Comorbidity does not predict long-term mortality after total hip arthroplasty
DOI:
https://doi.org/10.1080/17453674.2017.1341243Abstract
Background and purpose — In-hospital death following total hip arthroplasty (THA) is related to comorbidity. The long-term effect of comorbidity on all-cause mortality is, however, unknown for this group of patients and it was investigated in this study. Patients and methods — We used data from the Swedish Hip Arthroplasty Register, linked to the National Patient Register from the National Board of Health and Welfare, for patients operated on with THA in 1999–2012. We identified 120,836 THAs that could be included in the study. We evaluated the predictive power of the Charlson and Elixhauser comorbidity indices on mortality, using concordance indices calculated after 5, 8, and 14 years after THA. Results — All comorbidity indices performed poorly as predictors, in fact worse than a base model with age and sex only. Elixhauser was, however, the least bad choice and it predicted mortality with concordance indices 0.59, 0.58, and 0.56 for 5, 8, and 14 years after THA. Interpretation — Comorbidity indices are poor predictors of long-term mortality after THA.Downloads
Download data is not yet available.
Downloads
Additional Files
Published
2017-09-03
How to Cite
Bülow, E., Rolfson, O., Cnudde, P., Rogmark, C., Garellick, G., & Nemes, S. (2017). Comorbidity does not predict long-term mortality after total hip arthroplasty. Acta Orthopaedica, 88(5), 472–477. https://doi.org/10.1080/17453674.2017.1341243
Issue
Section
Articles
License
Copyright (c) 2017 Erik Bülow, Ola Rolfson, Peter Cnudde, Cecilia Rogmark, Göran Garellick, Szilárd Nemes
This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License.
Acta Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC or CC-BY licenses, unless otherwise specified.