Erschienen in:
29.06.2017 | Quality and Cost Control in TJA (B Waddell, section editor)
Factors That Affect Outcome Following Total Joint Arthroplasty: a Review of the Recent Literature
verfasst von:
Forrest H. Schwartz, Jeffrey Lange
Erschienen in:
Current Reviews in Musculoskeletal Medicine
|
Ausgabe 3/2017
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Abstract
Purpose of Review
It is well established that certain patient-specific risk factors affect outcomes following total joint arthroplasty. The goal of this paper is to summarize the latest data on several variables that have been investigated in the last 3 years and to characterize the effects these factors have on the success of hip and knee replacement.
Recent Findings
Preoperative diagnoses of depression and anxiety, liver disease, hypoalbuminemia, vitamin D deficiency, and diabetes mellitus are associated with increased risk of postoperative complications and can lead to worse outcomes after joint replacement surgery.
Summary
Recent investigations have clearly established a link between these patient-specific factors and poor outcomes after hip and knee arthroplasty, but future research is needed to determine best practices for stratifying and mitigating these risks for patients.