Document Detail

Variables determining outcome in total hip replacement surgery.
MedLine Citation:
PMID:  19190046     Owner:  NLM     Status:  MEDLINE    
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.
O Rolfson; L E Dahlberg; J-A Nilsson; H Malchau; G Garellick
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  91     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-04     Completed Date:  2009-03-13     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  157-61     Citation Subset:  AIM; IM    
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital Mölndal, SE-431 80, Mölndal, Sweden.
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MeSH Terms
Anxiety Disorders / psychology*
Arthroplasty, Replacement, Hip / adverse effects,  psychology*
Depressive Disorder / psychology*
Osteoarthritis, Hip / psychology,  surgery*
Pain Measurement
Pain, Postoperative / etiology*,  psychology
Patient Satisfaction
Quality of Life / psychology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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