PMID- 37126853
OWN - NLM
STAT- MEDLINE
DCOM- 20230619
LR  - 20230714
IS  - 1940-5480 (Electronic)
IS  - 1067-151X (Linking)
VI  - 31
IP  - 13
DP  - 2023 Jul 1
TI  - Patient-reported Outcomes After Primary Total Hip Arthroplasty Are Not Affected 
      by the Sex of the Surgeon: A Register-based Study of 8,383 Procedures in Western 
      Sweden.
PG  - 692-700
LID - 10.5435/JAAOS-D-22-00840 [doi]
AB  - INTRODUCTION: Female surgeons remain a minority within the field of orthopaedics, 
      particularly in certain specialties such as arthroplasty. There is no scientific 
      evidence on whether the surgeon's sex affects the patient-reported outcome after 
      orthopaedic surgery such as total hip arthroplasty (THA). We therefore aimed to 
      investigate the association between surgeon sex and health-related quality of 
      life after THA. METHODS: Data on primary THAs performed between 2008 and 2016 
      were collected from 10 hospitals in western Sweden. The data were linked with the 
      Swedish Hip Arthroplasty Register, a regional patient register and the National 
      Board of Health and Welfare, resulting in a data set that included 
      surgeon-related and patient-related data. The outcome of the study was the change 
      in health-related quality of life, measured with the 3-level version of EQ-5D 
      (EQ-5D-3L) Index and EQ-visual analog scale (VAS), before and 1-year after THA. 
      Mixed models, using hierarchical linear regression adjusted for patient sex, age, 
      preoperative health-related quality of life and Charnley classification, were 
      fitted to estimate the gain in EQ-5D-3L Index and EQ-VAS with 95% confidence 
      intervals based on surgeon sex. RESULTS: In total, 8,383 primary THAs were done 
      for osteoarthritis by 193 surgeons. Of those, 37 were women and 156 were men. The 
      regression model was showed that patients operated by female surgeons had a 
      beta-coefficient of gain in EQ-5D-3L Index of -0.001 (-0.022 to 0.021) and a 
      beta-coefficient of gain in EQ VAS of 0.004 (-0.023 to 0.030), compared with 
      patients operated by male surgeons. Similar results were obtained in a 
      sensitivity analysis including attendings only. DISCUSSION: Patients undergoing 
      primary THA reported similar gain in health-related quality of life regardless of 
      surgeon sex. Based on our results, health-related quality of life after primary 
      THA was not associated with the sex of the operating surgeon.
CI  - Copyright (c) 2023 by the American Academy of Orthopaedic Surgeons.
FAU - Jolback, Per
AU  - Jolback P
AUID- ORCID: 0000-0001-9402-9506
AD  - From the Department of Orthopaedics, Institute of Clinical Science, Sahlgrenska 
      Academy, University of Gothenburg, Gothenburg, Sweden (Jolback and 
      Tsikandylakis), the Department of Orthopaedics (Jolback), Skaraborg Sjukhus, 
      Skovde, Sweden, the Swedish Arthroplasty Register, Gothenburg, Sweden (Rogmark 
      and Naucler), the Department of Orthopaedics, Sahlgrenska University Hospital, 
      Gothenburg, Sweden (Tsikandylakis), the Department of Orthopaedics, Lund 
      University, Skane University Hospital, Malmo/Lund, Sweden (Bedeschi Rego De 
      Mattos, Rogmark, and Naucler), and the Department of Orthopaedic Surgery, Brigham 
      and Women's Hospital, Harvard Medical School, Boston, MA (Chen).
FAU - Bedeschi Rego De Mattos, Camila
AU  - Bedeschi Rego De Mattos C
FAU - Rogmark, Cecilia
AU  - Rogmark C
FAU - Chen, Antonia F
AU  - Chen AF
FAU - Naucler, Emma
AU  - Naucler E
FAU - Tsikandylakis, Georgios
AU  - Tsikandylakis G
LA  - eng
PT  - Journal Article
DEP - 20230428
PL  - United States
TA  - J Am Acad Orthop Surg
JT  - The Journal of the American Academy of Orthopaedic Surgeons
JID - 9417468
SB  - IM
MH  - Humans
MH  - Male
MH  - Female
MH  - *Arthroplasty, Replacement, Hip
MH  - Sweden
MH  - *Osteoarthritis, Hip/surgery
MH  - Quality of Life
MH  - Patient Reported Outcome Measures
MH  - Registries
MH  - *Surgeons
EDAT- 2023/05/01 18:42
MHDA- 2023/06/19 13:08
CRDT- 2023/05/01 17:25
PHST- 2022/10/13 00:00 [received]
PHST- 2023/03/17 00:00 [accepted]
PHST- 2023/06/19 13:08 [medline]
PHST- 2023/05/01 18:42 [pubmed]
PHST- 2023/05/01 17:25 [entrez]
AID - 00124635-202307010-00006 [pii]
AID - 10.5435/JAAOS-D-22-00840 [doi]
PST - ppublish
SO  - J Am Acad Orthop Surg. 2023 Jul 1;31(13):692-700. doi: 10.5435/JAAOS-D-22-00840. 
      Epub 2023 Apr 28.