ICU sedation, delirium & recovery
Association between multimorbidity and quality of life after hip replacement surgery: analysis of routinely collected patient-reported outcomes
Main finding · Poor QoL outcomes (unchanged/mixed/worse)Result — go to the resultOdds ratio 1.53 95% CI 1.49–1.58Authors' conclusion
Hip replacement surgery improves QoL. However, patients with multimorbidity are less likely to experience these benefits.
Study context
- Population
- Patients undergoing total hip replacement in the NHS England Patient Reported Outcome Measures (PROMs) database, April 2013 to March 2018of 216,191 with complete data
- Participants
- 178,129 patients
- Exposure
- Multimorbidity vs no multimorbidity
- Multimorbidityn = 38,384
- Outcome
- Change in QoL (EQ-5D) using the Pareto Classification of Health Change
- Follow-up
- 3 to 6 months postoperative
Methodological detailsroutinely collected patient-reported outcomes, national database (NHS England PROMs), multivariable modelling
- Routinely collected patient-reported outcomes
- National database (NHS England PROMs)
- Multivariable modelling
Main finding
Poor QoL outcomes (unchanged/mixed/worse)
Odds ratio
1.53
95% CI 1.49–1.58
Multimorbidity vs No multimorbidity
OR 1.53 (95% CI 1.49–1.58)
As reported in the abstract
Observational data: associations, not effects.
Further findings
Quality of life (QoL) change after surgery, all patients
- Improved
- 149,774 (84.1%)
- Unchanged
- 10,219 (5.7%)
- Worse
- 7289 (4.1%)
- Mixed (≥1 domain improved and ≥1 deteriorated)
- 10,847 (6.1%)
Number of comorbid diseases
- Poor QoL outcomes more frequent as the number of comorbid diseases increased
Original publication
Association between multimorbidity and quality of life after hip replacement surgery: analysis of routinely collected patient-reported outcomes. Br J Anaesth. Published 13 November 2024. doi:10. 1016/ j. bja. 2024. 08. 037
Composed by AI from the published abstract and checked against it. How Briefs are made →