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Multi-state models and arthroplasty histories after unilateral total hip arthroplasties.
- Source :
- Acta Orthopaedica; Jun2012, Vol. 83 Issue 3, p220-226, 7p
- Publication Year :
- 2012
-
Abstract
- Background and purpose An increasing number of patients have several joint replacement procedures during their lifetime. We investigated the use and suitability of multi-state model techniques in providing a more comprehensive analysis and description of complex arthroplasty histories held in arthroplasty registries than are allowed for with traditional survival methods. Patients and methods We obtained data from the Australian Orthopaedic Association National Joint Replacement Registry on patients (n = 84,759) who had undergone a total hip arthroplasty for osteoarthritis in the period 2002-2008. We set up a multi-state model where patients were followed from their first recorded arthroplasty to several possible states: revision of first arthroplasty, either a hip or knee as second arthroplasty, revision of the second arthroplasty, and death. The Summary Notation for Arthroplasty Histories (SNAH) was developed in order to help to manage and analyze this type of data. Results At the end of the study period, 12% of the 84,759 patients had received a second hip, 3 times as many as had received a knee. The estimated probabilities of having received a second arthroplasty decreased with age. Males had a lower transition rate for receiving a second arthroplasty, but a higher mortality rate. Interpretation Multi-state models in combination with SNAH codes are well suited to the management and analysis of arthroplasty registry data on patients who experience multiple joint procedures over time. We found differences in the progression of joint replacement procedures after the initial total hip arthroplasty regarding type of joint, age, and sex. [ABSTRACT FROM AUTHOR]
- Subjects :
- MEDICAL history taking
AGE distribution
CONFIDENCE intervals
REPORTING of diseases
DOCUMENTATION
EPIDEMIOLOGICAL research
HIP joint diseases
KNEE diseases
OSTEOARTHRITIS
REOPERATION
SEX distribution
SURVIVAL analysis (Biometry)
TOTAL hip replacement
TOTAL knee replacement
PROPORTIONAL hazards models
RETROSPECTIVE studies
Subjects
Details
- Language :
- English
- ISSN :
- 17453674
- Volume :
- 83
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Acta Orthopaedica
- Publication Type :
- Academic Journal
- Accession number :
- 76311006
- Full Text :
- https://doi.org/10.3109/17453674.2012.684140