Access to hip and knee replacement surgery in patients with chronic diseases according to patient-reported pain and functional status.

ABSTRACT:

Background

An increasing number of patients undergoing hip or knee replacement have chronic diseases. It has been suggested that the presence of chronic diseases may affect access to this type of surgery in the English National Health Service (NHS). We examined the access to hip and knee replacement surgery in patients with and without chronic diseases according to preoperative patient-reported pain, functional status and symptom duration.

Methods

We analysed data of 640,832 patients who had hip or knee surgery between 2009 and 2016 in England. Multivariable regression was used to estimate the impact of 11 chronic diseases on severity of joint problems as measured on a scale from 0 to 48 by Oxford Hip (OHS) and Knee Scores (OKS) just before surgery and on likelihood of long-

SUBMITTER: Podmore B 

PROVIDER: S-EPMC7329455 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature