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

Can J AnaesthPublished 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

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