Osteoarthritis

Long‐Term Mortality of Patients With Osteoarthritis After Joint Replacement: Prognostic Value of Preoperative and Postoperative Pain and Function

Arthritis Care Res (Hoboken)Published Prospective cohort study

Main finding · Long-term mortality by generic function at 12-month follow-upResult — go to the resultHazard ratio 1.79 95% CI 1.24–2.60

Authors' conclusion

Poor function based on the generic assessment was associated with increased long-term mortality, suggesting that functional impairments in daily life activities may be more important for long-term survival than OA-specific impairments in this patient group.

Study context

Population
Patients with advanced osteoarthritis (OA) of the hip or knee with unilateral total hip or knee replacement, January 1995–December 1996 (Ulm Osteoarthritis Study)
Participants
706 patients
Exposure
Clinically relevant impairment in generic function vs reference
Outcome
Long-term mortality (follow-up last updated July 2019)
Methodological detailsCox proportional regression adjusted for covariates
  • Cox proportional regression adjusted for covariates

Main finding

As reported in the abstract

Long-term mortality by generic function at 12-month follow-up · 12-month follow-up value

Hazard ratio

1.79

95% CI 1.24–2.60

Clinically relevant impairmentvs Reference
HR 1.79 (95% CI 1.24–2.60)

Observational data: associations, not effects.

Further findings

Pain and function after arthroplasty

Clear reduction in pain and improved function throughout all assessments

Original publication

Long‐Term Mortality of Patients With Osteoarthritis After Joint Replacement: Prognostic Value of Preoperative and Postoperative Pain and Function. Arthritis Care Res (Hoboken). Published 17 November 2022. doi:10.1002/acr.24808

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