0 ± 15.1; p < 0.001), and all HOOS subscales. Preoperative-postoperative change (Δ) scores were also higher in non-smokers. In multivariate analysis, smoking was independently associated with lower EQ-5D-5L, EQ-VAS, and HOOS quality of life scores (all p < 0.001).
conclusionsActive smoking is associated with lower patient-reported outcomes and more limited functional gains after primary THA. Our study contributes to the existing literature by revealing the effect of smoking on arthroplasty outcomes not only in terms of complications but also from the perspective of patient-perceived healing.
Indexed as
Identifiers
42606635What OpenQuestion holds
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.