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Review
. 2023 Sep 1;8(9):690-697.
doi: 10.1530/EOR-23-0078.

Mortality, patient-reported outcome measures, and the health economic burden of prosthetic joint infection

Yangqi Xu  1 , Tony B Huang  1 , Michael A Schuetz  2   3   4 , Peter F M Choong  1   5
Affiliations
Review

Mortality, patient-reported outcome measures, and the health economic burden of prosthetic joint infection

Yangqi Xu et al. EFORT Open Rev. .

Abstract

Prosthetic joint infection (PJI) is one of the most devastating complications for a patient following arthroplasty. This scoping review aims to evaluate the burden of PJI on individual patients and the healthcare system regarding the mortality rate, patient-reported quality of life, and healthcare resource utilisation. Patients with PJI have up to a five-fold higher mortality rate than those who have undergone an uninfected primary arthroplasty. There is an increased use of ambulatory aids and reduced joint function scores in patients with PJI. Global quality of life is poorer, specifically measured by the EQ-5D. Direct hospitalisation costs are two- to five-fold higher, attributed to surgery and prostheses, antibiotics, and a prolonged inpatient stay. There is an immense clinical and health economic burden secondary to PJI worldwide. This is expected to rise exponentially due to the increasing number of primary procedures and an ageing population with comorbidities Improving preventative and treatment strategies is imperative for patients and the healthcare system.

Keywords: arthroplasty; health economic; patient-reported outcome measure; prosthetic joint infection.

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Conflict of interest statement

The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.

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