Primary ArthroplastyPatient-Reported Allergies Predict Worse Outcomes After Hip and Knee Arthroplasty: Results From a Prospective Cohort Study
Section snippets
Patients and Data Collection
Institutional Review Board approval was obtained for the study. Patients indicated for elective primary THA or TKA were enrolled prospectively into the study. Preoperatively, patients completed a general demographic form, which included age and general health status including self-reported allergies. These forms were filled out by patients upon enrolment in the study and were reviewed by a clinic nurse. Patients also completed the Charlson Comorbidity Index (CCI) Questionnaire [6] and the
Results
Of 452 patients enrolled in the study, complete data were available for 446. There was a predominance of female patients (66%) in the study, commensurate with previously published demographic data in total joint arthroplasty [11]. Total knee arthroplasty was performed for 68% of the patients. Surgeries were fairly evenly divided between right (49.5%) and left side. There was no difference in age, type of arthroplasty (THA or TKA), laterality, or follow-up time between patients who reported
Discussion
Total joint arthroplasty is one of the most efficacious modern surgical procedures performed. Patient satisfaction after surgery is generally high 2, 3, 12. Nevertheless, there remains a cohort of patients who are unhappy with the result of their surgery 1, 2. As we approach an era of quality-driven health care delivery, it is critical to identify predictors of patient dissatisfaction. Recent research has highlighted the importance of psychological factors in patient-reported outcomes after
References (19)
- et al.
Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients
J Arthroplasty
(2011) - et al.
Patient reported allergies are a risk factor for poor outcomes in total hip and knee arthroplasty
J Arthroplasty
(2014) - et al.
Patient-reported allergies are associated with poorer patient satisfaction and outcomes after lower extremity arthroplasty: a retrospective cohort study
J Arthroplasty
(2015) - et al.
A new method of classifying prognostic comorbidity in longitudinal studies: development and validation
J Chronic Dis
(1987) - et al.
Mental health and outcomes in primary total joint arthroplasty
J Arthroplasty
(2012) - et al.
Anaesthetist's responses to patients' self-reported drug allergies
Br J Anaesth
(2006) - et al.
Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?
Clin Orthop Relat Res
(2010) - et al.
The John Insall Award: patient expectations affect satisfaction with total knee arthroplasty
Clin Orthop Relat Res
(2006) - et al.
Interpreting SF-36 summary health measures: a response
Qual Life Res
(2001)
Cited by (29)
Effect of patient-reported allergies on reverse total shoulder arthroplasty outcomes at over two years follow-up
2024, Journal of OrthopaedicsPatient-reported drug and latex allergies negatively affect outcomes after total and reverse shoulder arthroplasty
2021, Journal of Shoulder and Elbow SurgeryCitation Excerpt :Other authors have reported similar findings15,19; however, in comparison to our study, which only considered medication and latex allergies, the aforementioned studies also included environmental,19 food,19 and contact allergies,10,15,24 in addition to other agents that were not explicitly defined.10,15,24 Nevertheless, latex and medication allergies accounted for the large majority of PRAs in each investigation.10,15,19,24 Although a definitive causal mechanism remains in question, the general consensus among authors who have investigated the impact of PRAs on orthopedic surgical outcomes and satisfaction is that PRAs may serve as a marker for underlying psychopathological comorbidity,10,15,19,24 which has been shown to have an association with worse PROs and patient satisfaction following both knee arthroplasty6 and shoulder arthroplasty.28,34
Allergies, Preoperative Narcotic Use, and Increased Age Predict Failed Same-Day Discharge After Joint Replacement
2021, Journal of ArthroplastyCitation Excerpt :Thus, while there has not been an age limitation proven to predict success, we feel age should be considered when indicating a patient for SDD. Multiple studies have found associations between patient reported allergies and negative outcomes following TJA [27–30]. In this study, we found that patients who reported 2 or more allergies were at increased risk for failed SDD.
Is There an Association Between Negative Patient-Experience Comments and Perioperative Outcomes After Primary Total Hip Arthroplasty?
2021, Journal of ArthroplastyCitation Excerpt :Interestingly, patients who made negative comments were more likely to have greater than 2 allergies. Previous studies have shown that increasing number of patient-reported allergies is significantly associated with worse outcomes after TJA [41–43]. A study of 459 TJA patients identified that patients who self-reported more than 4 allergies had worse PROM scores (SF-36 and WOMAC) than patients with 0-3 allergies [41].
Natural Language Processing of Patient-Experience Comments After Primary Total Knee Arthroplasty
2021, Journal of ArthroplastyDevelopment of Machine Learning Algorithms to Predict Patient Dissatisfaction After Primary Total Knee Arthroplasty
2020, Journal of Arthroplasty
This work was supported by The Bierbaum Research Fund.
One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to http://dx.doi.org/10.1016/j.arth.2016.07.040.