ArticleDiagnostics (Basel, Switzerland)2021
Chronic Kidney Disease Is Associated with High Mortality Risk in Patients with Diabetes after Primary Shoulder Arthroplasty: A Nationwide Population-Based Cohort Study.
Article in Diagnostics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Folate deficiency and total shoulder arthroplasty outcomes.Shoulder & elbow · 2026Article
- Adverse in-hospital outcomes after shoulder arthroplasty by diabetes status: a retrospective study using the national inpatient sample.Frontiers in medicine · 2026Article
- Hyperhidrosis increases the risk of postoperative infections after shoulder arthroplasty and rotator cuff repair.JSES international · 2025Article
- Impact of estrogen replacement therapy on outcomes following total shoulder arthroplasty: a propensity-matched retrospective cohort study of 1,779 patients.JSES international · 2025Article
- End-stage renal disease patients have comparable results to renal transplant patients after shoulder arthroplasty.JSES international · 2023Article
- Assessing Appropriateness for Shoulder Arthroplasty Using a Shared Decision-Making Process.Journal of shoulder and elbow arthroplasty · 2023Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
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Abstract
The number of diabetic patients with chronic kidney disease (CKD) undergoing shoulder arthroplasty is growing. This study aims to compare perioperative outcomes of shoulder arthroplasty in diabetic patients at different renal function stages. Between 1998 and 2013, a total of 4443 diabetic patients with shoulder arthroplasty were enrolled: 1174 (26%) had CKD without dialysis (CKD group), 427 (9%) underwent dialysis (dialysis group), and 3042 (68%) had no CKD (non-CKD group). Compared with the non-CKD group, the CKD (odds ratio [OR], 4.69; 95% confidence interval [CI], 2.02-10.89) and dialysis (OR, 6.71; 95% CI, 1.63-27.73) groups had a high risk of in-hospital death. The dialysis group had a high risk of infection after shoulder arthroplasty compared with the CKD (subdistribution hazard ratio [SHR], 1.69; 95% CI, 1.07-2.69) and non-CKD (SHR, 1.76; 95% CI, 1.14-2.73) groups. The dialysis group showed higher risks of all-cause readmission and mortality than the CKD and non-CKD groups after a 3-month follow-up. In conclusion, CKD was associated with worse outcomes after shoulder arthroplasty. Compared with those without CKD, CKD patients had significantly increased readmission and mortality risks but did not have an increased risk of surgical complications, including superficial infection or implant removal.
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