Relationship between exposure to the natural environment and recovery from hip or knee arthroplasty: a New Zealand retrospective cohort study.

ABSTRACT: OBJECTIVES:Determine whether patients who live in greener and more walkable neighbourhoods live longer, and take fewer opioids, following hip or knee arthroplasty. DESIGN:Retrospective cohort study. SETTING:Residential environment following surgery at one of 54 New Zealand hospitals. PARTICIPANTS:All people who received a total hip or knee arthroplasty at a publicly-funded hospital in New Zealand in 2006 and 2007 (7449 hip arthroplasties and 6558 knee arthroplasties). PRIMARY AND SECONDARY OUTCOME MEASURE:Time to all-cause mortality and number of postsurgical opioid prescriptions. RESULTS:Patients who lived in greener neighbourhoods, as measured by the Normalised Difference Vegetation Index, lived longer following hip or knee arthroplasty (standardised OR: 0.95, 95% CI 0.92 to 0.99). Howev

SUBMITTER: Donovan GH 

PROVIDER: S-EPMC6756456 | biostudies-literature | 2019 Sep

REPOSITORIES: biostudies-literature