Gout & crystal arthritis

Outcomes of total hip arthroplasty in calcium pyrophosphate deposition disease patients

Semin Arthritis RheumPublished Retrospective cohort study

Main finding · Mortality post-THAResult — go to the resultOdds ratio 0.35 95 % CI 0.26–0.47

Authors' conclusion

CPPD patients who underwent THA were more likely to be older, with a greater comorbidity burden, longer LOS and discharged to a non-home setting.

Study context

Population
Patients who underwent total hip arthroplasty (THA) (ICD-9 code 81.51), National Inpatient Sample, 2006–2014
Participants
4,111,808 patients
Exposure
THA in patients with CPPD vs without CPPD
  • CPPDn = 6,198
Outcome
Post-THA outcomes: mortality, length of stay (LOS) and costs
Methodological detailsNational Inpatient Sample database, 2006–2014
  • National Inpatient Sample database
  • 2006–2014

Main finding

Mortality post-THA

Odds ratio

0.35

95 % CI 0.26–0.47

By group

CPPDvs Non-CPPD
OR 0.35 (95 % CI 0.26–0.47)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Mean, days

OutcomeCPPDNon-CPPDOR (95 % CI)
Mean LOS6.045.151.15 (1.09–1.22)

Discharge to rehabilitation or other nursing facilities

P < 0.001

Mean age

P < 0.001

Mean total charges
P = 0.344

Mean total charges

Not statistically different between the 2 groups

Original publication

Outcomes of total hip arthroplasty in calcium pyrophosphate deposition disease patients. Semin Arthritis Rheum. Published 4 November 2023. doi:10.1016/j.semarthrit.2023.152300

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