ArticleKidney international reports2018
Death and Postoperative Complications After Hip Fracture Repair: Dialysis Effect.
Article in Kidney international reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Morbidity after elective surgery in patients on chronic dialysis: a systematic review and meta-analysis.BMC nephrology · 2021Pooled it
- Comparative efficacy of Neuraxial and general anesthesia for hip fracture surgery: a meta-analysis of randomized clinical trials.BMC anesthesiology · 2020Pooled it
- Postoperative mortality in patients on chronic dialysis following elective surgery: A systematic review and meta-analysis.PloS one · 2020Pooled it
- Optimal timing for hemodialysis in relation to hip fracture surgery for patients with end-stage renal disease.Archives of orthopaedic and trauma surgery · 2026Article
- Postoperative risk profile in elderly hip fracture patients undergoing chronic hemodialysis based on a nationwide database investigation.Scientific reports · 2025Article
- Femoral artery calcification predicts hip fracture in maintenance hemodialysis patients.Archives of osteoporosis · 2025Article
- Hip hemiarthroplasty versus closed reduction percutaneous pinning: A matched cohort analysis of 18,242 patients.Journal of orthopaedics · 2025Article
- Nine-year survival after intertrochanteric fracture in elderly with chronic kidney disease.Scientific reports · 2024Article
- Surgical vs. conservative treatment for hip osteoporotic fracture in maintenance hemodialysis patients: a retrospective analysis.Frontiers in surgery · 2024Article
- Predictive value of preoperative Fried Frailty Phenotype assessment and serum biomarkers on the prognosis of elderly patients with femoral neck fracture under general anesthesia within 3 months after surgery.Turkish journal of medical sciences · 2024Article
- Validation of the Nottingham Hip Fracture Score in Predicting Postoperative Outcomes Following Hip Fracture Surgery.Orthopaedic surgery · 2023Article
- Efficacy of romosozumab in patients with osteoporosis on maintenance hemodialysis in Japan; an observational study.Journal of bone and mineral metabolism · 2021Observational
- Prognostic performance of clinical assessment tools following hip fracture in patients with chronic kidney disease.International urology and nephrology · 2021Article
- Calcium-based phosphate binder use is associated with lower risk of osteoporosis in hemodialysis patients.Scientific reports · 2021Article
- Association between General Anesthesia and the Occurrence of Cerebrovascular Accidents in Hip Fracture Patients.Journal of healthcare engineering · 2021Article
- Observational
- The Influence of Renal Dialysis on All-Cause Mortality in Older Patients with Hip Fracture: a Korean Nationwide Cohort Study.Journal of Korean medical science · 2020Article
- Moving Beyond Hip Fracture Risk Assessment for Patients on Dialysis.Kidney international reports · 2018Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
introductionIt is unknown whether patients receiving dialysis have a higher morbidity and mortality risk after hip fracture repair conferred by their kidney failure or by the high comorbidity burden often present.
methodsWe examined associations of dialysis dependency with postoperative complications, death, and readmission in a matched cohort study of U.S. patients undergoing hip fracture repair, from January 2010 to December 2013, in the American College of Surgeons National Surgical Quality Improvement Program. Matching included sex, age, race, diabetes mellitus, operation year, primary surgery type, and anesthesia technique.
resultsAmong 22,621 patients, 377 dialysis-dependent patients were matched to 1508 nondialysis patients. Median age was 78 years (interquartile range = 68-85) years, 56% were men, 70% were white, 43% had diabetes, and 47% underwent fracture fixation under mostly (80%) general anesthesia. Dialysis-dependent patients had higher physical status classification, had more heart failure and hypoalbuminemia, and were less often smokers. After adjustment, a greater risk of prolonged postoperative stays beyond 7 days (odds ratio [OR] = 1.43, 95% confidence interval [CI] = 1.09-1.89), higher in-hospital mortality (OR = 3.13, CI = 1.72-5.7), and 30-day death (OR = 2.29, CI = 1.51-3.48) but not 30-day readmission (
conclusionDialysis dependency is associated with an increased risk of death and postoperative complications after hip fracture repair. These findings have implications for case-mix adjustment and quality metrics.
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