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Similar early morta...
Similar early mortality risk after cemented compared with cementless total hip arthroplasty for primary osteoarthritis : data from 188,606 surgeries in the Nordic Arthroplasty Register Association database
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- Pedersen, Alma B. (författare)
- Aarhus University Hospital
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- Mailhac, Aurélie (författare)
- Aarhus University Hospital
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- Garland, Anne (författare)
- Uppsala universitet,Uppsala University,The Swedish Hip Arthroplasty Registry, Registercentrum Västra Götaland, Gothenburg, Sweden,Ortopedi
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- Overgaard, Søren (författare)
- Odense University Hospital,University of Southern Denmark
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- Furnes, Ove (författare)
- Haukeland University Hospital,University of Bergen
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- Lie, Stein Atle (författare)
- University of Bergen
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- Fenstad, Anne Marie (författare)
- Norwegian Arthroplasty Register,Haukeland University Hospital
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- Rogmark, Cecilia (författare)
- Lund University,Lunds universitet,Ortopedi,Forskargrupper vid Lunds universitet,Orthopedics,Lund University Research Groups,Swedish Hip Arthroplasty Register
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- Kärrholm, Johan, 1951 (författare)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Swedish Hip Arthroplasty Register,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Rolfson, Ola, 1973 (författare)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Swedish Hip Arthroplasty Register,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics
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- Haapakoski, Jaason (författare)
- The Finnish Arthroplasty Register,Finnish National Institute for Health and Welfare
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- Eskelinen, Antti (författare)
- Finnish National Institute for Health and Welfare,University of Tampere,The Finnish Arthroplasty Register
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- Mäkelä, Keijo T. (författare)
- The Finnish Arthroplasty Register,Finnish National Institute for Health and Welfare,Turku University Hospital
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- Hailer, Nils P. (författare)
- Uppsala universitet,Uppsala University,The Swedish Hip Arthroplasty Registry, Registercentrum Västra Götaland, Gothenburg, Sweden,Ortopedi
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(creator_code:org_t)
- 2020-11-04
- 2021
- Engelska.
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Ingår i: Acta Orthopaedica. - : Medical Journals Sweden AB. - 1745-3674 .- 1745-3682. ; 92:1, s. 47-53
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Abstract
Ämnesord
Stäng
- Background and purpose — Current literature indicates no difference in 90-day mortality after cemented compared with cementless total hip arthroplasty (THA). However, previous studies are hampered by potential selection bias and suboptimal adjustment for comorbidity confounding. Therefore, we examined the comorbidity-adjusted mortality up to 90 days after cemented compared with cementless THA performed due to osteoarthritis. Patients and methods — Using the Nordic Arthroplasty Register Association database, 2005–2013, we included 108,572 cemented and 80,034 cementless THA due to osteoarthritis. We calculated the Charlson comorbidity index of each patient based on data from national patient registers. The Kaplan–Meier method was used to estimate unadjusted all-cause mortality. Cox regression was used to estimate hazard ratios (HR) with 95% confidence intervals (CI) for 14, 30-, and 90-day mortality comparing cemented with cementless THA, adjusting for age, sex, comorbidity, nation, and year of surgery. Results — Cumulative all-cause mortality within 90 days was 0.41% (CI 0.37–0.46) after cemented and 0.26% (CI 0.22–0.30) after cementless THA. The adjusted HR for cemented vs. cementless fixation was 0.97 (CI 0.79–1.2), and similar risk estimates were obtained for mortality within 14 (adjusted HR 0.91 [CI 0.64–1.3]) and 30 days (adjusted HR 0.94 [CI 0.71–1.3]). We found no clinically relevant differences in mortality between cemented and cementless THA in analyses stratified by age, sex, Charlson comorbidity index, or year of surgery. Interpretation — After adjustment for comorbidity as an important confounder, we observed similar early mortality between the 2 fixation techniques.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
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Till lärosätets databas
- Av författaren/redakt...
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Pedersen, Alma B ...
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Mailhac, Aurélie
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Garland, Anne
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Overgaard, Søren
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Furnes, Ove
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Lie, Stein Atle
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visa fler...
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Fenstad, Anne Ma ...
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Rogmark, Cecilia
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Kärrholm, Johan, ...
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Rolfson, Ola, 19 ...
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Haapakoski, Jaas ...
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Eskelinen, Antti
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Mäkelä, Keijo T.
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Hailer, Nils P.
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Ortopedi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Folkhälsovetensk ...
- Artiklar i publikationen
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Acta Orthopaedic ...
- Av lärosätet
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Lunds universitet
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Uppsala universitet
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Göteborgs universitet