title: Total hip replacement. The preoperative health status of patients in Japan compared with England and the United States.
abstract: To explore the contribution of health care to the excellent health status enjoyed by the Japanese compared with other industrialized populations, the preoperative health status of a retrospective cohort of 256 patients who underwent total hip replacement in Japan was compared with 301 patients in England (and published data from the United States). Patients in Japan had less severe hip disease, less comorbidity (in particular, less cardiovascular disease), and were in better general health. This finding suggests that health care contributes little to explaining the better health of people in Japan compared with England and the United States.
authors.affiliation: London School of Hygiene and Tropical Medicine.
authors.forename: K
authors.initials: K
authors.lastname: Imamura
authors.forename: N A
authors.initials: NA
authors.lastname: Black
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D015897:Comorbidity; D004739:England; D005260:Female; D006304:Health Status; D006622:Hip Prosthesis; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D011787:Quality of Health Care; D012189:Retrospective Studies; D012720:Severity of Illness Index; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014481:United States