Unseen threefold mortality after the first ten days in hemodialysis patients following joint arthroplasty: a nationwide retrospective cohort study of 1,287 arthroplasty patients on hemodialysis

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dc.authorid0000-0002-6268-9910
dc.authorid0000-0003-1448-2656
dc.authorid0000-0001-9649-5199
dc.authorid0000-0003-0926-3029
dc.contributor.authorBirinci, Murat
dc.contributor.authorHakyemez, Ömer Serdar
dc.contributor.authorKorkmaz, Oğuzhan
dc.contributor.authorBingöl, İzzet
dc.contributor.authorAta, Naim
dc.contributor.authorÜlgü, Mahir Mustafa
dc.contributor.authorBirinci, Şuayip
dc.contributor.authorAyvalı, Mustafa O.
dc.contributor.authorBaşarır, Kerem
dc.contributor.authorAzboy, İbrahim
dc.date.accessioned2024-09-24T09:20:59Z
dc.date.available2024-09-24T09:20:59Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractBackground: The study addresses the growing number of hemodialysis (HD) patients undergoing joint arthroplasty, who are at higher risk of complications and mortality. Previous research has often overlooked deaths after discharge. This study aimed to examine early outcomes in a large nationwide cohort of patients who underwent arthroplasty for elective and fracture-related reasons. Methods: Between 2016 and 2022, a study was conducted using the e-Nabız database of the Türkiye Ministry of Health, focusing on patients aged 18 years and above who underwent elective or fracture-related arthroplasty. This study included 1,287 patients reliant on dialysis who underwent total hip arthroplasty, total knee arthroplasty, or hemiarthroplasty (HA), with 7.7% of them receiving dialysis for the first time. Propensity score matching was used to create an equally sized group of non-dialysis-dependent patients, ensuring demographic balance in terms of age, sex, a comorbidity index, and surgery type. The primary objective was to compare mortality rates 10, 30, and 90 days after arthroplasty. Results: The first-time dialysis patients who underwent HA had significantly higher 30- and 90-day mortality rates compared to the chronic dialysis group (P = .040 and P < .001, respectively). Also, the HD patients consistently exhibited higher 90-day mortality rates across all surgery types. With total knee arthroplasty, HD patients had a mortality rate of 8.7%, in stark contrast to 0% among non-HD patients (P < .001). Similarly, with total hip arthroplasty, HD patients had a 12% mortality rate, while non-HD patients had a markedly lower rate of 2.7% (P = .008). In the case of HA, HD patients had a significantly elevated 90-day mortality rate of 31.9%, in contrast to 17.1% among non-HD patients (P < .001). Conclusions: Joint arthroplasty has higher rates of mortality and complications among HD patients. Surgical decisions must be based on patients’ overall health, necessitating collaboration among specialists. These patients should be closely monitored.
dc.identifier.citationBirinci, M., Hakyemez, Ö. S., Korkmaz, O., Bingöl, İ., Ata, N., Ülgü, M. M. ... Azboy, İ. (2024). Unseen threefold mortality after the first ten days in hemodialysis patients following joint arthroplasty: a nationwide retrospective cohort study of 1,287 arthroplasty patients on hemodialysis. Journal of Arthroplasty, 39(9), 2205-2212. http://dx.doi.org/10.1016/j.arth.2024.03.036
dc.identifier.doi10.1016/j.arth.2024.03.036
dc.identifier.endpage2212
dc.identifier.issn0883-5403
dc.identifier.issn1532-8406
dc.identifier.issue9
dc.identifier.pmid38522803
dc.identifier.scopus2-s2.0-85190402662
dc.identifier.scopusqualityQ1
dc.identifier.startpage2205
dc.identifier.urihttp://dx.doi.org/10.1016/j.arth.2024.03.036
dc.identifier.urihttps://hdl.handle.net/20.500.12511/12834
dc.identifier.volume39
dc.identifier.wos001306048800001en_US
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorBirinci, Murat
dc.institutionauthorHakyemez, Ömer Serdar
dc.institutionauthorKorkmaz, Oğuzhan
dc.institutionauthorAzboy, İbrahim
dc.language.isoen
dc.relation.ispartofJournal of Arthroplastyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectFirst-Time Dialysis
dc.subjectHemiarthroplasty
dc.subjectHemodialysis
dc.subjectMortality
dc.subjectTotal Joint Arthroplasty
dc.titleUnseen threefold mortality after the first ten days in hemodialysis patients following joint arthroplasty: a nationwide retrospective cohort study of 1,287 arthroplasty patients on hemodialysis
dc.typeArticle

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