Rheumatoid arthritis vs osteoarthritis in patients receiving total knee arthroplasty: perioperative outcomes

doi:10.1016/j.arth.2013.05.008

Comparative Study

. 2014 Feb;29(2):308-13.

doi: 10.1016/j.arth.2013.05.008. Epub 2013 Jun 12.

Rheumatoid arthritis vs osteoarthritis in patients receiving total knee arthroplasty: perioperative outcomes

Ottokar Stundner¹, Thomas Danninger¹, Ya-Lin Chiu², Xuming Sun², Susan M Goodman³, Linda A Russell³, Mark Figgie⁴, Madhu Mazumdar⁵, Stavros G Memtsoudis⁶

Affiliations

¹ Department of Anesthesiology, Hospital for Special Surgery, Weill Medical, College of Cornell University, New York, New York; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Salzburg, Austria.
² Department of Public Health, Division of Biostatistics and Epidemiology, Weill Medical College of Cornell University, New York, New York.
³ Department of Rheumatology, Hospital for Special Surgery, Weill Medical, College of Cornell University, New York, New York.
⁴ Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, New York.
⁵ Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Salzburg, Austria.
⁶ Department of Anesthesiology, Hospital for Special Surgery, Weill Medical, College of Cornell University, New York, New York.

PMID: 23764034
PMCID: PMC3784630
DOI: 10.1016/j.arth.2013.05.008

Comparative Study

Rheumatoid arthritis vs osteoarthritis in patients receiving total knee arthroplasty: perioperative outcomes

Ottokar Stundner et al. J Arthroplasty. 2014 Feb.

. 2014 Feb;29(2):308-13.

doi: 10.1016/j.arth.2013.05.008. Epub 2013 Jun 12.

Authors

Ottokar Stundner¹, Thomas Danninger¹, Ya-Lin Chiu², Xuming Sun², Susan M Goodman³, Linda A Russell³, Mark Figgie⁴, Madhu Mazumdar⁵, Stavros G Memtsoudis⁶

Affiliations

¹ Department of Anesthesiology, Hospital for Special Surgery, Weill Medical, College of Cornell University, New York, New York; Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Salzburg, Austria.
² Department of Public Health, Division of Biostatistics and Epidemiology, Weill Medical College of Cornell University, New York, New York.
³ Department of Rheumatology, Hospital for Special Surgery, Weill Medical, College of Cornell University, New York, New York.
⁴ Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, New York.
⁵ Department of Anesthesiology, Perioperative Medicine and Intensive Care Medicine, Paracelsus Medical University, Salzburg, Salzburg, Austria.
⁶ Department of Anesthesiology, Hospital for Special Surgery, Weill Medical, College of Cornell University, New York, New York.

PMID: 23764034
PMCID: PMC3784630
DOI: 10.1016/j.arth.2013.05.008

Abstract

There is a paucity of data available on perioperative outcomes of patients undergoing total knee arthroplasty (TKA) for rheumatoid arthritis (RA). We determined differences in demographics and risk for perioperative adverse events between patients suffering from osteoarthritis (OA) versus RA using a population-based approach. Of 351,103 entries for patients who underwent TKA, 3.4% had a diagnosis of RA. RA patients were on average younger [RA: 64.3 years vs OA: 66.6 years; P<0.001] and more likely female [RA: 79.2% vs OA: 63.2%; P<0. 001]. The unadjusted rates of mortality and most major perioperative adverse events were similar in both groups, with the exception of infection [RA: 4.5% vs. OA: 3.8%; P<0.001]. RA was not associated with increased adjusted odds for combined adverse events.

Keywords: arthroplasty knee; osteoarthritis; outcomes research; rheumatoid arthritis.

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[1] Bandi V. Airway problems in patients with rheumatologic disorders. Crit Care Clin. 2002;18:4. - PubMed

[2] Bandi V. Airway problems in patients with rheumatologic disorders. Crit Care Clin. 2002;18:4. - PubMed

[3] Bernatsky S. Anti-rheumatic drug use and risk of serious infections in rheumatoid arthritis. Rheumatology (Oxford) 2007;46:7. - PubMed

[4] Bernatsky S. Anti-rheumatic drug use and risk of serious infections in rheumatoid arthritis. Rheumatology (Oxford) 2007;46:7. - PubMed

[5] Bloxham E. Anaemia in rheumatoid arthritis: can we afford to ignore it? Postgrad Med J. 2011;87:1031. - PubMed

[6] Bloxham E. Anaemia in rheumatoid arthritis: can we afford to ignore it? Postgrad Med J. 2011;87:1031. - PubMed

[7] Bongartz T. Incidence and risk factors of prosthetic joint infection after total hip or knee replacement in patients with rheumatoid arthritis. Arthritis Rheum. 2008;59:12. - PMC - PubMed

[8] Bongartz T. Incidence and risk factors of prosthetic joint infection after total hip or knee replacement in patients with rheumatoid arthritis. Arthritis Rheum. 2008;59:12. - PMC - PubMed

[9] Bozic KJ. Patient-related risk factors for periprosthetic joint infection and postoperative mortality following total hip arthroplasty in Medicare patients. J Bone Joint Surg Am. 2012;94:9. - PubMed

[10] Bozic KJ. Patient-related risk factors for periprosthetic joint infection and postoperative mortality following total hip arthroplasty in Medicare patients. J Bone Joint Surg Am. 2012;94:9. - PubMed

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Rheumatoid arthritis vs osteoarthritis in patients receiving total knee arthroplasty: perioperative outcomes

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Rheumatoid arthritis vs osteoarthritis in patients receiving total knee arthroplasty: perioperative outcomes

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