Evidence map›Paper›PMID 36845292›Full record

ArticleArthroplasty today2023

Hemoglobinopathy is Associated With Total Hip Arthroplasty Indication Even Beyond Sickle Cell Anemia.

Maxwell J Rakutt, Daniel N Bracey, Anna Cohen-Rosenblum, Peter K Sculco, Franco M Sabatini, Cale A Jacobs, Stephen T Duncan, David C Landy

Abstract read
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Article in Arthroplasty today, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Maxwell J RakuttDepartment of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA.
Daniel N BraceyDepartment of Orthopaedic Surgery, University of North Carolina, Chapel Hill, NC, USA.
Anna Cohen-RosenblumDepartment of Orthopaedic Surgery, Louisiana State University, New Orleans, LA, USA.
Peter K SculcoComplex Joint Reconstruction Center, Hospital for Special Surgery, New York, NY, USA.
Franco M SabatiniDepartment of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA.
Cale A JacobsDepartment of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA.
Stephen T DuncanDepartment of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA.
David C LandyDepartment of Orthopaedic Surgery, University of Kentucky, Lexington, KY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The extent to which hemoglobinopathies other than sickle anemia (HbSS) are associated with hip osteonecrosis is unknown. Sickle cell trait (HbS), hemoglobin SC (HbSC), and sickle/β-thalassemia (HbSβTh) may also predispose to osteonecrosis of the femoral head (ONFH). We sought to compare the distributions of indications for a total hip arthroplasty (THA) in patients with and without specific hemoglobinopathies. Methods: PearlDiver, an administrative claims database, was used to identify 384,401 patients aged 18 years or older undergoing a THA not for fracture from 2010 to 2020, with patients grouped by diagnosis code (HbSS N = 210, HbSC N = 196, HbSβTh N = 129, HbS N = 356). β-Thalassemia minor (N = 142) acted as a negative control, and patients without hemoglobinopathy as a comparison group (N = 383,368). The proportion of patients with ONFH was compared to patients without it by hemoglobinopathy groups using chi-squared tests before and after matching on age, sex, Elixhauser Comorbidity Index, and tobacco use. Results: The proportion of patients with ONFH as the indication for THA was higher among those with HbSS (59%, Conclusions: Hemoglobinopathies beyond sickle cell anemia were strongly associated with having osteonecrosis as the indication for THA. Further research is needed to confirm whether this modifies THA outcomes.

Indexed as

HemoglobinopathyOsteoarthritisOsteonecrosisSickle cell diseaseTotal hip arthroplasty

Identifiers

PMID36845292
PMCPMC9947981

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.