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Hypogonadism Is Associated With Increased Risks of Postoperative Complications Following Total Hip Arthroplasty.
Sequeira, Sean B; Chen, Dennis Q; Bell, Joshua E; Quinlan, Nicole D; Werner, Brian C; Browne, James A.
Afiliación
  • Sequeira SB; Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA.
  • Chen DQ; Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA.
  • Bell JE; Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA.
  • Quinlan ND; Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA.
  • Werner BC; Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA.
  • Browne JA; Department of Orthopaedic Surgery, University of Virginia Health System, Charlottesville, VA.
J Arthroplasty ; 35(9): 2495-2500, 2020 09.
Article en En | MEDLINE | ID: mdl-32381446
BACKGROUND: Despite being a relatively common problem among aging men, hypogonadism has not been previously studied as a potential risk factor for postoperative complications following total hip arthroplasty (THA). METHODS: In total, 3903 male patients with a diagnosis of hypogonadism who underwent primary THA from 2006 to 2012 were identified using a national insurance database and compared to 20:1 matched male controls using a logistic regression analysis. RESULTS: Hypogonadism was associated with an increased risk of major medical complications (odds ratio [OR] 1.24, P = .022), urinary tract infection (OR 1.43, P < .001), wound complications (OR 1.33, P = .011), deep vein thrombosis (OR 1.64, P < .001), emergency room visit (OR 1.24, P < .001), readmission (OR 1.14, P = .015), periprosthetic joint infection (OR 1.37 and 1.43, P < .05), dislocation (OR 1.51 and 1.48, P < .001), and revision (OR 1.54 and 1.56, P < .001) following THA. A preoperative diagnosis of hypogonadism was associated with increased total reimbursement and charges by $390 (P < .001) and $4514 (P < .001), respectively. CONCLUSION: The diagnosis of hypogonadism is associated with an elevated risk of postoperative complications and increased cost of care following primary THA. Data from this study should influence the discussion between the patient and the provider prior to undergoing joint replacement and serve as the basis for further research.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera / Hipogonadismo Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2020 Tipo del documento: Article

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Artroplastia de Reemplazo de Cadera / Hipogonadismo Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: J Arthroplasty Asunto de la revista: ORTOPEDIA Año: 2020 Tipo del documento: Article