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Hip Arthroplasty Outcomes in the Presence of Kidney Failure: A National Data Linkage Study.
Harris, Ian A; Lorimer, Michelle F; Davies, Christopher E; Keuskamp, Dominic; Dansie, Kathryn B; Lewis, Peter L; Graves, Stephen E; McDonald, Stephen P.
Afiliação
  • Harris IA; AOANJRR (Australian Orthopaedic Association National Joint Replacement Registry), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; Whitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, Liverpool, New South Wales, Aus
  • Lorimer MF; South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia.
  • Davies CE; South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; ANZDATA (Australia and New Zealand Dialysis and Transplant Registry), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; Faculty of Health and Me
  • Keuskamp D; South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; ANZDATA (Australia and New Zealand Dialysis and Transplant Registry), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; Faculty of Health and Me
  • Dansie KB; ANZDATA (Australia and New Zealand Dialysis and Transplant Registry), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
  • Lewis PL; AOANJRR (Australian Orthopaedic Association National Joint Replacement Registry), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia.
  • Graves SE; AOANJRR (Australian Orthopaedic Association National Joint Replacement Registry), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
  • McDonald SP; South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; ANZDATA (Australia and New Zealand Dialysis and Transplant Registry), South Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia; Faculty of Health and Me
J Arthroplasty ; 38(7): 1295-1302, 2023 07.
Article em En | MEDLINE | ID: mdl-36708938
BACKGROUND: Patients who have kidney failure are at higher risk of requiring total hip arthroplasty (THA) and are at higher risk of complications. This study compared the rate of revision surgery and mortality following THA between patients who have kidney failure receiving long term dialysis or who had a kidney transplant and those who did not have kidney failure. METHODS: A data linkage study was performed using data from 2 national registries: a registry of dialysis and kidney transplant patients and a registry of THA procedures. Both registries had coverage of almost all procedures or treatments in Australia. Data from September 1999 to December 2016 were used. Mortality and revision surgery were compared between patients receiving dialysis, those who had a functioning kidney transplant, and patients who did not have kidney failure using Cox and Fine-Gray (competing risk) regression models. A total of 383,478 primary THA procedures were identified as people receiving dialysis (n = 490), who had a functioning kidney transplant (n = 459), or who did not have kidney failure (n = 382,529). RESULTS: There was no significant difference in the overall rate of revision surgery between the groups (dialysis versus no kidney failure HR = 1.20; 95% CI 0.76, 1.88, transplant versus no kidney failure (hazard ratio) HR = 1.01; 95% (confidence interval) CI 0.66, 1.53). The risk for death after surgery was significantly higher in the dialysis group compared to both the functioning transplant group (HR = 3.44; 95%CI 1.58, 7.5), and in those without kidney failure (HR = 4.13; 95%CI 3.25, 5.25). CONCLUSION: The rate of mortality after THA in patients on dialysis is higher than in patients who have a functioning transplant or those who do not have kidney failure, but there is no early excess mortality to suggest a difference in this metric due to the surgery.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroplastia de Quadril / Prótese de Quadril Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Oceania Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artroplastia de Quadril / Prótese de Quadril Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Oceania Idioma: En Ano de publicação: 2023 Tipo de documento: Article