ArticleBMC musculoskeletal disorders2020
Impact of comorbidity on the short- and medium-term risk of revision in total hip and knee arthroplasty.
Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- The effect of patient and prosthesis factors on revision rates after total knee replacement using a multi-registry meta-analytic approach.Acta orthopaedica · 2022Pooled it
- Fast fix or false hope? Polyethylene exchange in unstable primary unconstrained total knee arthroplasty.Bone & joint open · 2026Article
- [Identification of joint-specific risk factors for risk adjustment in total knee arthroplasty-A modified Delphi process].Orthopadie (Heidelberg, Germany) · 2026Article
- Joint-specific measures improve risk adjustment in total knee arthroplasty: A machine learning approach.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Extra-long femoral heads as a surrogate marker for revision risk in primary total hip arthroplasty.Archives of orthopaedic and trauma surgery · 2026Article
- [Risk adjustment as a prerequisite for quality assessment in certification and registry analyses].Orthopadie (Heidelberg, Germany) · 2026Review
- Exploring the optimal age for total knee arthroplasty to minimize risk of adverse outcomes: machine learning analysis of a statewide cohort.Arthroplasty (London, England) · 2026Article
- Postoperative Outcomes of Total Knee Arthroplasty in Patients with Alcohol Use Disorders: A Retrospective Propensity-Matched Analysis.The archives of bone and joint surgery · 2026Article
- Improved early recovery and shorter hospital stay with fast track protocol versus standard care in total hip arthroplasty: 5-year results from a prospective randomised controlled study.Journal of experimental orthopaedics · 2025Article
- The effect of Charlson Comorbidity Index, race, and surgical complications on postoperative knee outcomes after total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Early revision in total joint arthroplasty surgery - a narrative review.Orthopedic reviews · 2025Article
- Does interaction occur between risk factors for revision total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2024Article
- Comparative analysis of femoral bone loss: uncemented vs. cemented aseptic stem loosening in first-time revision surgery-a retrospective evaluation of 215 patients.Archives of orthopaedic and trauma surgery · 2024Article
- Global mapping of institutional and hospital-based (Level II-IV) arthroplasty registries: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Article
- Prediction of complications and surgery duration in primary TKA with high accuracy using machine learning with arthroplasty-specific data.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Can extant comorbidity indices identify patients who experience poor outcomes following total joint arthroplasty?Archives of orthopaedic and trauma surgery · 2023Article
Corrections and comments
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Authors and funding
12 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundThe impact of comorbidity on the risk of revision in patients undergoing Total Knee arthroplasty (TKA) and Total Hip Arthroplasty (THA) is not currently well known. The aim of this study was to analyze the impact of comorbidity on the risk of revision in TKA and THA.
methodsPatients recorded in the Catalan Arthroplasty Register (RACat) between 01/01/2005 and 31/12/2016 undergoing TKA (n = 49,701) and THA (n = 17,923) caused by osteoarthritis were included. As main explanatory factors, comorbidity burden was assessed by the Elixhauser index, categorized, and specific comorbidities from the index were taken into account. Descriptive analyses for comorbidity burden and specific conditions were done. Additionally, incidence at 1 and 5 years' follow-up was calculated, and adjusted Competing Risks models were fitted.
resultsA higher incidence of revision was observed when the number of comorbidities was high, both at 1 and 5 years for THA, but only at 1 year for TKA. Of the specific conditions, only obesity was related to the incidence of revision at 1 year in both joints, and at 5 years in TKA. The risk of revision was related to deficiency anemia and liver diseases in TKA, while in THA, it was related to peripheral vascular disorders, metastatic cancer and psychoses.
conclusionsDifferent conditions, depending on the joint, might be related to higher revision rates. This information could be relevant for clinical decision-making, patient-specific information and improving the results of both TKA and THA.
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