Impact of socioeconomic status on the 90- and 365-day rate of revision and mortality after primary total hip arthroplasty: a cohort study based on 103,901 patients with osteoarthritis from national databases in Denmark

Edwards, Nina M; Varnum, Claus; Overgaard, Søren; Pedersen, Alma B

doi:10.1080/17453674.2021.1935487

Cited by 21 publications

(20 citation statements)

References 24 publications

(40 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Findings may differ with longer follow-up. Finally, the sample was predominantly White and educated, thus limiting our study’s generalizability to other race/ethnicity groups and people with less education and other resources [ 13 ]. Future work is needed to replicate the analyses in a larger, more diverse sample.…”

Section: Discussionmentioning

confidence: 99%

“…Despite this high success rate, a substantial body of research has focused on identifying clinical and psychosocial predictors of poor outcomes [ 3 , 12 , 13 ]. Preoperative mental health scores have been found to predict functional outcomes at one-year post-surgery [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

“…More resilient patients have been found to report higher satisfaction and better health status post-surgery [ 18 ], and have more socioeconomic resources [ 13 , 19 , 20 ]. In addition to such external resources, research in other therapeutic areas has documented the importance of internal cognitive resources, specifically how one thinks about health and quality of life (QOL) [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Appraisal and patient-reported outcomes following total hip arthroplasty: a longitudinal cohort study

Schwartz

Rapkin

Sniderman

et al. 2022

J Patient Rep Outcomes

View full text Add to dashboard Cite

Background Total hip arthroplasty (THA) is a successful procedure that provides pain relief, restores function, and improves quality of life (QOL) for patients with advanced arthritis in their hip joint. To date, little research has examined the role of cognitive appraisal processes in THA outcomes. This study examined the role of cognitive appraisal processes in THA outcomes in the first year post-surgery. Methods This longitudinal cohort study collected data at pre-surgery, 6 weeks post-surgery, 3 months post-surgery, and 12 months post-surgery. Adults (n = 189) with a primary diagnosis of osteoarthritis were consecutively recruited from an active THA practice at a Canadian academic teaching hospital. Measures included the Hip Disability and Osteoarthritis Outcome Score (HOOS), the Mental Component Score (MCS) of the Rand-36, and the Brief Appraisal Inventory (BAI). Analysis of Variance examined the association between BAI items and the HOOS or MCS scores. Random effects models investigated appraisal main effects and appraisal-by-time interactions for selected BAI items. Results HOOS showed great improvement over the first 12 months after THA, and was mitigated by three appraisal processes in particular: focusing on problems with healthcare or living situation, and preparing one’s family for health changes. MCS was stable and low over time, and the following appraisal processes were implicated by very large effect sizes: not comparing themselves to healthier people, focusing on money problems, preparing their family for their health changes, or trying to shed responsibilities. Conclusions Appraisal processes are relevant to health outcomes after THA, with different processes coming into play at different points in the recovery trajectory.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Appraisal and patient-reported outcomes following total hip arthroplasty: a longitudinal cohort study

Schwartz

Rapkin

Sniderman

et al. 2022

J Patient Rep Outcomes

View full text Add to dashboard Cite

show abstract

“…Future research might consider differences in appraisal patterns by age in a larger sample that adequately represents different developmental stages of adulthood. Finally, the sample was predominantly White and educated, thus limiting our study’s generalizability to other race/ethnicity groups and people with less education and other resources [ 46 ]. Future work is needed to replicate the analyses in a larger, more diverse sample.…”

Section: Limitationsmentioning

confidence: 99%

Cognitive Processes during Recovery: Moving toward Personalized Spine Surgery Outcomes

Schwartz

Rapkin

Borowiec

et al. 2022

JPM

View full text Add to dashboard Cite

This paper focuses on a novel application of personalized medicine: the ways one thinks about health (i.e., appraisal processes) as relevant predictors of spine-surgery response. This prospective longitudinal cohort study (n = 235) investigated how appraisal processes relate to outcomes of spinal decompression and/or fusion surgery, from pre-surgery through one-year post-surgery. Patient-reported outcomes assessed spine-specific disability (Oswestry Disability Index (ODI)), mental health functioning (Rand-36 Mental Component Score (MCS)), and cognitive appraisal processes (how people recall past experiences and to whom they compare themselves). Analysis of Variance examined the appraisal-outcomes association in separate models at pre-surgery, 3 months, and 12 months. We found that appraisal processes explained less variance at pre-surgery than later and were differentially relevant to health outcomes at different times in the spine-surgery recovery trajectory. For the ODI, recall of the seriousness of their condition was most prominent early in recovery, and comparing themselves to positive standards was most prominent later. For the MCS, not focusing on the negative aspects of their condition and/or on how others see them was associated with steady improvement and higher scores at 12 months. Appraisal processes are relevant to both spine-specific disability and mental-health functioning. Such processes are modifiable objects of attention for personalizing spine-surgery outcomes.

show abstract

“…This would result in a lower registered incidence of AMI for patients with a low income than those with a high income. The lower incidence would be enhanced by the inappropriate response to AMI resulting in premature death and an increased mortality in patients with low income, which actually is the case in this population, thereby introducing a differential misclassification (21).…”

Section: Ses Markers and The Risk Of Readmission Due To Cvdmentioning

confidence: 99%

The association between socioeconomic status and the 90-day risk of cardiovascular events after total hip arthroplasty – registry-based study of 103,286 patients

Edwards

Kristensen

Varnum

et al. 2022

ActaO

View full text Add to dashboard Cite

Background and purpose: Patients receiving a total hip arthroplasty (THA) are subsequently at an increased risk of cardiovascular disease (CVD). Further, socioeconomic status (SES) has an effect on CVD. We evaluated whether low SES is associated with a higher risk of readmission due to CVD after THA within 90 days in a setting with universal tax-supported healthcare.Patients and methods: We performed a nationwide population-based cohort study using Danish health registries from 1995 to 2017. Individual-based information on SES markers (cohabitation, education, income, and liquid assets) was obtained for all participants. The outcome was any hospital-treated CVD. The data was transformed using the pseudo-observation method to enable an estimation of the adjusted risk ratios (RRs) with 95% confidence intervals (CI) for each marker using generalized linear regression.Results: Among 103,286 THA patients, 452 were hospitalized with CVD within 90 days after surgery. Low SES seemed to be associated with a small increased risk of CVD, as the RRs for any CVD were 1.1 (95% CI 0.7–1.7) for patients living alone vs. cohabiting, 1.3 (CI 0.7– .3) for low education vs. high, 1.4 (CI 0.8–2.6) for low income vs. high, and 1.3 (CI 0.8–2.1) for low liquid assets vs. high.Conclusion: Living alone, low education, low income, and low liquid assets seem to be associated with a small increased risk of readmission due to CVD 90 days after THA. Wide confidence intervals in risk should be considered when interpreting the study results.

show abstract

Impact of socioeconomic status on the 90- and 365-day rate of revision and mortality after primary total hip arthroplasty: a cohort study based on 103,901 patients with osteoarthritis from national databases in Denmark

Cited by 21 publications

References 24 publications

Appraisal and patient-reported outcomes following total hip arthroplasty: a longitudinal cohort study

Appraisal and patient-reported outcomes following total hip arthroplasty: a longitudinal cohort study

Cognitive Processes during Recovery: Moving toward Personalized Spine Surgery Outcomes

The association between socioeconomic status and the 90-day risk of cardiovascular events after total hip arthroplasty – registry-based study of 103,286 patients

Contact Info

Product

Resources

About