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Outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the Swedish Arthroplasty Register

BACKGROUND AND PURPOSE: Few studies have focused on nonagenarians treated with total hip arthroplasty (THA). We investigated 30- and 90-day postoperative mortality, patient-reported outcome measures (PROMs), reoperation rate, risk factors for reoperation, and relative patient survival in nonagenaria...

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Autores principales: SCHAUFELBERGER, Mattias, ROLFSON, Ola, KÄRRHOLM, Johan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Journals Sweden, on behalf of the Nordic Orthopedic Federation 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518770/
https://www.ncbi.nlm.nih.gov/pubmed/37746752
http://dx.doi.org/10.2340/17453674.2023.18656
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author SCHAUFELBERGER, Mattias
ROLFSON, Ola
KÄRRHOLM, Johan
author_facet SCHAUFELBERGER, Mattias
ROLFSON, Ola
KÄRRHOLM, Johan
author_sort SCHAUFELBERGER, Mattias
collection PubMed
description BACKGROUND AND PURPOSE: Few studies have focused on nonagenarians treated with total hip arthroplasty (THA). We investigated 30- and 90-day postoperative mortality, patient-reported outcome measures (PROMs), reoperation rate, risk factors for reoperation, and relative patient survival in nonagenarians or older. PATIENTS AND METHODS: 167,091 patients with primary cemented THA performed for osteoarthritis between 1992 and 2019 were identified in the Swedish Arthroplasty Register. Patients were divided into age groups based on age at time of surgery: 60–74 (n = 90,285), 75–89 (n = 75,421), and > 90 years (n = 1,385). Mortality rate, PROMs (pain–Likert scale, satisfaction–Likert scale, EQ-VAS, n = 67,553), reoperation rate, risk factors for reoperation, and relative patient survival were studied. RESULTS: The nonagenarians had the highest postoperative mortality rate, 1.7% and 2.6% at 30 and 90 days, respectively. Nonagenarian females reported significantly lower pre- and postoperative EQ-VAS compared with patients aged 60–89 years but reported least pain and highest patient satisfaction 1 year after surgery. At 2 years the nonagenarians had highest reoperation frequency—2.7%—due to infection (1.5%), dislocation (0.8%), and periprosthetic fracture (0.4%). Increasing age, male sex, and polished stem were associated with higher risk of reoperation within 2 years. 8-year age- and sex-matched relative survival was highest among nonagenarians (study group/matched population: ≥ 90 years 3.4, 95% confidence interval [CI] 3.0–3.8; 75–89 years: 1.4, CI 1.4–1.4, and 60–74 years: 1.1, CI 1.1–1.1). CONCLUSION: 30- and 90-day postoperative mortality and reoperation rates were higher in nonagenarians but PROM data showed least pain and highest patient satisfaction 1 year after surgery with THA among female nonagenarians with primary osteoarthritis.
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spelling pubmed-105187702023-09-26 Outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the Swedish Arthroplasty Register SCHAUFELBERGER, Mattias ROLFSON, Ola KÄRRHOLM, Johan Acta Orthop Article BACKGROUND AND PURPOSE: Few studies have focused on nonagenarians treated with total hip arthroplasty (THA). We investigated 30- and 90-day postoperative mortality, patient-reported outcome measures (PROMs), reoperation rate, risk factors for reoperation, and relative patient survival in nonagenarians or older. PATIENTS AND METHODS: 167,091 patients with primary cemented THA performed for osteoarthritis between 1992 and 2019 were identified in the Swedish Arthroplasty Register. Patients were divided into age groups based on age at time of surgery: 60–74 (n = 90,285), 75–89 (n = 75,421), and > 90 years (n = 1,385). Mortality rate, PROMs (pain–Likert scale, satisfaction–Likert scale, EQ-VAS, n = 67,553), reoperation rate, risk factors for reoperation, and relative patient survival were studied. RESULTS: The nonagenarians had the highest postoperative mortality rate, 1.7% and 2.6% at 30 and 90 days, respectively. Nonagenarian females reported significantly lower pre- and postoperative EQ-VAS compared with patients aged 60–89 years but reported least pain and highest patient satisfaction 1 year after surgery. At 2 years the nonagenarians had highest reoperation frequency—2.7%—due to infection (1.5%), dislocation (0.8%), and periprosthetic fracture (0.4%). Increasing age, male sex, and polished stem were associated with higher risk of reoperation within 2 years. 8-year age- and sex-matched relative survival was highest among nonagenarians (study group/matched population: ≥ 90 years 3.4, 95% confidence interval [CI] 3.0–3.8; 75–89 years: 1.4, CI 1.4–1.4, and 60–74 years: 1.1, CI 1.1–1.1). CONCLUSION: 30- and 90-day postoperative mortality and reoperation rates were higher in nonagenarians but PROM data showed least pain and highest patient satisfaction 1 year after surgery with THA among female nonagenarians with primary osteoarthritis. Medical Journals Sweden, on behalf of the Nordic Orthopedic Federation 2023-09-22 /pmc/articles/PMC10518770/ /pubmed/37746752 http://dx.doi.org/10.2340/17453674.2023.18656 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.
spellingShingle Article
SCHAUFELBERGER, Mattias
ROLFSON, Ola
KÄRRHOLM, Johan
Outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the Swedish Arthroplasty Register
title Outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the Swedish Arthroplasty Register
title_full Outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the Swedish Arthroplasty Register
title_fullStr Outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the Swedish Arthroplasty Register
title_full_unstemmed Outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the Swedish Arthroplasty Register
title_short Outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the Swedish Arthroplasty Register
title_sort outcome of patients with osteoarthritis aged 90 to 101 years after cemented total hip arthroplasty: 1,385 patients from the swedish arthroplasty register
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10518770/
https://www.ncbi.nlm.nih.gov/pubmed/37746752
http://dx.doi.org/10.2340/17453674.2023.18656
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