ArticleKnee surgery & related research2020
Effect of chronic kidney disease on outcomes of total joint arthroplasty: a meta-analysis.
Article in Knee surgery & related research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 32 citations in OpenAlex.
- Chronic Kidney Disease Severity and 30-Day Outcomes After Total Ankle Arthroplasty: An NSQIP Study.Foot & ankle orthopaedics · 2025Article
- Trends, complications, and comorbidity risk in total elbow arthroplasty versus open reduction and internal fixation for distal humerus fractures.Journal of clinical orthopaedics and trauma · 2025Article
- Impact of vitamin D deficiency on postoperative outcomes in patients with chronic kidney disease undergoing surgery: a retrospective study.Scientific reports · 2025Article
- Differential Pattern of Obesity in Total Hip and Knee Arthroplasty Candidates.Physiotherapy Canada. Physiotherapie Canada · 2025Article
- Influence of Preoperative Nutritional Status on Surgical Outcomes of Arthroplasty in Geriatric Femoral Neck Fractures.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Life Expectancy of Patients Undergoing Total Knee Arthroplasty: Comparison With General Population.Journal of Korean medical science · 2024Article
- Effect of potential risk factors on renal functions in simultaneous bilateral total knee arthroplasty.Frontiers in surgery · 2024Article
- Incidence, Microbiological Studies, and Factors Associated With Prosthetic Joint Infection After Total Knee Arthroplasty.JAMA network open · 2023Article
- Should We Use Rifampicin in Periprosthetic Joint Infections Caused by Staphylococci When the Implant Has Been Exchanged? A Multicenter Observational Cohort Study.Open forum infectious diseases · 2023Article
- Primary Total Hip Arthroplasty in Dialysis-Dependent Patients: 35% Mortality at 5 years.The Journal of arthroplasty · 2023Article
- Prosthetic joint infection caused by an imipenem-resistant Mycobacterium senegalense.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2023Article
- Impact of Chronic Obstructive Pulmonary Disease on Outcomes After Total Joint Arthroplasty: A Meta-analysis and Systematic Review.Indian journal of orthopaedics · 2023Article
- Advancement in the Treatment of Osteoporosis and the Effects on Bone Healing.Journal of clinical medicine · 2022Review
- Comparison of Total Knee Arthroplasty Outcomes Between Renal Transplant and End Stage Renal Disease Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Cell therapy for osteonecrosis of femoral head and joint preservation.Journal of clinical orthopaedics and trauma · 2022Article
- Incidence and risk factors analysis for mortality after total knee arthroplasty based on a large national database in Korea.Scientific reports · 2021Article
- Article
- Unplanned intubation after total hip and total knee arthroplasty: Assessing preoperative risk factors.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis meta-analysis was conducted to evaluate the differences in preoperative comorbidities, postoperative mortality, the rate of periprosthetic joint infection (PJI), and revision rate after total joint arthroplasty (TJA) between patients with chronic kidney disease (CKD)(CKD group) and patients with normal kidney function (non-CKD group).
methodsWe searched MEDLINE, EMBASE, and the Cochrane Library for studies assessing the effect of CKD on TJA outcome. This meta-analysis included studies that (1) compared the outcomes of TJA between the CKD and non-CKD groups; (2) compared the outcomes of TJA based on CKD stage; and (3) evaluated the risk factors for morbidity or mortality after TJA. We compared the mortality, PJI, and revision rate between CKD and non-CKD groups, and between dialysis-dependent patients (dialysis group) and non-dialysis-dependent patients (non-dialysis group).
resultsEighteen studies were included in this meta-analysis. In most studies that assessed preoperative comorbidities, the number and severity of preoperative comorbidities were reported to be higher in the CKD group than in the non-CKD group. The risk of mortality was found to be higher in the CKD and dialysis groups compared with the respective control groups. In the studies based on administrative data, the unadjusted odds ratio (OR) of PJI was significantly higher in the CKD group than in the non-CKD group; however, no significant difference between the groups was noted in the adjusted OR. After total hip arthroplasty (THA), the risk of PJI was higher in the dialysis group than in the non-dialysis group. No significant difference was noted between the groups in the rate of PJI following total knee arthroplasty. The revision rate did not significantly differ between the CKD and non-CKD groups in the studies that were based on administrative data. However, the unadjusted OR was significantly higher in the dialysis group than in the non-dialysis group.
conclusionsPreoperative comorbidities and mortality risk were higher in the CKD and dialysis groups than in their respective control groups. The risk of revision was greater in the dialysis group than in the non-dialysis group, and the risk of PJI in the dialysis group became even greater after THA. Surgeons should perform careful preoperative risk stratification and optimization for patients with CKD scheduled to undergo TJA.
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