ArticlePloS one2017
Type 2 diabetes and in-hospital complications after revision of total hip and knee arthroplasty.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Postoperative short-term mortality between insulin-treated and non-insulin-treated patients with diabetes after non-cardiac surgery: a systematic review and meta-analysis.Frontiers in medicine · 2023Pooled it
- Identifying Risk Groups in 73,000 Patients with Diabetes Receiving Total Hip Replacement: A Machine Learning Clustering Analysis.Journal of personalized medicine · 2025Article
- Diabetes, Inflammatory Markers, and Tissue Thickness in Septic and Aseptic Hip Revision Surgeries.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Outcomes of total knee arthroplasty in people with diabetes: An overview of systematic reviews and meta-analysis.Journal of orthopaedics · 2025Review
- Comparative morbidity and mortality following primary total shoulder arthroplasty in octogenarians with and without diabetes in the United States.Journal of clinical orthopaedics and trauma · 2025Article
- Role of insulin-dependent and non-insulin-dependent diabetes in aseptic revision total shoulder arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Effect of Preoperative Corticosteroids on Postoperative Glucose Control in Total Joint Arthroplasty.Arthroplasty today · 2023Article
- Patient-related risk factors of prosthetic joint infections following total hip and knee arthroplasty at King Abdulaziz Medical City, a 10-year retrospective study.Journal of orthopaedic surgery and research · 2023Article
- Total hip arthroplasty complications in patients with chronic kidney disease: A comparison study.Journal of orthopaedics · 2023Article
- [Patient optimization before hip revision arthroplasty: : How to handle comorbidities].Orthopadie (Heidelberg, Germany) · 2022Review
- Risk factors for mortality following one-stage septic hip arthroplasty - a case-control study.International orthopaedics · 2022Article
- Outcomes in revision total knee arthroplasty (Review).Experimental and therapeutic medicine · 2022Review
- Understanding variations and influencing factors on length of stay for T2DM patients based on a multilevel model.PloS one · 2021Article
- Observational
- RISK FACTORS FOR EARLY HOSPITAL READMISSION FOLLOWING TOTAL KNEE ARTHROPLASTY.Acta ortopedica brasileira · 2018Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the effect of type 2 diabetes (T2DM) on hospital outcomes such as in hospital postoperative complications (IHPC), length of hospital stay (LOHS) and in-hospital mortality (IHM) after the revision of total hip arthroplasty (RHA) and total knee arthroplasty (RKA) and to identify factors associated with IHPC among T2DM patients undergoing these procedures.
methodsWe performed a retrospective study using the Spanish National Hospital Discharge Database, 2005-2014. We included patients who were ≥40 years old that had undergone RHA and RKA. For each T2DM patient, we selected a year-, gender-, age- and Charlson Comorbidity Index-matched non-diabetic patient.
resultsWe identified 44,055 and 39,938 patients who underwent RHA (12.72% with T2DM) and RKA (15.01% with T2DM). We matched 4,700 and 5,394 couples with RHA and RKA, respectively. Any IHPC was more frequent among patients with T2DM than among non-T2DM patients (19% vs. 15.64% in the RHA cohort and 12.94% vs. 11.09% in the RKA cohort, respectively). For patients who underwent RHA, postoperative infection (4.51% vs. 2.94%, p<0.001), acute post-hemorrhagic anemia (9.53% vs. 7.70%, p<0.001), mean LOHS and IHM were significantly higher in patients with T2DM. Among RKA patients, the incidence of acute posthemorrhagic anemia (7.21% vs. 5.62%; p = 0.001) and urinary tract infection (1.13% vs. 0.72%; p = 0.029) was significantly higher in patients with diabetes. Older age, obesity, infection due to internal joint prosthesis, myocardial infarction, congestive heart failure, mild liver disease and renal disease and emergency room admission were significantly associated with a higher risk of IHPC in T2DM patients. IHPC decreased over time only in T2DM patients who underwent RHA (OR 0.94, 95%CI 0.89-0.98).
conclusionsPatients with T2DM who underwent RHA and RKA procedures had more IHPC after controlling for the effects of possible confounders. LOHS and IHM were also higher among RHA patients with diabetes. Older age, comorbidity, obesity and emergency room admission were strong predictors of IHPC in diabetic patients.
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