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Gender differences for hip and knee arthroplasty: Complications and healthcare utilization

Journal of Arthroplasty Apr 05, 2019

Basques BA, et al. - Investigators studied 6,123,637 subjects to analyze the significant impact of the candidate's gender on outcomes after total hip arthroplasty (THA) and total knee arthroplasty (TKA). They observed younger males with lower obesity rates, a greater Elixhauser comorbidity index, and more commonly had private-payer insurance when compared to females. They noted an association of male sex with a statistically significant incline in the rates of death, acute kidney injury, cardiac arrest, myocardial infarction, pneumonia, sepsis, surgical site infection, and wound dehiscence. Although, they observed a lower rate of any adverse event, urinary tract infection, deep vein thrombosis/pulmonary embolism, and blood transfusion in male candidates.
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