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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 2, 157-161.
doi: 10.1302/0301-620X.91B2.20765  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Variables determining outcome in total hip replacement surgery

O. Rolfson, MD, Orthopaedic Surgeon1; L. E. Dahlberg, MD, PhD, Orthopaedic Surgeon, Professor2; J-Å. Nilsson, BA, Biostatistician2; H. Malchau, MD, PhD, Orthopaedic Surgeon, Professor3; and G. Garellick, MD, PhD, Orthopaedic Surgeon1

1 Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital Mölndal, SE-431 80, Mölndal, Sweden.
2 Department of Orthopaedics, Malmö University Hospital, Lund University, SE-20502, Malmö, Sweden.
3 Department of Orthopaedics, Massachusetts General Hospital, 55 Fruit Street, GR1126 Boston, Massachusetts, 02114, USA.

Correspondence should be sent to Dr O. Rolfson, e-mail: ola.rolfson{at}vgregion.se

In this study we hypothesised that anxiety/depression, one of five dimensions in the health-related quality of life (HRQoL) measurement tool EQ-5D, could predict outcome after total hip replacement surgery.

Pre-operative and one-year post-operative data from the Swedish Hip Arthroplasty Register, including 6158 patients with primary osteoarthritis of the hip, were analysed. In order to examine the association between anxiety and outcome with respect to pain and satisfaction an analysis of covariance was used.

The pre-operative EQ-5D anxiety/depression dimension was a strong predictor for pain relief and patient satisfaction (p < 0.001).

Orthopaedic surgeons involved in the care of patients eligible for total hip replacement surgery should be aware that mental health may influence post-operative pain and HRQoL. An appropriate assessment of mental health may enable a modification in the way these patients are managed in order to optimise the outcome after joint replacement surgery.




eLetters:

Read all eLetters

The relationship between mental anxiety and outcome after primary hip replacement
Munier Hossain, et al.
J Bone Joint Surg Br Online, 17 Mar 2009 [Full text]
Potential non-responders must be identified pre-operatively
Ola Rolfson, et al.
J Bone Joint Surg Br Online, 16 Apr 2009 [Full text]

(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General