Perioperative medicine & outcomes
Impact of major postoperative complications on employment and earnings after elective hip or knee replacement surgery: a population-based matched cohort study
Authors' conclusion
Postoperative complications resulted in a lower likelihood of employment and lower earnings after elective hip or knee replacement surgery.
Study context
- Population
- Adults aged 30–63 yr having elective hip or knee arthroplasty, Canadian Hospitalization and Taxation Database, 2004 to 20196.3% had complications
- Participants
- 222,087 adults
- Exposure
- Postoperative complication vs no complication
- Outcome
- Coprimary: employment and earnings
- Follow-up
- Second calendar year after surgery
Methodological detailspropensity-score matched (1:1), difference-in-difference analysis
- Propensity-score matched (1:1)
- Difference-in-difference analysis
Main finding
As reported in the abstract
second year after surgery
Complications vs No complicationsDifference, percentage points (95% CI)
Employment
−2.2(−3.5 to −1.0)
- Greater decline in annual earnings from before surgery; 2023 Canadian dollars
- difference 1,782 CAD (95% CI −2,775 to −789)
Observational data: associations, not effects.
Original publication
Impact of major postoperative complications on employment and earnings after elective hip or knee replacement surgery: a population-based matched cohort study. Can J Anaesth. Published 12 May 2025. doi:10. 1007/ s12630-025-02960-0
Composed by AI from the published abstract and checked against it. How Briefs are made →