Effect of Marital Status on Patient-Reported Outcomes Following Total Hip Arthroplasty: A Matched Analysis With Minimum 2-Year Follow-Up
Authors: Lall AC, Schwarzman GR, Battaglia MR, Chen SL, Maldonado DR, Domb BG
Background
- Social support and mental health are important factors influencing recovery after total hip arthroplasty (THA).
- This study investigates the impact of marital status on post-THA patient-reported outcomes (PROs).
Methods
- Retrospective matched analysis comparing outcomes of married versus non-married patients (divorced or never married) with at least two years follow-up.
Key Findings
- Married patients reported significantly better functional outcomes and quality of life scores (modified Harris Hip Score, Forgotten Joint Score, physical health measures) than non-married patients.
Conclusions
- Marital status, as a proxy for social support, correlates with improved post-THA outcomes. Non-married patients may require additional support.
What Does This Mean for Providers?
- Assess social support systems as part of preoperative evaluation for THA candidates.
- Consider referral to social work, counseling, or support groups for non-married or socially isolated patients to optimize postoperative recovery.
- Tailoring perioperative care plans to address psychosocial factors may improve patient satisfaction and functional outcomes.