Association of social support with patient-reported outcomes after joint replacement: a systematic review and meta-analysis

Wylde, Vikki; Kunutsor, Setor K; Lenguerrand, Erik; Jackson, J.; Blom, Ashley W; Beswick, Andrew D

doi:10.1016/s2665-9913(19)30050-5

Cited by 13 publications

(10 citation statements)

References 92 publications

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“…Living alone and social isolation was greater in this study population and among patients undergoing arthroplasty. 10,33 Social support is defined as the provision of psychological and material resources within a social network. the use of these resources can be an important factor in obtaining positive outcomes, and has been shown to have a protective effect on general health.…”

Section: Discussionmentioning

confidence: 99%

“…the use of these resources can be an important factor in obtaining positive outcomes, and has been shown to have a protective effect on general health. 33,34 social support has a multidimensional nature not captured when dichotomizing patients according to cohabitation status. 35 however, even by using this crude estimate, we found a higher risk of any infection after both 30 and 90 days when living alone, and when assessing the risk of pneumonia, UTI, and PJI specifically, although these estimates have large ci.…”

Section: Discussionmentioning

confidence: 99%

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The association between socioeconomic status and the 30- and 90-day risk of infection after total hip arthroplasty

Edwards

Varnum

Nelissen

et al. 2022

The Bone & Joint Journal

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Aims The aim of this study was to examine whether socioeconomic status (SES) is associated with a higher risk of infections following total hip arthroplasty (THA) at 30 and 90 days. Methods We obtained individual-based information on SES markers (cohabitation, education, income, and savings) on 103,901 THA patients from Danish health registries between 1 January 1995 and 31 December 2017. The primary outcome measure was any hospital-treated infection (i.e. all infections). The secondary outcomes were further specified to specific hospital-treated infections (pneumonia, urinary tract infection, and periprosthetic joint infection). The primary timepoint was within 90 days. In addition, the outcomes were further evaluated within 30 days. We calculated the cumulative incidence, and used the pseudo-observation method and generalized linear regression to estimate adjusted risk ratios (RRs) with 95% confidence intervals (CIs) for each marker. Results The cumulative incidence of any infection at 90 days was highest in patients who lived alone (1.5% (95% CI 1.3 to 1.6)) versus cohabitant (0.7% (95% CI 0.7 to 0.8)), had the lowest educational achievement (1.1% (95% CI 1.0 to 1.2)) versus highest (0.7% (95% CI 0.5 to 0.8)), had the lowest income (1.6% (95% CI 1.5 to 1.70)) versus highest (0.4% (95% CI 0.3 to 0.5)), or had lowest savings (1.3% (95% CI 1.2 to 1.4)) versus highest (0.7% (95% CI 0.6 to 0.8)). Within 90 days, the RRs for any infection were 1.3 (95% CI 1.2 to 1.4) for patients living alone versus cohabiting, 1.2 (95% CI 1.0 to 1.3) for low education achievement versus high, 1.7 (95% CI 1.4 to 2.1) for low income versus high income, and 1.5 (95% CI 1.4 to 1.8) for low savings versus high savings. The same trends were also seen for any infections within the first 30 days. Conclusion Our study provides evidence that socioeconomic inequality adversely influences the risk of infection after THA, thus contributing to healthcare disparities and inequalities. We found that living alone, low educational achievement, low income, or low savings were associated with higher risks of infections within the first 30 and 90 days after THA. Therefore, the development of targeted intervention strategies with the aim of increasing awareness of patients identified as being at greatest risk is needed to mitigate the impact of SES on the risk of infections following THA. Cite this article: Bone Joint J 2022;104-B(2):221–226.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The association between socioeconomic status and the 30- and 90-day risk of infection after total hip arthroplasty

Edwards

Varnum

Nelissen

et al. 2022

The Bone & Joint Journal

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show abstract

“…Notably, the beneficial impact of family support on postoperative outcomes has been previously demonstrated, with higher scores on a family cohesion scale being associated with better postsurgical recovery after open cholecystectomy [ 17 ]. In addition, a recent systematic review noted an association of social support and improved patient-reported outcomes after joint replacement [ 18 ]. In the United States, December holds major holidays, during which families gather and time off is provided from work and school [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

The Impact of Month on Joint Arthroplasty In-Hospital Outcomes: The December Effect

et al. 2022

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“…Pooled data from two studies comprising 2,022 lower limb arthroplasty recipients suggested that patients who had social support at one-year post-THR benefitted in terms of their function measured as WOMAC score [31].…”

Section: Social Supportmentioning

confidence: 99%

Function and employment after total hip replacement in older adults: A narrative review

Zaballa

Dennison²,

Walker‐Bone³

2023

Maturitas

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Association of social support with patient-reported outcomes after joint replacement: a systematic review and meta-analysis

Abstract: Is social support associated with patient-reported outcomes after joint replacement? A systematic review and meta-analysis

Cited by 13 publications

References 92 publications

The association between socioeconomic status and the 30- and 90-day risk of infection after total hip arthroplasty

The association between socioeconomic status and the 30- and 90-day risk of infection after total hip arthroplasty

The Impact of Month on Joint Arthroplasty In-Hospital Outcomes: The December Effect

Function and employment after total hip replacement in older adults: A narrative review

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