Social and Behavioral Factors in Total Knee and Hip Arthroplasty

Hilal Maradit Kremers, Walter K. Kremers, Daniel J. Berry, David G. Lewallen

Research output: Contribution to journalArticlepeer-review

24 Scopus citations


Social and behavioral factors are important determinants of health outcomes in a number of medical conditions but their role in joint arthroplasty is poorly understood. In a cohort of 20,124 hip and knee arthroplasty procedures, smoking was associated with a significantly higher risk of surgical site infections (hazard ratio 1.7, 95% CI: 1.1-2.6), whereas alcohol use was associated with a lower risk of reoperations and revisions (hazard ratio 0.7, 95% CI: 0.5-0.8). There was no association between marital status and educational attainment with the risk of complications or reoperations in total hip and knee arthroplasty.

Original languageEnglish (US)
Pages (from-to)1852-1854
Number of pages3
JournalJournal of Arthroplasty
Issue number10
StatePublished - Oct 1 2015


  • Alcohol
  • Arthroplasty
  • Education
  • Marital status
  • Smoking
  • Socioeconomic factors

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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