Cushing's Syndrome Is Associated With Early Medical- and Surgical-Related Complications Following Total Joint Arthroplasty: A National Database Study. (Record no. 13851)

MARC details
000 -LEADER
fixed length control field 03198nam a22004577a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240122s20232023xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0883-5403
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1016/j.arth.2023.06.010 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0883-5403(23)00648-4 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 37315630
266 ## - Date added to catalog
Date added to catalog 2024-01-22
245 ## - TITLE STATEMENT
Title Cushing's Syndrome Is Associated With Early Medical- and Surgical-Related Complications Following Total Joint Arthroplasty: A National Database Study.
251 ## - Source
Source Journal of Arthroplasty. 38(12):2568-2572, 2023 Dec.
252 ## - Abbreviated Source
Abbreviated source J Arthroplasty. 38(12):2568-2572, 2023 Dec.
253 ## - Journal Name
Journal name The Journal of arthroplasty
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2023
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2023 Dec
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status ppublish
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status Publisher
501 ## - WITH NOTE
Local holdings Available online from MWHC library: 1995 - present
520 ## - SUMMARY, ETC.
Abstract BACKGROUND: Cushing's syndrome (CS) is a disorder characterized by exposure to supraphysiologic levels of glucocorticoids. The purpose of this study was to evaluate the association between CS and postoperative complication rates following total joint arthroplasty (TJA).
520 ## - SUMMARY, ETC.
Abstract CONCLUSION: CS is associated with early medical- and surgical-related complications following TJA and a reduced incidence of MUA following TKA. Copyright © 2023 Elsevier Inc. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract METHODS: Patients diagnosed with CS undergoing TJA for degenerative etiologies were identified from a large national database and matched 1:5 to a control cohort using propensity scoring. Propensity score matching resulted in 1,059 total hip arthroplasty (THA) patients with CS matched to 5,295 control THA patients and 1,561 total knee arthroplasty (TKA) patients with CS matched to 7,805 control TKA patients. Rates of medical complications occurring within 90 days of TJA and surgical-related complications occurring within 1 year of TJA were compared using odds ratios (ORs).
520 ## - SUMMARY, ETC.
Abstract RESULTS: The THA patients with CS had higher incidences of pulmonary embolism (OR 2.21, P = .0026), urinary tract infection (UTI) (OR 1.29, P = .0417), pneumonia (OR 1.58, P = .0071), sepsis (OR 1.89, P = .0134), periprosthetic joint infection (OR 1.45, P = .0109), and all-cause revision surgery (OR 1.54, P = .0036). The TKA patients with CS had significantly higher incidences of UTI (OR 1.34, P = .0044), pneumonia (OR 1.62, P = .0042), and dislocation (OR 2.43, P = .0049) and a lower incidence of manipulation under anesthesia (MUA) (OR 0.63, P = .0027).
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Union Memorial Hospital
656 ## - INDEX TERM--OCCUPATION
Department Orthopaedic Surgery
656 ## - INDEX TERM--OCCUPATION
Department Orthopaedic Surgery Residency
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Boucher, Henry R
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Hasenauer, Mark D
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors McCormick, Brian P
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors McKinstry, Robert P
Institution Code MUMH
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Sequeira, Sean
Institution Code MUMH
Program Orthopaedic Surgery Residency
Degree MD
790 ## - Authors
All authors McCormick BP, Sequeira SB, Hasenauer MD, McKinstry RP, Boucher HR
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1016/j.arth.2023.06.010">https://dx.doi.org/10.1016/j.arth.2023.06.010</a>
Public note https://dx.doi.org/10.1016/j.arth.2023.06.010
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 01/22/2024   37315630 37315630 01/22/2024 01/22/2024 Journal Article

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