Total knee arthroplasty in dialysis patients: a national in-patient sample-based study of perioperative complications
Chronic kidney disease (CKD) is a growing disease that affects millions of people in the USA every year. Many CKD patients progress to end-stage renal disease (ESRD), necessitating the use of hemodialysis to alleviate symptoms and manage kidney function. Furthermore, many of these patients have lowe...
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Published in | Knee surgery & related research Vol. 35; no. 1; p. 22 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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BioMed Central
02.08.2023
BMC |
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Abstract | Chronic kidney disease (CKD) is a growing disease that affects millions of people in the USA every year. Many CKD patients progress to end-stage renal disease (ESRD), necessitating the use of hemodialysis to alleviate symptoms and manage kidney function. Furthermore, many of these patients have lower bone quality and experience more postoperative complications. However, there is currently limited information on hospitalization information and perioperative complications in this population following procedures such as total knee arthroplasty (TKA). The purpose of this study was to assess the patient characteristics, demographics, and prevalence of postoperative problems among dialysis patients who received TKA.
In this retrospective study, we used the Nationwide Inpatient Sample (NIS) data from 2016 to 2019 to analyze the incidence of perioperative complications, length of stay (LOS), and the cost of care (COC) among patients undergoing TKA who were categorized as dialysis patients, compared with those who were not. Propensity matching was conducted to consider associated factors that may influence perioperative complications.
From 2016 to 2019, 558,371 patients underwent TKAs, according to the National In-Sample (NIS) database. Of those, 418 patients (0.1%) were in the dialysis group, while the remaining 557,953 patients were included in the control group. The mean age of the dialysis group was 65.4 ± 9.8 years, and the mean age in the control group was 66.7 ± 9.5 years (p = 0.006). After propensity matching, dialysis group patients had a higher risk of receiving blood transfusions [odds ratio (OR): 2; 95% confidence interval (CI): 1.2, 3.4] and a significantly larger COC in comparison to those in the control group (91,434.3 USD versus 71,943.6 USD, p < 0.001). In addition, dialysis patients had significantly higher discharges to another facility, as compared with the control group patients.
The dialysis group had a significantly higher cost of care, higher rates of requiring blood transfusion, and more cases of being discharged to another facility than non-dialysis patients. This data will help providers make informed decisions about patient care and resource allocation for dialysis patients undergoing TKA. |
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AbstractList | Chronic kidney disease (CKD) is a growing disease that affects millions of people in the USA every year. Many CKD patients progress to end-stage renal disease (ESRD), necessitating the use of hemodialysis to alleviate symptoms and manage kidney function. Furthermore, many of these patients have lower bone quality and experience more postoperative complications. However, there is currently limited information on hospitalization information and perioperative complications in this population following procedures such as total knee arthroplasty (TKA). The purpose of this study was to assess the patient characteristics, demographics, and prevalence of postoperative problems among dialysis patients who received TKA.
In this retrospective study, we used the Nationwide Inpatient Sample (NIS) data from 2016 to 2019 to analyze the incidence of perioperative complications, length of stay (LOS), and the cost of care (COC) among patients undergoing TKA who were categorized as dialysis patients, compared with those who were not. Propensity matching was conducted to consider associated factors that may influence perioperative complications.
From 2016 to 2019, 558,371 patients underwent TKAs, according to the National In-Sample (NIS) database. Of those, 418 patients (0.1%) were in the dialysis group, while the remaining 557,953 patients were included in the control group. The mean age of the dialysis group was 65.4 ± 9.8 years, and the mean age in the control group was 66.7 ± 9.5 years (p = 0.006). After propensity matching, dialysis group patients had a higher risk of receiving blood transfusions [odds ratio (OR): 2; 95% confidence interval (CI): 1.2, 3.4] and a significantly larger COC in comparison to those in the control group (91,434.3 USD versus 71,943.6 USD, p < 0.001). In addition, dialysis patients had significantly higher discharges to another facility, as compared with the control group patients.
The dialysis group had a significantly higher cost of care, higher rates of requiring blood transfusion, and more cases of being discharged to another facility than non-dialysis patients. This data will help providers make informed decisions about patient care and resource allocation for dialysis patients undergoing TKA. Abstract Background Chronic kidney disease (CKD) is a growing disease that affects millions of people in the USA every year. Many CKD patients progress to end-stage renal disease (ESRD), necessitating the use of hemodialysis to alleviate symptoms and manage kidney function. Furthermore, many of these patients have lower bone quality and experience more postoperative complications. However, there is currently limited information on hospitalization information and perioperative complications in this population following procedures such as total knee arthroplasty (TKA). The purpose of this study was to assess the patient characteristics, demographics, and prevalence of postoperative problems among dialysis patients who received TKA. Methods In this retrospective study, we used the Nationwide Inpatient Sample (NIS) data from 2016 to 2019 to analyze the incidence of perioperative complications, length of stay (LOS), and the cost of care (COC) among patients undergoing TKA who were categorized as dialysis patients, compared with those who were not. Propensity matching was conducted to consider associated factors that may influence perioperative complications. Results From 2016 to 2019, 558,371 patients underwent TKAs, according to the National In-Sample (NIS) database. Of those, 418 patients (0.1%) were in the dialysis group, while the remaining 557,953 patients were included in the control group. The mean age of the dialysis group was 65.4 ± 9.8 years, and the mean age in the control group was 66.7 ± 9.5 years (p = 0.006). After propensity matching, dialysis group patients had a higher risk of receiving blood transfusions [odds ratio (OR): 2; 95% confidence interval (CI): 1.2, 3.4] and a significantly larger COC in comparison to those in the control group (91,434.3 USD versus 71,943.6 USD, p < 0.001). In addition, dialysis patients had significantly higher discharges to another facility, as compared with the control group patients. Conclusions The dialysis group had a significantly higher cost of care, higher rates of requiring blood transfusion, and more cases of being discharged to another facility than non-dialysis patients. This data will help providers make informed decisions about patient care and resource allocation for dialysis patients undergoing TKA. BACKGROUNDChronic kidney disease (CKD) is a growing disease that affects millions of people in the USA every year. Many CKD patients progress to end-stage renal disease (ESRD), necessitating the use of hemodialysis to alleviate symptoms and manage kidney function. Furthermore, many of these patients have lower bone quality and experience more postoperative complications. However, there is currently limited information on hospitalization information and perioperative complications in this population following procedures such as total knee arthroplasty (TKA). The purpose of this study was to assess the patient characteristics, demographics, and prevalence of postoperative problems among dialysis patients who received TKA. METHODSIn this retrospective study, we used the Nationwide Inpatient Sample (NIS) data from 2016 to 2019 to analyze the incidence of perioperative complications, length of stay (LOS), and the cost of care (COC) among patients undergoing TKA who were categorized as dialysis patients, compared with those who were not. Propensity matching was conducted to consider associated factors that may influence perioperative complications. RESULTSFrom 2016 to 2019, 558,371 patients underwent TKAs, according to the National In-Sample (NIS) database. Of those, 418 patients (0.1%) were in the dialysis group, while the remaining 557,953 patients were included in the control group. The mean age of the dialysis group was 65.4 ± 9.8 years, and the mean age in the control group was 66.7 ± 9.5 years (p = 0.006). After propensity matching, dialysis group patients had a higher risk of receiving blood transfusions [odds ratio (OR): 2; 95% confidence interval (CI): 1.2, 3.4] and a significantly larger COC in comparison to those in the control group (91,434.3 USD versus 71,943.6 USD, p < 0.001). In addition, dialysis patients had significantly higher discharges to another facility, as compared with the control group patients. CONCLUSIONSThe dialysis group had a significantly higher cost of care, higher rates of requiring blood transfusion, and more cases of being discharged to another facility than non-dialysis patients. This data will help providers make informed decisions about patient care and resource allocation for dialysis patients undergoing TKA. |
ArticleNumber | 22 |
Author | Riley Martinez, J Wukich, Dane K Beale, Jack Mounasamy, Varatharaj Sambandam, Senthil Venishetty, Nikit Toutoungy, Michel |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/37533126$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_7759_cureus_47317 crossref_primary_10_1016_j_arth_2024_03_036 crossref_primary_10_1186_s42836_023_00206_2 crossref_primary_10_7759_cureus_62892 crossref_primary_10_17816_2311_2905_16495 |
Cites_doi | 10.1016/j.arth.2017.09.058 10.4103/2230-8210.94253 10.1016/j.bj.2020.04.010 10.1681/ASN.2019020213 10.1681/ASN.2020121806 10.1053/j.ajkd.2016.12.004 10.5435/JAAOSGlobal-D-19-00086 10.1681/ASN.2020101440 10.1186/s12891-021-04810-8 10.2106/JBJS.N.01301 10.3747/pdi.2014.00348 10.1007/s11999-012-2352-1 10.1016/j.jor.2021.05.025 10.3899/jrheum.170990 10.1016/j.arth.2018.02.035 10.1681/ASN.2015050535 |
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Keywords | Total knee arthroplasty Chronic kidney disease Dialysis Postoperative complications Cost of care Length of stay |
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References | EK Batchelor (196_CR14) 2020; 31 TD Ottesen (196_CR15) 2019; 3 SH Lee (196_CR12) 2021; 44 196_CR10 JT Patterson (196_CR13) 2018; 33 JA Singh (196_CR4) 2019; 46 S Kii (196_CR3) 2021; 22 J Casqueiro (196_CR9) 2012; 16 I Gkiatas (196_CR8) 2021; 25 196_CR2 CC Szeto (196_CR11) 2015; 35 AO Molnar (196_CR16) 2016; 27 N Jain (196_CR18) 2021; 32 196_CR5 R Saran (196_CR1) 2017; 69 SH Yen (196_CR6) 2018; 33 196_CR19 KE Ponnusamy (196_CR7) 2015; 97 KJ Bozic (196_CR20) 2013; 471 CCFMJ Baaten (196_CR17) 2021; 32 |
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Snippet | Chronic kidney disease (CKD) is a growing disease that affects millions of people in the USA every year. Many CKD patients progress to end-stage renal disease... BackgroundChronic kidney disease (CKD) is a growing disease that affects millions of people in the USA every year. Many CKD patients progress to end-stage... BACKGROUNDChronic kidney disease (CKD) is a growing disease that affects millions of people in the USA every year. Many CKD patients progress to end-stage... Abstract Background Chronic kidney disease (CKD) is a growing disease that affects millions of people in the USA every year. Many CKD patients progress to... |
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StartPage | 22 |
SubjectTerms | African Americans Age Cardiovascular disease Chronic kidney disease Cost of care Diabetes Dialysis Ethnicity Hemodialysis Hospitals Joint replacement surgery Knee Length of stay Medical equipment Obesity Patients Postoperative complications Prostheses Tobacco Total knee arthroplasty Variables White people |
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Title | Total knee arthroplasty in dialysis patients: a national in-patient sample-based study of perioperative complications |
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