Total hip arthroplasty complications in patients with chronic kidney disease: A comparison study
It has been noted in the literature that there are increased complication rates following total hip arthroplasty (THA) in patients with chronic kidney disease (CKD) or end stage renal disease (ESRD). However, there is little data directly comparing outcomes in patients undergoing THA for osteoarthri...
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| Veröffentlicht in: | Journal of orthopaedics 2023-05, Vol.39, p.1-6 |
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| container_title | Journal of orthopaedics |
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| creator | Fox, Jake A. Domingue, Grayson A. DeMaio, Christian V. Brockman, Bryan S. Malloy, Kimberly Thakral, Rishi |
| description | It has been noted in the literature that there are increased complication rates following total hip arthroplasty (THA) in patients with chronic kidney disease (CKD) or end stage renal disease (ESRD). However, there is little data directly comparing outcomes in patients undergoing THA for osteoarthritis (OA) versus ESRD or CKD with OA. The objective of this study is to illustrate the risk of developing postoperative complications after THA in the CKD and ESRD populations by stage of disease when compared to a control group (OA) and thus better equip orthopaedic providers in the care of these patients.
The National Inpatient Sample (NIS) was utilized to identify patients undergoing elective THA from 2006 to 2015 with OA, ESRD, and CKD. The prevalence of preoperative comorbidities and the incidence of numerous postoperative complications broken into categories were examined.
Between 2006 and 2015 the NIS database reported 4,350,961 patients diagnosed with OA, 8355 diagnosed with ESRD, and 104,313 diagnosed with CKD undergoing THA. The incidence of wound hematoma (2.5% vs. 0.8%; p |
| doi_str_mv | 10.1016/j.jor.2023.03.013 |
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The National Inpatient Sample (NIS) was utilized to identify patients undergoing elective THA from 2006 to 2015 with OA, ESRD, and CKD. The prevalence of preoperative comorbidities and the incidence of numerous postoperative complications broken into categories were examined.
Between 2006 and 2015 the NIS database reported 4,350,961 patients diagnosed with OA, 8355 diagnosed with ESRD, and 104,313 diagnosed with CKD undergoing THA. The incidence of wound hematoma (2.5% vs. 0.8%; p < .0001), wound infection (0.7% vs. 0.4%; p = .0319), cardiac (1.3% vs. 0.6%; p = .0067), urinary (3.9% vs. 2.0%; p < .0001), and pulmonary complications (2.2% vs. 0.5%; p < .0001) occurred more frequently in patients with OA and ESRD when compared to only OA patients. For patients with OA and CKD, stages 3–5 saw at least half of the complication categories occur at significantly higher rates than OA patients.
This study shows that patients with ESRD and CKD have increased rates of complications after THA. This study's specific breakdown by stage and complication can benefit orthopaedic surgeons and practitioners in realistic pre and postoperative planning and provides data that could benefit decision making on bundled reimbursement for this specific patient population, as providers could better account for the postoperative complications noted above and their associated costs.
•Patients with ESRD and CKD stages 3–5 have increased rates of complications when undergoing total hip arthroplasty.•Patients with ESRD and CKD stages 3-5 have increased rates of preoperative comorbidities when undergoing total hip arthroplasty.•Data presented in this study can benefit decision making in bundled reimbursement for this patient population.</description><identifier>ISSN: 0972-978X</identifier><identifier>EISSN: 0972-978X</identifier><identifier>DOI: 10.1016/j.jor.2023.03.013</identifier><identifier>PMID: 37077839</identifier><language>eng</language><publisher>India: Elsevier B.V</publisher><subject>Chronic kidney disease ; Hip arthroplasty ; Original article ; Osteoarthritis ; Outcomes ; Perioperative morbidity</subject><ispartof>Journal of orthopaedics, 2023-05, Vol.39, p.1-6</ispartof><rights>2023 Professor P K Surendran Memorial Education Foundation</rights><rights>2023ProfessorPKSurendranMemorialEducationFoundation.PublishedbyElsevierB.V.</rights><rights>2023ProfessorPKSurendranMemorialEducationFoundation.PublishedbyElsevierB.V. 2023 Professor P K Surendran Memorial Education Foundation</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c361t-52eac8f222f8a52470825f4234fcd1de7aa15b3df040f15be496d3c59f4f8743</cites><orcidid>0000-0002-4106-7688 ; 0000-0002-4050-5447</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106339/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10106339/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37077839$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fox, Jake A.</creatorcontrib><creatorcontrib>Domingue, Grayson A.</creatorcontrib><creatorcontrib>DeMaio, Christian V.</creatorcontrib><creatorcontrib>Brockman, Bryan S.</creatorcontrib><creatorcontrib>Malloy, Kimberly</creatorcontrib><creatorcontrib>Thakral, Rishi</creatorcontrib><title>Total hip arthroplasty complications in patients with chronic kidney disease: A comparison study</title><title>Journal of orthopaedics</title><addtitle>J Orthop</addtitle><description>It has been noted in the literature that there are increased complication rates following total hip arthroplasty (THA) in patients with chronic kidney disease (CKD) or end stage renal disease (ESRD). However, there is little data directly comparing outcomes in patients undergoing THA for osteoarthritis (OA) versus ESRD or CKD with OA. The objective of this study is to illustrate the risk of developing postoperative complications after THA in the CKD and ESRD populations by stage of disease when compared to a control group (OA) and thus better equip orthopaedic providers in the care of these patients.
The National Inpatient Sample (NIS) was utilized to identify patients undergoing elective THA from 2006 to 2015 with OA, ESRD, and CKD. The prevalence of preoperative comorbidities and the incidence of numerous postoperative complications broken into categories were examined.
Between 2006 and 2015 the NIS database reported 4,350,961 patients diagnosed with OA, 8355 diagnosed with ESRD, and 104,313 diagnosed with CKD undergoing THA. The incidence of wound hematoma (2.5% vs. 0.8%; p < .0001), wound infection (0.7% vs. 0.4%; p = .0319), cardiac (1.3% vs. 0.6%; p = .0067), urinary (3.9% vs. 2.0%; p < .0001), and pulmonary complications (2.2% vs. 0.5%; p < .0001) occurred more frequently in patients with OA and ESRD when compared to only OA patients. For patients with OA and CKD, stages 3–5 saw at least half of the complication categories occur at significantly higher rates than OA patients.
This study shows that patients with ESRD and CKD have increased rates of complications after THA. This study's specific breakdown by stage and complication can benefit orthopaedic surgeons and practitioners in realistic pre and postoperative planning and provides data that could benefit decision making on bundled reimbursement for this specific patient population, as providers could better account for the postoperative complications noted above and their associated costs.
•Patients with ESRD and CKD stages 3–5 have increased rates of complications when undergoing total hip arthroplasty.•Patients with ESRD and CKD stages 3-5 have increased rates of preoperative comorbidities when undergoing total hip arthroplasty.•Data presented in this study can benefit decision making in bundled reimbursement for this patient population.</description><subject>Chronic kidney disease</subject><subject>Hip arthroplasty</subject><subject>Original article</subject><subject>Osteoarthritis</subject><subject>Outcomes</subject><subject>Perioperative morbidity</subject><issn>0972-978X</issn><issn>0972-978X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9UctKQzEUDKJYXx_gRrJ005rHfepCiviCgpsu3MU0ObGptzfXJFX690ZbS90IBzKQmTmHGYROKRlQQouL2WDm_IARxgckDeU76IDUJevXZfW8u4V76DCEGSGc5QXfRz1ekrKseH2AXsYuygZPbYelj1PvukaGuMTKzbvGKhmtawO2Le4ShDYG_GnjFKvEbK3Cb1a3sMTaBpABLvHwRyi9Da7FIS708hjtGdkEOFm_R2h8dzu-eeiPnu4fb4ajvuIFjf2cgVSVYYyZSuYsK0nFcpMxnhmlqYZSSppPuDYkIyYhyOpCc5XXJjNVmfEjdL2y7RaTOWiVTvWyEZ23c-mXwkkr_v60dipe3YdIQZKC8zo5nK8dvHtfQIhiboOCppEtuEUQrCK8LgqeVYlKV1TlXQgezGYPJd-GhZiJ1Iz4bkaQNJQnzdn2gRvFbxWJcLUiQErpw4IXQaXEFWjrQUWhnf3H_guzIaHu</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Fox, Jake A.</creator><creator>Domingue, Grayson A.</creator><creator>DeMaio, Christian V.</creator><creator>Brockman, Bryan S.</creator><creator>Malloy, Kimberly</creator><creator>Thakral, Rishi</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4106-7688</orcidid><orcidid>https://orcid.org/0000-0002-4050-5447</orcidid></search><sort><creationdate>20230501</creationdate><title>Total hip arthroplasty complications in patients with chronic kidney disease: A comparison study</title><author>Fox, Jake A. ; Domingue, Grayson A. ; DeMaio, Christian V. ; Brockman, Bryan S. ; Malloy, Kimberly ; Thakral, Rishi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-52eac8f222f8a52470825f4234fcd1de7aa15b3df040f15be496d3c59f4f8743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Chronic kidney disease</topic><topic>Hip arthroplasty</topic><topic>Original article</topic><topic>Osteoarthritis</topic><topic>Outcomes</topic><topic>Perioperative morbidity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fox, Jake A.</creatorcontrib><creatorcontrib>Domingue, Grayson A.</creatorcontrib><creatorcontrib>DeMaio, Christian V.</creatorcontrib><creatorcontrib>Brockman, Bryan S.</creatorcontrib><creatorcontrib>Malloy, Kimberly</creatorcontrib><creatorcontrib>Thakral, Rishi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fox, Jake A.</au><au>Domingue, Grayson A.</au><au>DeMaio, Christian V.</au><au>Brockman, Bryan S.</au><au>Malloy, Kimberly</au><au>Thakral, Rishi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Total hip arthroplasty complications in patients with chronic kidney disease: A comparison study</atitle><jtitle>Journal of orthopaedics</jtitle><addtitle>J Orthop</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>39</volume><spage>1</spage><epage>6</epage><pages>1-6</pages><issn>0972-978X</issn><eissn>0972-978X</eissn><abstract>It has been noted in the literature that there are increased complication rates following total hip arthroplasty (THA) in patients with chronic kidney disease (CKD) or end stage renal disease (ESRD). However, there is little data directly comparing outcomes in patients undergoing THA for osteoarthritis (OA) versus ESRD or CKD with OA. The objective of this study is to illustrate the risk of developing postoperative complications after THA in the CKD and ESRD populations by stage of disease when compared to a control group (OA) and thus better equip orthopaedic providers in the care of these patients.
The National Inpatient Sample (NIS) was utilized to identify patients undergoing elective THA from 2006 to 2015 with OA, ESRD, and CKD. The prevalence of preoperative comorbidities and the incidence of numerous postoperative complications broken into categories were examined.
Between 2006 and 2015 the NIS database reported 4,350,961 patients diagnosed with OA, 8355 diagnosed with ESRD, and 104,313 diagnosed with CKD undergoing THA. The incidence of wound hematoma (2.5% vs. 0.8%; p < .0001), wound infection (0.7% vs. 0.4%; p = .0319), cardiac (1.3% vs. 0.6%; p = .0067), urinary (3.9% vs. 2.0%; p < .0001), and pulmonary complications (2.2% vs. 0.5%; p < .0001) occurred more frequently in patients with OA and ESRD when compared to only OA patients. For patients with OA and CKD, stages 3–5 saw at least half of the complication categories occur at significantly higher rates than OA patients.
This study shows that patients with ESRD and CKD have increased rates of complications after THA. This study's specific breakdown by stage and complication can benefit orthopaedic surgeons and practitioners in realistic pre and postoperative planning and provides data that could benefit decision making on bundled reimbursement for this specific patient population, as providers could better account for the postoperative complications noted above and their associated costs.
•Patients with ESRD and CKD stages 3–5 have increased rates of complications when undergoing total hip arthroplasty.•Patients with ESRD and CKD stages 3-5 have increased rates of preoperative comorbidities when undergoing total hip arthroplasty.•Data presented in this study can benefit decision making in bundled reimbursement for this patient population.</abstract><cop>India</cop><pub>Elsevier B.V</pub><pmid>37077839</pmid><doi>10.1016/j.jor.2023.03.013</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-4106-7688</orcidid><orcidid>https://orcid.org/0000-0002-4050-5447</orcidid></addata></record> |
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| subjects | Chronic kidney disease Hip arthroplasty Original article Osteoarthritis Outcomes Perioperative morbidity |
| title | Total hip arthroplasty complications in patients with chronic kidney disease: A comparison study |
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