Evidence map›Paper›PMID 39325165›Full record

ArticleArchives of orthopaedic and trauma surgery2024

Do modifiable patient factors increase the risk of postoperative complications after total joint arthroplasty?

Jessica V Baran, Atharva Rohatgi, Anna Redden, Clyde Fomunung, Jake Goguen, Devin Q John, Aghdas Movassaghi, Garrett R Jackson, Vani J Sabesan

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Article in Archives of orthopaedic and trauma surgery, 2024. 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

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jessica V BaranCharles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Rd, Boca Raton, FL, 33431, USA.
Atharva RohatgiCharles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Rd, Boca Raton, FL, 33431, USA.
Anna ReddenCharles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Rd, Boca Raton, FL, 33431, USA.
Clyde FomunungDepartment of Orthopaedic Surgery, HCA JFK/University of Miami, 4560 Lantana Rd Suite 100, Lake Worth Beach, FL, 33463, USA.
Jake GoguenCharles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Rd, Boca Raton, FL, 33431, USA.
Devin Q JohnDepartment of Orthopaedic Surgery, HCA JFK/University of Miami, 4560 Lantana Rd Suite 100, Lake Worth Beach, FL, 33463, USA.
Aghdas MovassaghiDepartment of Orthopaedic Surgery, HCA JFK/University of Miami, 4560 Lantana Rd Suite 100, Lake Worth Beach, FL, 33463, USA.
Garrett R JacksonDepartment of Orthopaedic Surgery, University of Missouri, 1 Hospital Drive, Columbia, MO, 65211, USA. Grjackson.md@gmail.com.ORCID http://orcid.org/0000-0002-7018-8382
Vani J SabesanDepartment of Orthopaedic Surgery, HCA JFK/University of Miami, 4560 Lantana Rd Suite 100, Lake Worth Beach, FL, 33463, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNumerous studies demonstrate that modifiable lifestyle risk factors can influence patient outcomes including survivability, quality of life, and postoperative complications following orthopaedic surgery. The purpose of this study was to determine the impact of modifiable lifestyle risk factors on postoperative medical and surgical complications following a total joint arthroplasty (TJA) in a large national healthcare system.

methodsA retrospective chart review of a large national health system database was performed to identify patients who underwent TJA between 2017 and 2021. TJA included total knee arthroplasty, total hip arthroplasty, and total shoulder arthroplasty. Modifiable lifestyle risk factors were defined as tobacco use, narcotic drug abuse, hypertension, and diabetes mellitus. Postoperative medical complications and postoperative surgical complications were collected. Logistic regression and odds ratio point estimate analysis were conducted to assess for associations between postoperative complications and modifiable lifestyle risk factors.

resultsOf the 16,940 patients identified, the mean age was 71 years, mean BMI was 29.7 kg/m

conclusionsOur results demonstrate critical rates of increased postoperative medical and surgical complications after TJA for patients with narcotic abuse, tobacco use, or diabetes mellitus. Furthermore, adopting preoperative interventions and optimization programs informed by our findings on specific modifiable risk factors could aid orthopaedic surgeons in optimizing patient health. LEVEL OF EVIDENCE: III; Retrospective study.

Indexed as

Postoperative ComplicationsAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeArthroplasty, Replacement, ShoulderDiabetes MellitusFemaleHumansHypertensionLife StyleMaleMiddle AgedRetrospective StudiesRisk FactorsDiabetes mellitusHypertensionNarcoticsRisk factorsTobacco useTotal hip arthroplastyTotal knee arthroplastyTotal shoulder arthroplasty

Identifiers

PMID39325165

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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.