Navigation Links
Hip replacement reduces heart failure, depression and diabetes risk
Date:3/21/2013

CHICAGO In addition to improving life quality and diminishing pain, total hip replacement (THR) is associated with reduced mortality, heart failure, depression and diabetes rates in Medicare patients with osteoarthritis, according to a new study presented today at the 2013 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). The procedure also is cost effective with the 7-year costs of THR only $6,366 higher than the cost of treating an osteoarthritis patient for hip pain without THR.

"The study has demonstrated that THR confers a potential long-term benefit in terms of prolonged lifespan and reduced burden of disease in Medicare patients with osteoarthritis of the hip," said lead study author Scott Lovald, PhD, a researcher at Exponent, Inc.

While the short-term benefits of THR are well known and documented, less information exists on the long-term effects, cost and value of the surgery.

Using Medicare codes, researchers identified more than 43,000 patients with osteoarthritis of the hip from 1998 to 2009. These patients were divided into two groups those receiving THR and those not receiving THR. The researchers followed all of the patients for at least one year, and nearly 24,000 for seven years, looking at annual Medicare payments, mortality, and new diagnoses of congestive heart failure, ischemic heart disease, artherosclerosis (hardening and narrowing of the arteries), diabetes and depression. The data was adjusted for differences in age, sex, race, buy-in status, region and Charlson score (standard quantification of the number and severity of comorbidities a patient presents with).

Among the results:

  • The THR patients had a consistently lower mortality risk less than 52 percent of that in the non-THR group.

  • Heart failure was similar between groups in the first year, but there was a consistent reduced risk (risk was between.85 and .92 of the risk for the non-THR group) at 3-to-7 years following surgery.

  • THR patients had a reduced risk of diabetes at one and three years.

  • THR patients had a reduced rate of depression starting at three years post THR surgery.

The THR patients in the study did have an increased risk of ischemic heart disease and atherosclerosis at one year, and an increased risk of "cardiovascular disease unspecified" over all time points.

The seven-year cumulative average Medicare payment for all medical care was $82,788 for non-THR patients and $89,154 for THR patients, for a difference of $6,366. The actual average per-patient THR cost is expected to be much less than $6,366 when differences in costs incurred due to prescription pain medications are taken into account.

"Joint (replacement) has been proposed as possibly cost-saving in the management of disability related to arthritis," said Lovald. "This study provides supporting data to evaluate the cost-effectiveness of THR."


'/>"/>

Contact: Lauren Pearson Riley
pearson@aaos.org
708-227-1773
American Academy of Orthopaedic Surgeons
Source:Eurekalert

Related medicine news :

1. No Added Cancer Risk From Hip Replacement Materials: Study
2. Joint-Replacement Failure Rate Higher for Smokers: Studies
3. Less Invasive Heart Valve Replacement Works for Elderly: Study
4. Obesity, Diabetes May Raise Complications After Joint Replacement
5. Post Pregnancy Meal Replacement Diet That Works
6. Medical Groups Agree on Use of Hormone-Replacement Therapy
7. Joint Replacement Boosts Heart Attack Risk Right After Surgery: Study
8. No proof that patients lose weight after joint replacement surgery
9. Knee, Hip Replacements Dont Help People Lose Weight: Study
10. Toward a better material for hip replacement and other joint implants
11. Hormone Replacement Therapy: Safe or Not?
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements owned by ... to enhance the health of felines. The formula is all-natural and is made from ... the PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract ...
(Date:6/25/2016)... FL (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial ... Plant City Observer , brings up a new, often overlooked aspect of head lice: the ... closing for fumigation is not a common occurrence, but a necessary one in the event ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary ... Work award to iHire in recognition of their exemplary accomplishments in worksite health promotion. ... Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire ...
(Date:6/24/2016)... ... ... in a crisis. Her son James, eight, was out of control. Prone to extreme mood ... something upset him, he couldn’t control his emotions,” remembers Marcy. “If there was a ... children and say he was going to kill them. If we were driving on ...
(Date:6/24/2016)... ... ... BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief Products, join The ‘Business for a ... an hour by 2020 and then adjusting it yearly to increase at the same rate ... assure the wage floor does not erode again, and make future increases more predictable. , ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... June 27, 2016  VMS Rehab Systems, Inc. ( ... take whatever measures required to build a strong and ... is currently listed on the OTC Markets-pink current trading ... and CEO, "We are seeing an anomaly in market ... not only by the Company, but shareholders and market ...
(Date:6/24/2016)... 2016  Collagen Matrix, Inc., ("Collagen Matrix") the ... of collagen and mineral based medical devices for ... Bill Messer has joined the company as ... the growing portfolio of oral surgery, neurosurgery, orthopaedic ... joins the Collagen Matrix executive team as an ...
(Date:6/24/2016)... , June 24, 2016 ... has announced the addition of the " Global ... This report ... provides an updated review, including its applications in various ... total market, which includes three main industries: pharmaceutical and ...
Breaking Medicine Technology: