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Journal of Orthopaedics and Traumatology

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Open Access 01-12-2010 | Review Article

Evaluating comorbidities in total hip and knee arthroplasty: available instruments

Authors: Kristian Bjorgul, Wendy M. Novicoff, Khaled J. Saleh

Published in: Journal of Orthopaedics and Traumatology | Issue 4/2010

Abstract

Each year millions of patients are treated for joint pain with total joint arthroplasty, and the numbers are expected to rise. Comorbid disease is known to influence the outcome of total joint arthroplasty, and its documentation is therefore of utmost importance in clinical evaluation of the individual patient as well as in research. In this paper, we examine the various methods for obtaining and assessing comorbidity information for patients undergoing joint replacement. Multiple instruments are reliable and validated for this purpose, such as the Charlson Index, Index of Coexistent Disease, and the Functional Comorbidity Index. In orthopedic studies, the Charnley classification and the American Society of Anesthesiologists physical function score (ASA) are widely used. We recommend that a well-documented comorbidity index that incorporates some aspect of mental health is used along with other appropriate instruments to objectively assess the preoperative status of the patient.

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Title: Evaluating comorbidities in total hip and knee arthroplasty: available instruments
Authors: Kristian Bjorgul
Wendy M. Novicoff
Khaled J. Saleh
Publication date: 01-12-2010
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 4/2010
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1007/s10195-010-0115-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Evaluating comorbidities in total hip and knee arthroplasty: available instruments

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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