{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:32:47Z","timestamp":1785429167046,"version":"3.56.0"},"reference-count":0,"publisher":"Medical Association of Zenica-Doboj","issue":"1","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2026,2,27]]},"abstract":"&lt;p&gt;&lt;strong&gt;Introduction:&lt;\/strong&gt; Environmental factors may influence postoperative outcomes and quality of life following total hip replacement (THR). This study investigated the impact of the geographical location of the surgical site, as well as the patient&amp;rsquo;s place of birth and residence, on treatment outcomes in individuals with artificial hips.&lt;\/p&gt;\n&lt;p&gt;&lt;strong&gt;Methods:&lt;\/strong&gt; A prospective study was conducted involving 280 patients (both genderes; mean age 62 &amp;plusmn; 8.8 years) who underwent THR due to primary or secondary hip osteoarthritis. Patients were divided into two groups: Group A (n = 64) included individuals who were not operated on in their place of birth and residence, while Group B (n = 216) consisted of those who were born, resided, and underwent surgery in the same geographical location. Outcomes were assessed using the EQ-5D questionnaire (covering mobility, self-care, usual activities, pain\/discomfort, and anxiety\/depression), the Visual Analogue Scale (VAS) for pain, and a VAS-based treatment satisfaction scale, administered preoperatively and one year postoperatively. Statistical analysis was performed using Fisher&amp;rsquo;s exact test (p &amp;lt; 0.05).&lt;\/p&gt;\n&lt;p&gt;&lt;strong&gt;Results:&lt;\/strong&gt; Only 22.9% of all patients underwent surgery in their place of birth and residence, mostly for primary hip osteoarthritis. Preoperatively, Group A reported significantly greater limitations in self-care (p &amp;lt; 0.05). One year postoperatively, Group B showed significantly higher VAS scores for treatment satisfaction (p &amp;lt; 0.05).&lt;\/p&gt;\n&lt;p&gt;&lt;strong&gt;Conclusion:&lt;\/strong&gt; Patients who underwent total hip replacement in their place of birth and residence demonstrated better postoperative outcomes compared to those who had relocated.&lt;\/p&gt;\n&lt;p&gt;&amp;nbsp;&lt;\/p&gt;\n&lt;p&gt;&lt;strong&gt;Keywords&lt;\/strong&gt;: arthroplasty; immigrants; quality of life&lt;\/p&gt;\n&lt;p&gt;&amp;nbsp;&lt;\/p&gt;<\/jats:p>","DOI":"10.17392\/2026-23-01","type":"journal-article","created":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T14:14:32Z","timestamp":1772374472000},"page":"227-232","source":"Crossref","is-referenced-by-count":0,"title":["Impact of geographic location and place of surgery on treatment outcomes of total hip replacement"],"prefix":"10.17392","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2142-9606","authenticated-orcid":false,"given":"Slavko","family":"Manojlovic","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0282m7c06","id-type":"ROR","asserted-by":"publisher"}]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0239-793X","authenticated-orcid":false,"given":"Dragana","family":"Dragicevic-Cvjetkovic","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0282m7c06","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Institute of physical medicine, rehabilitation and orthopedic surgery ''Dr Miroslav Zotovi\u0107'' Banja Luka","place":["Banja Luka,Bosnia and Herzegovina"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8332-5711","authenticated-orcid":false,"given":"Nemanja","family":"Manojlovi\u0107","sequence":"additional","affiliation":[{"name":"District Hospital Gunzburg,Department od Traumatology and reconstructive surgery","place":["Gunzburg,Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeljko","family":"Jovi\u010di\u0107","sequence":"additional","affiliation":[{"name":"Pan-European University Apeiron Banja Luka","place":["Banja Luka,Bosnia and Herzegovina"],"department":["Faculty of Health Sciences"]},{"name":"Institute of Physical medicine, Rehabilitation and Orthopedic Surgery \u2018\u2019 Dr Miroslav Zotovi\u0107 \u2018\u2019 Banja Luka","place":["Banja Luka,Bosnia and Herzegovina"],"department":["Department of orthopedic surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8113-5429","authenticated-orcid":false,"given":"Mirko","family":"Manojlovi\u0107","sequence":"additional","affiliation":[{"name":"Special Surgical Hospital \u2018\u2019Dr Kosti\u0107\u2019\u2019 Banja Luka","place":["Banja Luka,Bosnia and Herzegovina"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7082-3414","authenticated-orcid":false,"given":"Ferid","family":"Krupi\u0107","sequence":"additional","affiliation":[{"name":"University of Gothenburg","place":["Gothenburg,Sweden"],"department":["Department of Anesthesiology, Institute of Clinical Sciences, Sahlgrenska Academy"]},{"name":"University of Gothenburg","department":["Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"49509","published-online":{"date-parts":[[2026,2,27]]},"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/2518\/pdf\/download","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/2518\/pdf\/download","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:45:45Z","timestamp":1775468745000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/629\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,27]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,2,27]]},"published-print":{"date-parts":[[2026,2,27]]}},"URL":"https:\/\/doi.org\/10.17392\/2026-23-01","archive":["Internet Archive"],"relation":{},"ISSN":["1840-2445","1840-0132"],"issn-type":[{"value":"1840-2445","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2,27]]}}}