Comorbidity indices in orthopaedic surgery: a narrative review focused on hip and knee arthroplasty

Comorbidity indices currently used to estimate negative postoperative outcomes in orthopaedic surgery were originally developed among non-orthopaedic patient populations. While current indices were initially intended to predict short-term mortality, they have since been used for other purposes as we...

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Bibliographic Details
Published in:EFORT Open Reviews 2021-08, Vol.6 (8), p.629-640
Main Authors: Sinclair, SaTia T., Emara, Ahmed K., Orr, Melissa N., McConaghy, Kara M., Klika, Alison K., Piuzzi, Nicolas S.
Format: Article
Language:English
Subjects:
Arthroplasty (hip)
Arthroplasty (knee)
Comorbidity
General Orthopaedics
Hip
Hip Arthroplasty
Joint replacement surgery
Joint surgery
Knee Arthroplasty
Orthopedics
Postoperative period
Surgery
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Summary:Comorbidity indices currently used to estimate negative postoperative outcomes in orthopaedic surgery were originally developed among non-orthopaedic patient populations. While current indices were initially intended to predict short-term mortality, they have since been used for other purposes as well. As the rate of hip and knee arthroplasty steadily rises, understanding the magnitude of the effect of comorbid disease on postoperative outcomes has become increasingly more important. Currently, the ASA classification is the most commonly used comorbidity measure and is systematically recorded by the majority of national arthroplasty registries. Consideration should be given to developing an updated, standardized approach for comorbidity assessment and reporting in orthopaedic surgery, especially within the setting of elective hip and knee arthroplasty. Cite this article: EFORT Open Rev 2021;6:629-640. DOI: 10.1302/2058-5241.6.200124
ISSN:2396-7544
2058-5241
2058-5241
DOI:10.1302/2058-5241.6.200124