Bilateral Simultaneous vs Staged Total Knee Arthroplasty: A Comparison of Complications and Mortality
The purpose of this study was to compare the complications and mortality between bilateral simultaneous total knee arthroplasty (BTKA-Simultaneous) and bilateral staged TKA (BTK-Staged) while adjusting for differences in patient, surgeon, and hospital characteristics. An integrated health care syste...
Gespeichert in:
| Veröffentlicht in: | The Journal of arthroplasty 2016-09, Vol.31 (9), p.212-216 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 216 |
|---|---|
| container_issue | 9 |
| container_start_page | 212 |
| container_title | The Journal of arthroplasty |
| container_volume | 31 |
| creator | Sheth, Dhiren S. Cafri, Guy Paxton, Elizabeth W. Namba, Robert S. |
| description | The purpose of this study was to compare the complications and mortality between bilateral simultaneous total knee arthroplasty (BTKA-Simultaneous) and bilateral staged TKA (BTK-Staged) while adjusting for differences in patient, surgeon, and hospital characteristics.
An integrated health care system total joint registry was used to compare patients undergoing BTKA-Simultaneous to BTKA-Staged. For outcomes related to revision and infection, the sample included 11,118 patients, and for outcomes of death, acute myocardial infarction, stroke, and venous thromboembolism, a subsample of 7991 patients with comorbidity data was selected.
Overall death and complications in both groups were rare. The complication rates for BTKA-Simultaneous and BTKA-Staged were comparable: aseptic revision (1.17% vs 0.9%), septic revision/deep infection (0.8% vs 0.7%), death (0.28% vs 0.1%), and adverse events (2.49% vs 1.97%). In the adjusted models, there were no significant differences in any of the outcomes between the 2 groups.
There is a lack of evidence to support superiority of either BTKA-Simultaneous or BTKA-Staged. |
| doi_str_mv | 10.1016/j.arth.2016.03.018 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1814140963</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0883540316002710</els_id><sourcerecordid>1814140963</sourcerecordid><originalsourceid>FETCH-LOGICAL-c422t-2369fc2384763dbb28ab2416f0a42114955b707b68d908da306348bf7f2768213</originalsourceid><addsrcrecordid>eNp9kD1PwzAQhi0EoqXwBxiQR5YEf8VxEEup-BJFDC2z5SQOuEriYjuV-u9JCDAy-ax77j3dA8A5RjFGmF9tYuXCR0z6OkY0RlgcgClOKIkEQ_wQTJEQNEoYohNw4v0GIYyThB2DCUkZ7XE6BfrW1Cpop2q4Mk1XB9Vq23m483AV1Lsu4dqGvvncag3n_Tpnt7XyYX8N53Bhm61yxtsW2ur7V5tCBWNbD1Vbwhfr-lkT9qfgqFK112c_7wy83d-tF4_R8vXhaTFfRgUjJESE8qwqCBUs5bTMcyJUThjmFVKMYMyyJMlTlOZclBkSpaKIUybyKq1IygXBdAYux9yts5-d9kE2xhe6rserJBaYYYYyTnuUjGjhrPdOV3LrTKPcXmIkB71yIwe9ctArEZWDrxm4-Mnv8kaXfyO_PnvgZgR0f-XOaCd9YXRb6NI4XQRZWvNf_hdG5YsZ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1814140963</pqid></control><display><type>article</type><title>Bilateral Simultaneous vs Staged Total Knee Arthroplasty: A Comparison of Complications and Mortality</title><source>Elsevier ScienceDirect Journals Complete - AutoHoldings</source><source>MEDLINE</source><creator>Sheth, Dhiren S. ; Cafri, Guy ; Paxton, Elizabeth W. ; Namba, Robert S.</creator><creatorcontrib>Sheth, Dhiren S. ; Cafri, Guy ; Paxton, Elizabeth W. ; Namba, Robert S.</creatorcontrib><description>The purpose of this study was to compare the complications and mortality between bilateral simultaneous total knee arthroplasty (BTKA-Simultaneous) and bilateral staged TKA (BTK-Staged) while adjusting for differences in patient, surgeon, and hospital characteristics.
An integrated health care system total joint registry was used to compare patients undergoing BTKA-Simultaneous to BTKA-Staged. For outcomes related to revision and infection, the sample included 11,118 patients, and for outcomes of death, acute myocardial infarction, stroke, and venous thromboembolism, a subsample of 7991 patients with comorbidity data was selected.
Overall death and complications in both groups were rare. The complication rates for BTKA-Simultaneous and BTKA-Staged were comparable: aseptic revision (1.17% vs 0.9%), septic revision/deep infection (0.8% vs 0.7%), death (0.28% vs 0.1%), and adverse events (2.49% vs 1.97%). In the adjusted models, there were no significant differences in any of the outcomes between the 2 groups.
There is a lack of evidence to support superiority of either BTKA-Simultaneous or BTKA-Staged.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2016.03.018</identifier><identifier>PMID: 27430183</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Arthroplasty, Replacement, Knee - adverse effects ; Arthroplasty, Replacement, Knee - mortality ; bilateral ; Comorbidity ; complications ; Female ; Humans ; Male ; Middle Aged ; Pacific States - epidemiology ; Postoperative Complications - etiology ; Postoperative Complications - mortality ; propensity score ; Retrospective Studies ; simultaneous ; staged ; total knee arthroplasty ; Treatment Outcome</subject><ispartof>The Journal of arthroplasty, 2016-09, Vol.31 (9), p.212-216</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-2369fc2384763dbb28ab2416f0a42114955b707b68d908da306348bf7f2768213</citedby><cites>FETCH-LOGICAL-c422t-2369fc2384763dbb28ab2416f0a42114955b707b68d908da306348bf7f2768213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2016.03.018$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27430183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sheth, Dhiren S.</creatorcontrib><creatorcontrib>Cafri, Guy</creatorcontrib><creatorcontrib>Paxton, Elizabeth W.</creatorcontrib><creatorcontrib>Namba, Robert S.</creatorcontrib><title>Bilateral Simultaneous vs Staged Total Knee Arthroplasty: A Comparison of Complications and Mortality</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>The purpose of this study was to compare the complications and mortality between bilateral simultaneous total knee arthroplasty (BTKA-Simultaneous) and bilateral staged TKA (BTK-Staged) while adjusting for differences in patient, surgeon, and hospital characteristics.
An integrated health care system total joint registry was used to compare patients undergoing BTKA-Simultaneous to BTKA-Staged. For outcomes related to revision and infection, the sample included 11,118 patients, and for outcomes of death, acute myocardial infarction, stroke, and venous thromboembolism, a subsample of 7991 patients with comorbidity data was selected.
Overall death and complications in both groups were rare. The complication rates for BTKA-Simultaneous and BTKA-Staged were comparable: aseptic revision (1.17% vs 0.9%), septic revision/deep infection (0.8% vs 0.7%), death (0.28% vs 0.1%), and adverse events (2.49% vs 1.97%). In the adjusted models, there were no significant differences in any of the outcomes between the 2 groups.
There is a lack of evidence to support superiority of either BTKA-Simultaneous or BTKA-Staged.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Arthroplasty, Replacement, Knee - mortality</subject><subject>bilateral</subject><subject>Comorbidity</subject><subject>complications</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pacific States - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - mortality</subject><subject>propensity score</subject><subject>Retrospective Studies</subject><subject>simultaneous</subject><subject>staged</subject><subject>total knee arthroplasty</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwBxiQR5YEf8VxEEup-BJFDC2z5SQOuEriYjuV-u9JCDAy-ax77j3dA8A5RjFGmF9tYuXCR0z6OkY0RlgcgClOKIkEQ_wQTJEQNEoYohNw4v0GIYyThB2DCUkZ7XE6BfrW1Cpop2q4Mk1XB9Vq23m483AV1Lsu4dqGvvncag3n_Tpnt7XyYX8N53Bhm61yxtsW2ur7V5tCBWNbD1Vbwhfr-lkT9qfgqFK112c_7wy83d-tF4_R8vXhaTFfRgUjJESE8qwqCBUs5bTMcyJUThjmFVKMYMyyJMlTlOZclBkSpaKIUybyKq1IygXBdAYux9yts5-d9kE2xhe6rserJBaYYYYyTnuUjGjhrPdOV3LrTKPcXmIkB71yIwe9ctArEZWDrxm4-Mnv8kaXfyO_PnvgZgR0f-XOaCd9YXRb6NI4XQRZWvNf_hdG5YsZ</recordid><startdate>201609</startdate><enddate>201609</enddate><creator>Sheth, Dhiren S.</creator><creator>Cafri, Guy</creator><creator>Paxton, Elizabeth W.</creator><creator>Namba, Robert S.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201609</creationdate><title>Bilateral Simultaneous vs Staged Total Knee Arthroplasty: A Comparison of Complications and Mortality</title><author>Sheth, Dhiren S. ; Cafri, Guy ; Paxton, Elizabeth W. ; Namba, Robert S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-2369fc2384763dbb28ab2416f0a42114955b707b68d908da306348bf7f2768213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Arthroplasty, Replacement, Knee - mortality</topic><topic>bilateral</topic><topic>Comorbidity</topic><topic>complications</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pacific States - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - mortality</topic><topic>propensity score</topic><topic>Retrospective Studies</topic><topic>simultaneous</topic><topic>staged</topic><topic>total knee arthroplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sheth, Dhiren S.</creatorcontrib><creatorcontrib>Cafri, Guy</creatorcontrib><creatorcontrib>Paxton, Elizabeth W.</creatorcontrib><creatorcontrib>Namba, Robert S.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sheth, Dhiren S.</au><au>Cafri, Guy</au><au>Paxton, Elizabeth W.</au><au>Namba, Robert S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral Simultaneous vs Staged Total Knee Arthroplasty: A Comparison of Complications and Mortality</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2016-09</date><risdate>2016</risdate><volume>31</volume><issue>9</issue><spage>212</spage><epage>216</epage><pages>212-216</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>The purpose of this study was to compare the complications and mortality between bilateral simultaneous total knee arthroplasty (BTKA-Simultaneous) and bilateral staged TKA (BTK-Staged) while adjusting for differences in patient, surgeon, and hospital characteristics.
An integrated health care system total joint registry was used to compare patients undergoing BTKA-Simultaneous to BTKA-Staged. For outcomes related to revision and infection, the sample included 11,118 patients, and for outcomes of death, acute myocardial infarction, stroke, and venous thromboembolism, a subsample of 7991 patients with comorbidity data was selected.
Overall death and complications in both groups were rare. The complication rates for BTKA-Simultaneous and BTKA-Staged were comparable: aseptic revision (1.17% vs 0.9%), septic revision/deep infection (0.8% vs 0.7%), death (0.28% vs 0.1%), and adverse events (2.49% vs 1.97%). In the adjusted models, there were no significant differences in any of the outcomes between the 2 groups.
There is a lack of evidence to support superiority of either BTKA-Simultaneous or BTKA-Staged.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27430183</pmid><doi>10.1016/j.arth.2016.03.018</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0883-5403 |
| ispartof | The Journal of arthroplasty, 2016-09, Vol.31 (9), p.212-216 |
| issn | 0883-5403 1532-8406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1814140963 |
| source | Elsevier ScienceDirect Journals Complete - AutoHoldings; MEDLINE |
| subjects | Aged Arthroplasty, Replacement, Knee - adverse effects Arthroplasty, Replacement, Knee - mortality bilateral Comorbidity complications Female Humans Male Middle Aged Pacific States - epidemiology Postoperative Complications - etiology Postoperative Complications - mortality propensity score Retrospective Studies simultaneous staged total knee arthroplasty Treatment Outcome |
| title | Bilateral Simultaneous vs Staged Total Knee Arthroplasty: A Comparison of Complications and Mortality |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T07%3A26%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Bilateral%20Simultaneous%20vs%20Staged%20Total%20Knee%20Arthroplasty:%20A%20Comparison%20of%20Complications%20and%20Mortality&rft.jtitle=The%20Journal%20of%20arthroplasty&rft.au=Sheth,%20Dhiren%20S.&rft.date=2016-09&rft.volume=31&rft.issue=9&rft.spage=212&rft.epage=216&rft.pages=212-216&rft.issn=0883-5403&rft.eissn=1532-8406&rft_id=info:doi/10.1016/j.arth.2016.03.018&rft_dat=%3Cproquest_cross%3E1814140963%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1814140963&rft_id=info:pmid/27430183&rft_els_id=S0883540316002710&rfr_iscdi=true |