Does interaction occur between risk factors for revision total knee arthroplasty?
Database
Revision
Risk factor
TKA
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
30 Oct 2023
30 Oct 2023
Historique:
received:
28
06
2023
accepted:
09
10
2023
medline:
30
10
2023
pubmed:
30
10
2023
entrez:
30
10
2023
Statut:
aheadofprint
Résumé
Several risk factors for revision TKA have previously been identified, but interactions between risk factors may occur and affect risk of revision. To our knowledge, such interactions have not been previously studied. As patients often exhibit multiple risk factors for revision, knowledge of these interactions can help improve risk stratification and patient education prior to TKA. The State Inpatient Databases (SID), part of the Healthcare Cost and Utilization Project (HCUP), were queried to identify patients who underwent TKA between January 1, 2006 and December 31, 2015. Risk factors for revision TKA were identified, and interactions between indication for TKA and other risk factors were analyzed. Of 958,944 patients who underwent TKA, 33,550 (3.5%) underwent revision. Age, sex, race, length of stay, Elixhauser readmission score, urban/rural designation, and indication for TKA were significantly associated with revision (p < 0.05). Age was the strongest predictor (p < 0.0001), with younger patients exhibiting higher revision risk. Risks associated with age were modified by an interaction with indication for TKA (p < 0.0001). There was no significant interaction between sex and indication for TKA (p = 0.535) or race and indication for TKA (p = 0.187). Age, sex, race, length of stay, Elixhauser readmission score, urban/rural designation, and indication for TKA are significantly associated with revision TKA. Interaction occurs between age and indication.
Identifiants
pubmed: 37902892
doi: 10.1007/s00402-023-05107-2
pii: 10.1007/s00402-023-05107-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Daigle ME, Weinstein AM, Katz JN, Losina E (2012) The cost-effectiveness of total joint arthroplasty: a systematic review of published literature. Best Pract Res Clin Rheumatol 26:649–658
pubmed: 23218429
doi: 10.1016/j.berh.2012.07.013
Kamaruzaman H, Kinghorn P, Oppong R (2017) Cost-effectiveness of surgical interventions for the management of osteoarthritis: a systematic review of the literature. BMC Musculoskelet Disord 18:183
pubmed: 28486957
pmcid: 5424321
doi: 10.1186/s12891-017-1540-2
Fingar KR, Stocks C, Weiss AJ, Steiner CA (2006) Most frequent operating room procedures performed in U.S. Hospitals, 2003–2012: Statistical Brief #186. Healthcare cost and utilization project (HCUP) statistical briefs. Rockville: Agency for Healthcare Research and Quality (US)
Bozic KJ, Bashyal RK, Anthony SG, Chiu V, Shulman B, Rubash HE (2013) Is administratively coded comorbidity and complication data in total joint arthroplasty valid? Clin Orthop Relat Res 471:201–205
pubmed: 22528384
doi: 10.1007/s11999-012-2352-1
Schwartz AJ, Della Valle CJ, Rosenberg AG, Jacobs JJ, Berger RA, Galante JO (2010) Cruciate-retaining TKA using a third-generation system with a four-pegged tibial component: a minimum 10-year followup note. Clin Orthop Relat Res 468:2160–2167
pubmed: 20440662
pmcid: 2895838
doi: 10.1007/s11999-010-1360-2
Bohl DD, Samuel AM, Basques BA, Della Valle CJ, Levine BR, Grauer JN (2016) How much do adverse event rates differ between primary and revision total joint arthroplasty? J Arthroplasty 31:596–602
pubmed: 26507527
doi: 10.1016/j.arth.2015.09.033
Nichols CI, Vose JG (2016) Clinical outcomes and costs within 90 days of primary or revision total joint arthroplasty. J Arthroplasty 31:1400-1406.e1403
pubmed: 26880328
doi: 10.1016/j.arth.2016.01.022
Bhandari M, Smith J, Miller LE, Block JE (2012) Clinical and economic burden of revision knee arthroplasty. Clin Med Insights Arthritis Musculoskelet Disord 5:89–94
pubmed: 23239930
pmcid: 3520180
doi: 10.4137/CMAMD.S10859
Bass AR, McHugh K, Fields K, Goto R, Parks ML, Goodman SM (2016) Higher total knee arthroplasty revision rates among united states blacks than whites: a systematic literature review and meta-analysis. J Bone Joint Surg Am 98:2103–2108
pubmed: 28002374
doi: 10.2106/JBJS.15.00976
Cancienne JM, Werner BC, Browne JA (2016) Complications of primary total knee arthroplasty among patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, and osteoarthritis. J Am Acad Orthop Surg 24:567–574
pubmed: 27355283
doi: 10.5435/JAAOS-D-15-00501
Dy CJ, Marx RG, Bozic KJ, Pan TJ, Padgett DE, Lyman S (2014) Risk factors for revision within 10 years of total knee arthroplasty. Clin Orthop Relat Res 472:1198–1207
pubmed: 24347046
doi: 10.1007/s11999-013-3416-6
Hinman AD, Chan PH, Prentice HA, Paxton EW, Okike KM, Navarro RA (2020) The association of race/ethnicity and total knee arthroplasty outcomes in a universally insured population. J Arthroplasty 35:1474–1479
pubmed: 32146110
doi: 10.1016/j.arth.2020.02.002
Jasper LL, Jones CA, Mollins J, Pohar SL, Beaupre LA (2016) Risk factors for revision of total knee arthroplasty: a scoping review. BMC Musculoskelet Disord 17:182
pubmed: 27113334
pmcid: 4845333
doi: 10.1186/s12891-016-1025-8
Jorgensen NB, McAuliffe M, Orschulok T, Lorimer MF, de Steiger R (2019) Major aseptic revision following total knee replacement: a study of 478,081 total knee replacements from the Australian orthopaedic association national joint replacement registry. J Bone Joint Surg Am 101:302–310
pubmed: 30801369
doi: 10.2106/JBJS.17.01528
Julin J, Jämsen E, Puolakka T, Konttinen YT, Moilanen T (2010) Younger age increases the risk of early prosthesis failure following primary total knee replacement for osteoarthritis A follow-up study of 32,019 total knee replacements in the Finnish Arthroplasty Register. Acta Orthop 81:413–419
pubmed: 20809740
pmcid: 2917562
doi: 10.3109/17453674.2010.501747
Lee DK, Kim HJ, Cho IY, Lee DH (2017) Infection and revision rates following primary total knee arthroplasty in patients with rheumatoid arthritis versus osteoarthritis: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 25:3800–3807
pubmed: 27605127
doi: 10.1007/s00167-016-4306-8
MacDonald SJ, Charron KD, Bourne RB, Naudie DD, McCalden RW, Rorabeck CH (2008) The John Insall Award: gender-specific total knee replacement: prospectively collected clinical outcomes. Clin Orthop Relat Res 466:2612–2616
pubmed: 18800216
pmcid: 2565048
doi: 10.1007/s11999-008-0430-1
Rand JA, Trousdale RT, Ilstrup DM, Harmsen WS (2003) Factors affecting the durability of primary total knee prostheses. J Bone Joint Surg Am 85:259–265
pubmed: 12571303
doi: 10.2106/00004623-200302000-00012
Roberts VI, Esler CN, Harper WM (2007) A 15-year follow-up study of 4606 primary total knee replacements. J Bone Joint Surg Br 89:1452–1456
pubmed: 17998180
doi: 10.1302/0301-620X.89B11.19783
Moore BJ, White S, Washington R, Coenen N, Elixhauser A (2017) Identifying increased risk of readmission and in-hospital mortality using hospital administrative data: The AHRQ elixhauser comorbidity index. Med Care 55:698–705
pubmed: 28498196
doi: 10.1097/MLR.0000000000000735
Boyer B, Bordini B, Caputo D, Neri T, Stea S, Toni A (2019) What are the influencing factors on hip and knee arthroplasty survival? Prospective cohort study on 63619 arthroplasties. Orthop Traumatol Surg Res 105:1251–1256
pubmed: 31615748
doi: 10.1016/j.otsr.2019.07.020
Harrel FE (2021) Regression modeling strategies. Available at: https://cran.r-project.org/web/packages/rms/rms.pdf
Rubin DB (2004) Multiple imputation for nonresponse in surveys. Wiley, New York
Bottle A, Parikh S, Aylin P, Loeffler M (2019) Risk factors for early revision after total hip and knee arthroplasty: National observational study from a surgeon and population perspective. PLoS ONE 14:e0214855
pubmed: 30964880
pmcid: 6456180
doi: 10.1371/journal.pone.0214855
Meehan JP, Danielsen B, Kim SH, Jamali AA, White RH (2014) Younger age is associated with a higher risk of early periprosthetic joint infection and aseptic mechanical failure after total knee arthroplasty. J Bone Joint Surg Am 96:529–535
pubmed: 24695918
doi: 10.2106/JBJS.M.00545
Namba RS, Cafri G, Khatod M, Inacio MC, Brox TW, Paxton EW (2013) Risk factors for total knee arthroplasty aseptic revision. J Arthroplasty 28:122–127
pubmed: 23953394
doi: 10.1016/j.arth.2013.04.050
Pitta M, Esposito CI, Li Z, Lee YY, Wright TM, Padgett DE (2018) Failure after modern total knee arthroplasty: a prospective study of 18,065 knees. J Arthroplasty 33:407–414
pubmed: 29079167
doi: 10.1016/j.arth.2017.09.041
Abdel MP, von Roth P, Cross WW, Berry DJ, Trousdale RT, Lewallen DG (2015) Total knee arthroplasty in patients with a prior tibial plateau fracture: a long-term report at 15 years. J Arthroplasty 30:2170–2172
pubmed: 26195353
doi: 10.1016/j.arth.2015.06.032
Liu Y, Zhao XD, Zou C (2020) Lingering risk: a meta-analysis of outcomes following primary total knee arthroplasty for patients with post-traumatic arthritis. Int J Surg 77:163–172
pubmed: 32247846
doi: 10.1016/j.ijsu.2020.03.053
Shah SH, Schwartz BE, Schwartz AR, Goldberg BA, Chmell SJ (2017) Total knee arthroplasty in the younger patient. J Knee Surg 30:555–559
pubmed: 27776371
doi: 10.1055/s-0036-1593619
Cordtz RL, Zobbe K, Højgaard P, Kristensen LE, Overgaard S, Odgaard A, Lindegaard H, Dreyer L (2018) Predictors of revision, prosthetic joint infection and mortality following total hip or total knee arthroplasty in patients with rheumatoid arthritis: a nationwide cohort study using Danish healthcare registers. Ann Rheum Dis 77:281–288
pubmed: 29097373
doi: 10.1136/annrheumdis-2017-212339
Mooney L, Lewis PL, Campbell DG, Peng Y, Hatton A (2019) Rates and outcomes of total knee replacement for rheumatoid arthritis compared to osteoarthritis. ANZ J Surg 89:184–190
pubmed: 30770628
doi: 10.1111/ans.15035
Boontanapibul K, Amanatullah DF, Huddleston JI 3rd, Maloney WJ, Goodman SB (2021) Outcomes of cemented total knee arthroplasty for secondary osteonecrosis of the knee. J Arthroplasty 36:550–559
pubmed: 33011011
doi: 10.1016/j.arth.2020.08.061
Chalmers BP, Mehrotra KG, Sierra RJ, Pagnano MW, Taunton MJ, Abdel MP (2019) Reliable outcomes and survivorship of primary total knee arthroplasty for osteonecrosis of the knee. Bone Joint J. 101:1356–1361
pubmed: 31674235
doi: 10.1302/0301-620X.101B11.BJJ-2019-0576.R1
Attar FG, Khaw FM, Kirk LM, Gregg PJ (2008) Survivorship analysis at 15 years of cemented press-fit condylar total knee arthroplasty. J Arthroplasty 23:344–349
pubmed: 18358370
doi: 10.1016/j.arth.2007.02.012
Dalury DF, Mason JB, Murphy JA, Adams MJ (2009) Analysis of the outcome in male and female patients using a unisex total knee replacement system. J Bone Joint Surg Br 91:357–360
pubmed: 19258612
doi: 10.1302/0301-620X.91B3.21771
Ritter MA, Wing JT, Berend ME, Davis KE, Meding JB (2008) The clinical effect of gender on outcome of total knee arthroplasty. J Arthroplasty 23:331–336
pubmed: 18358368
doi: 10.1016/j.arth.2007.10.031
Fehring TK, Murphy JA, Hayes TD, Roberts DW, Pomeroy DL, Griffin WL (2004) Factors influencing wear and osteolysis in press-fit condylar modular total knee replacements. Clin Orthop Relat Res 428:40–50
doi: 10.1097/01.blo.0000148853.37270.67
Himanen AK, Belt EA, Lehto MU, Hämäläinen MM (2007) A comparison of survival of moulded monoblock and modular tibial components of 751 AGC total knee replacements in the treatment of rheumatoid arthritis. J Bone Joint Surg Br 89:609–614
pubmed: 17540745
doi: 10.1302/0301-620X.89B5.17950
Spanakis EK, Golden SH (2013) Race/ethnic difference in diabetes and diabetic complications. Curr Diab Rep 13:814–823
pubmed: 24037313
doi: 10.1007/s11892-013-0421-9
Pfefferle KJ, Shemory ST, Dilisio MF, Fening SD, Gradisar IM (2014) Risk factors for manipulation after total knee arthroplasty: a pooled electronic health record database study. J Arthroplasty 29:2036–2038
pubmed: 24927868
doi: 10.1016/j.arth.2014.05.001
Springer BD, Odum SM, Nagpal VS, Lombardi AV Jr, Berend KR, Kim RH, Dennis DA (2012) Is socioeconomic status a risk factor for stiffness after total knee arthroplasty? a multicenter case-control study. Orthop Clin North Am 43:e1-7
pubmed: 23102415
doi: 10.1016/j.ocl.2012.07.001
Lavernia CJ, Villa JM (2015) Does race affect outcomes in total joint arthroplasty? Clin Orthop Relat Res 473:3535–3541
pubmed: 26242282
pmcid: 4586195
doi: 10.1007/s11999-015-4481-9
Burn E, Edwards CJ, Murray DW, Silman A, Cooper C, Arden NK, Pinedo-Villanueva R, Prieto-Alhambra D (2018) Trends and determinants of length of stay and hospital reimbursement following knee and hip replacement: evidence from linked primary care and NHS hospital records from 1997 to 2014. BMJ Open 8:e019146
pubmed: 29374669
pmcid: 5829869
doi: 10.1136/bmjopen-2017-019146
Amanatullah DF, McQuillan T, Kamal RN (2019) Quality measures in total hip and total knee arthroplasty. J Am Acad Orthop Surg 27:219–226
pubmed: 30303844
doi: 10.5435/JAAOS-D-17-00283
Fassihi SC, Malahias MA, Gu A, Richardson SS, Buller LT, Stake S, De Martino I, Pathak N, Chen AZ, Ast MP, Sculco PK (2021) Hospital discharge within a day after total knee arthroplasty does not affect 1-year complications compared with rapid discharge. J Am Acad Orthop Surg 29:397–405
pubmed: 32826664
doi: 10.5435/JAAOS-D-20-00187
Pamilo KJ, Torkki P, Peltola M, Pesola M, Remes V, Paloneva J (2018) Fast-tracking for total knee replacement reduces use of institutional care without compromising quality. Acta Orthop 89:184–189
pubmed: 29160123
doi: 10.1080/17453674.2017.1399643
Blum MA, Singh JA, Lee GC, Richardson D, Chen W, Ibrahim SA (2013) Patient race and surgical outcomes after total knee arthroplasty: an analysis of a large regional database. Arthritis Care Res (Hoboken) 65:414–420
pubmed: 22933341
doi: 10.1002/acr.21834
Frassanito L, Vergari A, Nestorini R, Cerulli G, Placella G, Pace V, Rossi M (2020) Enhanced recovery after surgery (ERAS) in hip and knee replacement surgery: description of a multidisciplinary program to improve management of the patients undergoing major orthopedic surgery. Musculoskelet Surg 104:87–92
pubmed: 31054080
doi: 10.1007/s12306-019-00603-4
Hoffmann JD, Kusnezov NA, Dunn JC, Zarkadis NJ, Goodman GP, Berger RA (2018) The shift to same-day outpatient joint arthroplasty: a systematic review. J Arthroplasty 33:1265–1274
pubmed: 29224990
doi: 10.1016/j.arth.2017.11.027
Rutherford RW, Jennings JM, Dennis DA (2017) Enhancing recovery after total knee arthroplasty. Orthop Clin North Am 48:391–400
pubmed: 28870300
doi: 10.1016/j.ocl.2017.05.002
Halawi MJ, Vovos TJ, Green CL, Wellman SS, Attarian DE, Bolognesi MP (2015) Current evidence does not support medicare’s 3-day rule in primary total joint arthroplasty. Am J Orthop (Belle Mead NJ) 44:E370-372
pubmed: 26447413
Banerjee D, Illingworth KD, Novicoff WM, Scaife SL, Jones BK, Saleh KJ (2013) Rural vs urban utilization of total joint arthroplasty. J Arthroplasty 28:888–891
pubmed: 23541869
doi: 10.1016/j.arth.2012.09.004
Francis ML, Scaife SL, Zahnd WE (2011) Rural-urban differences in surgical procedures for Medicare beneficiaries. Arch Surg 146:579–583
pubmed: 21242423
doi: 10.1001/archsurg.2010.306
Francis ML, Scaife SL, Zahnd WE, Cook EF, Schneeweiss S (2009) Joint replacement surgeries among medicare beneficiaries in rural compared with urban areas. Arthritis Rheum 60:3554–3562
pubmed: 19950278
doi: 10.1002/art.25004
Heck DA, Melfi CA, Mamlin LA, Katz BP, Arthur DS, Dittus RS, Freund DA (1998) Revision rates after knee replacement in the United States. Med Care 36:661–669
pubmed: 9596057
doi: 10.1097/00005650-199805000-00006
Peltola M, Järvelin J (2014) Association between household income and the outcome of arthroplasty: a register-based study of total hip and knee replacements. Arch Orthop Trauma Surg 134:1767–1774
pubmed: 25376712
doi: 10.1007/s00402-014-2101-x
Bass AR, Mehta B, Szymonifka J, Finik J, Lyman S, Lai EY, Parks M, Figgie M, Mandl LA, Goodman SM (2019) Racial disparities in total knee replacement failure as related to poverty. Arthritis Care Res (Hoboken) 71:1488–1494
pubmed: 31309739
doi: 10.1002/acr.24028
Chisari E, Yayac M, Sherman M, Kozaily E, Courtney PM (2021) Which socioeconomic factors affect outcomes following total hip and knee arthroplasty? J Arthroplasty 36:1873–1878
pubmed: 33612329
doi: 10.1016/j.arth.2021.01.077
Courtney PM, Huddleston JI, Iorio R, Markel DC (2017) Socioeconomic risk adjustment models for reimbursement are necessary in primary total joint arthroplasty. J Arthroplasty 32:1–5
pubmed: 27506724
doi: 10.1016/j.arth.2016.06.050
Inneh IA (2015) The combined influence of sociodemographic, preoperative comorbid and intraoperative factors on longer length of stay after elective primary total knee arthroplasty. J Arthroplasty 30:1883–1886
pubmed: 26044998
doi: 10.1016/j.arth.2015.05.032
Keeney BJ, Koenig KM, Paddock NG, Moschetti WE, Sparks MB, Jevsevar DS (2017) Do aggregate socioeconomic status factors predict outcomes for total knee arthroplasty in a rural population? J Arthroplasty 32:3583–3590
pubmed: 28781014
pmcid: 5693700
doi: 10.1016/j.arth.2017.07.002
Arias-de-la Torre J, Smith K, Dregan A, Valderas JM, Evans JP, Prieto-Alhambra D, Lozano L, Molina AJ, Martín V, Domingo L, Muñoz L, Espallargues M (2020) Impact of comorbidity on the short- and medium-term risk of revision in total hip and knee arthroplasty. BMC Musculoskelet Disord 21:447
pubmed: 32646395
pmcid: 7346613
doi: 10.1186/s12891-020-03455-3
Goltz DE, Ryan SP, Howell CB, Attarian D, Bolognesi MP, Seyler TM (2019) A Weighted index of elixhauser comorbidities for predicting 90-day readmission after total joint arthroplasty. J Arthroplasty 34:857–864
pubmed: 30765228
doi: 10.1016/j.arth.2019.01.044
Hinton ZW, Fletcher AN, Ryan SP, Wu CJ, Bolognesi MP, Seyler TM (2021) Body mass index, American society of anesthesiologists score, and elixhauser comorbidity index predict cost and delay of care during total knee arthroplasty. J Arthroplasty 36:1621–1625
pubmed: 33419618
doi: 10.1016/j.arth.2020.12.016
Inacio MCS, Pratt NL, Roughead EE, Graves SE (2016) Evaluation of three co-morbidity measures to predict mortality in patients undergoing total joint arthroplasty. Osteoarthritis Cartilage 24:1718–1726
pubmed: 27188683
doi: 10.1016/j.joca.2016.05.006
Ondeck NT, Fu MC, Skrip LA, McLynn RP, Su EP, Grauer JN (2018) Treatments of missing values in large national data affect conclusions: the impact of multiple imputation on arthroplasty research. J Arthroplasty 33:661–667
pubmed: 29153865
doi: 10.1016/j.arth.2017.10.034