Günther K-P, Haase E, Lange T, Kopkow C, Schmitt J, Jeszenszky C, Balck F, Lützner J, Hartmann A, Lippmann M
UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Carl Gustav Carus Dresden, Medizinische Fakultät der Technischen Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland,
Orthopade. 2015 Jul;44(7):555-65. doi: 10.1007/s00132-015-3097-9.
Concomitant disorders at the time of surgery in addition to psychological and socioeconomic patient characteristics may influence treatment outcomes in hip arthroplasty.
To describe the impact of these factors on perioperative complications and postoperative results in terms of function, quality of life, and patient satisfaction.
Review of relevant clinical studies, meta-analyses, and presentation of our own results.
Comorbidities in general, especially in combination, increase the perioperative risk profile. Socioeconomic factors (education, professional qualifications, social deprivation) in addition to psychological variables (depression, distressed personality) can have a major impact on postoperative functional outcomes and patient satisfaction.
It is of crucial importance to avoid inequalities in the provision of joint replacement for patients with hip osteoarthritis and co-existing risk factors. Preventive strategies should be implemented to reduce the negative impact of comorbidities on treatment outcome. Personalized communication and education may be helpful in avoiding unrealistic patient expectations before hip replacement.
除患者的心理和社会经济特征外，手术时的伴随疾病可能会影响髋关节置换术的治疗效果。
描述这些因素对围手术期并发症以及术后功能、生活质量和患者满意度方面结果的影响。
回顾相关临床研究、荟萃分析并展示我们自己的结果。
一般来说，合并症尤其是合并存在时，会增加围手术期风险。除心理变量（抑郁、性格困扰）外，社会经济因素（教育程度、职业资格、社会剥夺）会对术后功能结果和患者满意度产生重大影响。
对于患有髋骨关节炎及并存风险因素的患者，避免在关节置换供应方面出现不平等至关重要。应实施预防策略以减少合并症对治疗结果的负面影响。个性化沟通和教育可能有助于避免髋关节置换术前患者不切实际的期望。
