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No Difference in Revision Rates up to 10 years Following Total Hip Arthroplasty in Patients Who Had Prior Bariatric Surgery When Compared to Patients Who Had Class III Obesity: A Propensity Matched Analysis.
- Source :
-
The Journal of arthroplasty [J Arthroplasty] 2024 Jun; Vol. 39 (6), pp. 1399-1403.e1. Date of Electronic Publication: 2024 Feb 27. - Publication Year :
- 2024
-
Abstract
- Background: There is no clear research showcasing bariatric surgery's (BS's) impact on long-term surgical complications following total hip arthroplasty (THA). Therefore, this study compared the 10-year cumulative incidence and risk of revision following THA in patients who underwent BS when compared to the general population and class III obesity patients who did not undergo BS.<br />Methods: Patients who underwent elective THA from 2010 to 2021 were identified using an all-payer claims database. Patients who underwent BS prior to THA were separately matched to a control of the general population and those who had class III obesity (body mass index ≥40) by age, sex, Charlson Comorbidity Index, and diabetes using a 1:4 ratio. Kaplan-Meier analyses generated 10-year cumulative incidence rates, and a Cox proportional hazard ratio (HR) model generated HRs and 95% confidence intervals (CIs).<br />Results: When compared to the general control, patients who have a history of BS had an elevated 10-year risk of all-cause revision (HR 1.31, 95% CI: 1.16 to 1.47, P < .001), prosthetic joint infection (HR: 1.62, CI: 1.30 to 2.04; P < .001), mechanical loosening (HR: 1.20, CI: 1.01 to 1.44; P = .040), and dislocation/instability (HR: 1.35, CI: 1.09 to 1.68; P = .007). There was no difference in the 10-year risk of all-cause revision or other indications for revision in the BS cohort compared to the matched class III obesity cohort (P = .142).<br />Conclusions: Those who underwent BS before THA had comparable 10-year revision rates when compared to those who had class III obesity and higher rates compared to the general population. This suggests BS may not reduce the 10-year surgical risks associated with obesity when compared to a class III obese surgical population.<br /> (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Female
Male
Middle Aged
Aged
Adult
Obesity complications
Propensity Score
Postoperative Complications epidemiology
Postoperative Complications etiology
Incidence
Retrospective Studies
Prosthesis Failure
Kaplan-Meier Estimate
Risk Factors
Arthroplasty, Replacement, Hip adverse effects
Reoperation statistics & numerical data
Bariatric Surgery adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1532-8406
- Volume :
- 39
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The Journal of arthroplasty
- Publication Type :
- Academic Journal
- Accession number :
- 38423258
- Full Text :
- https://doi.org/10.1016/j.arth.2024.02.065