Asset Details
Do you wish to reserve the book?
Risk Factors for Early Revision After Primary Total Hip Arthroplasty in Medicare Patients
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
Risk Factors for Early Revision After Primary Total Hip Arthroplasty in Medicare Patients
Do you wish to request the book?
Risk Factors for Early Revision After Primary Total Hip Arthroplasty in Medicare Patients
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
Risk Factors for Early Revision After Primary Total Hip Arthroplasty in Medicare Patients
2014
Overview
Background
Patient, surgeon, health system, and device factors are all known to influence outcomes in THA. However, patient-related factors associated with an increased risk of early failure are poorly understood, particularly in elderly patients.
Questions/purposes
We identified specific demographic and clinical characteristics associated with increased risk of early revision in Medicare patients with THA.
Methods
The Medicare 5% national sample administrative database was used to calculate the relative risk of revision within 12 months following primary THA as a function of baseline medical comorbidities in 56,030 Medicare patients who underwent primary THA between 1998 and 2010. The impact of 29 comorbid conditions on risk of early revision was examined using Cox regression, controlling for age, sex, race, US Census region, socioeconomic status, and all other baseline comorbidities.
Results
Depression, rheumatologic disease, psychoses, renal disease, chronic urinary tract infection, and congestive heart failure were associated with revision THA within 12 months of the index arthroplasty (p ≤ 0.038 for all comparisons; risk factors listed in order of significance).
Conclusions
This information is important when counseling elderly patients with THA regarding the risk of early failure and for risk stratifying publicly reported outcomes in Medicare patients with THA.
Level of Evidence
Level II, prognostic study. See Instructions for Authors for a complete description of levels of evidence.
Publisher
Springer US,Lippincott Williams & Wilkins Ovid Technologies
