Validity of Patient-Reported Comorbidities Before Total Knee and Hip Arthroplasty in Patients Older Than 65 years

Gad, Bishoy; Klika, Alison K.; Elsharkawy, Karim A.; Barsoum, Wael K.

doi:10.1016/j.arth.2012.05.005

Cited by 10 publications

(10 citation statements)

References 42 publications

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“…Discrepancies between what the anesthesiologist and what the PAC physicians deem safe for patients being admitted on the day of surgery is clearly a major factor in cancellation. Communication including all medical professionals involved in the provision of the patient's care has previously been cited as a vital ingredient in preoperative evaluation [38]. …”

Section: Discussionmentioning

confidence: 99%

Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations

Dalton

Kelly

Murphy

et al. 2016

Advances in Orthopedics

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Background. Day of surgery admission (DOSA) is becoming standard practice as a means of reducing cost in total joint arthroplasty. Aims. The aim of our study was to audit the use of DOSA in a specialty hospital and identify reasons for cancellation. Methods. A retrospective study of patients presenting for hip or knee arthroplasty between 2008 and 2013 was performed. All patients were assessed at the preoperative assessment clinic (PAC). Results. Of 3195 patients deemed fit for surgery, 114 patients (3.5%) had their surgery cancelled. Ninety-two cancellations (80%) were due to the patient being deemed medically unsuitable for surgery by the anaesthetist. Cardiac disease was the most common reason for cancellation (n = 27), followed by pulmonary disease (n = 22). 77 patients (67.5%) had their operation rescheduled and successfully performed in our institution at a later date. Conclusion. DOSA is associated with a low rate of cancellations on the day of surgery. Patients with cardiorespiratory comorbidities are at greatest risk of cancellation.

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Section: Discussionmentioning

confidence: 99%

Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations

Dalton

Kelly

Murphy

et al. 2016

Advances in Orthopedics

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“…Hypertension, a common condition in the developed world, affects over 50% of older adults (>55 years) in the US 65 . Estimates of prevalence of hypertension in populations of adults with OA range from 32 to 81% 63,[81][82][83] , using various methods of assessment. When people with OA were compared to matched controls without OA, the prevalence of hypertension was found to be more than double in the group with OA (75% vs 38%) 84 .…”

Section: Hypertensionmentioning

confidence: 99%

“…Depression is one of the most common mental health conditions, affecting nearly 8% of the population ≥12 years of age in the US 91 . In populations with OA, the prevalence of physician-reported depression ranges from 21% in patients awaiting total joint replacement 81 to over 60% in one cohort of patients with predominantly knee OA when defined by a positive depression 22 screening questionnaire 92 . Other lower estimates have been reported based on health care claims, electronic medical records (EMR) and patient-reported comorbidities 57,58,77,82 .…”

Section: Depression and Mental Healthmentioning

confidence: 99%

“…Falls and fragility fractures are a significant source of morbidity and mortality among older adults 96 . Osteoporosis, the bone disease that predisposes to fragility fractures, including fractures of the hip and vertebrae, has been shown to be prevalent in 20 -33% 60,81,97 of older adults with OA, from both primary care and hospital-based settings. While OA may play a role in the pathogenesis of osteoporosis through reduced weight-bearing activity, OA has been shown to significantly contribute to risk for falls 98,99 .…”

Section: Falls and Fracturesmentioning

confidence: 99%

“…Ayers et al 58 Gad et al 81 Gore et al 82 Kadam et al 57 Leite et al 92 Nielen et al 83 van Dijk et al 59 Reeuwijk et al 63 Caporali et al 60…”

Section: Falls and Fracturesunclassified

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Efficacy and safety of Cortex Eucommiae (Eucommia ulmoides Oliver) extract in subjects with mild osteoarthritis

et al. 2019

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Background Osteoarthritis (OA) is a major degenerative disease that affects the elderly. The global prevalence of OA is increasing annually. However, current treatments are unable to halt the progress of OA. At present, pharmacological treatments such as non-steroidal anti-inflammatory drugs (NSAIDs) and cyclooxygenase-2 (COX-2) inhibitors control the pain; however, there may be side effects to these medications. We hypothesized that Cortex Eucommiae (CE; Eucommia ulmoides Oliver) extract, which is used as a dietary supplement, may slow down or prevent OA. Methods This is a protocol for a 12-week, multicenter, randomized, double-blind, placebo-controlled, parallel-group study to evaluate the efficacy and safety of CE extract in subjects with mild OA. One-hundred subjects with mild OA will be recruited and randomly divided in a 1:1 ratio into 2 groups. One group will receive CE extract for 12 weeks and the other group will receive placebo for 12 weeks. Outcomes will be evaluated by using the visual analog scale (VAS), Korean-Western Ontario and McMaster Universities index (K-WOMAC), Korean-Short Form health survey-36 score (KSF-36), and laboratory test results. Discussion This clinical trial is expected to provide evidence of the efficacy and safety of CE extract as a treatment for mild OA. Trial registration Clinical Trials.gov NCT03744611, registered on November 12, 2018, at https://clinicaltrials.gov/ct2/show/NCT03744611

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Comorbidities in Osteoarthritis: A Systematic Review and Meta‐Analysis of Observational Studies

Swain

Sarmanova

Coupland

et al. 2020

Arthritis Care & Research

197

111

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ObjectiveOsteoarthritis (OA) is a common chronic condition in older individuals, but its association with other chronic conditions is largely unknown. This study aimed to systematically review the literature on comorbidities in individuals with OA compared to those without.MethodsWe searched 4 databases for observational studies on comorbidities in individuals with OA. Studies of OA only or in comparison with non‐OA controls were included. The risk of bias and study quality were assessed using the Newcastle‐Ottawa Scale. The prevalence of comorbidities in the OA group and the prevalence ratio (PR) and 95% confidence interval (95% CI) between OA and non‐OA groups were calculated.ResultsIn all, 42 studies from 16 countries (27 case‐only and 15 comparative studies) met the inclusion criteria. The mean age of participants varied from 51 to 76 years. The pooled prevalence of any comorbidity was 67% (95% CI 57–74) in individuals with OA versus 56% (95% CI 44–68) in individuals without OA. The pooled PR for any comorbidity was 1.21 (95% CI 1.02–1.45). The PR increased from 0.73 (95% CI 0.43–1.25) for 1 comorbidity to 1.58 (95% CI 1.03–2.42) for 2, and to 1.94 (95% CI 1.45–2.59) for ≥3 comorbidities. The key comorbidities associated with OA were stroke (PR 2.61 [95% CI 2.13–3.21]), peptic ulcer (PR 2.36 [95% CI 1.71–3.27]), and metabolic syndrome (PR 1.94 [95% CI 1.21–3.12]).ConclusionIndividuals with OA are more likely to have other chronic conditions. The association is dose‐dependent in terms of the number of comorbidities, suggesting multimorbidities. Further studies on the causality of this association and clinical implications are needed.

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Validity of Patient-Reported Comorbidities Before Total Knee and Hip Arthroplasty in Patients Older Than 65 years

Cited by 10 publications

References 42 publications

Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations

Day of Surgery Admission in Total Joint Arthroplasty: Why Are Surgeries Cancelled? An Analysis of 3195 Planned Procedures and 114 Cancellations

Efficacy and safety of Cortex Eucommiae (Eucommia ulmoides Oliver) extract in subjects with mild osteoarthritis

Comorbidities in Osteoarthritis: A Systematic Review and Meta‐Analysis of Observational Studies

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