1. Knee and hip arthroplasty joint surgical site wound infection in end‐stage renal disease subjects who underwent dialysis or a kidney transplant: A meta‐analysis.
- Author
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Luo, Yankun, Gong, Junfeng, and Yang, Shuyuan
- Subjects
RISK of prosthesis complications ,TREATMENT of chronic kidney failure ,INFECTION risk factors ,CHRONIC kidney failure ,MEDICAL databases ,ONLINE information services ,TOTAL knee replacement ,TOTAL hip replacement ,META-analysis ,CONFIDENCE intervals ,MEDICAL information storage & retrieval systems ,SYSTEMATIC reviews ,KIDNEY transplantation ,PATIENTS ,SURGERY ,RISK assessment ,INFECTION ,SURGICAL site infections ,DESCRIPTIVE statistics ,HEMODIALYSIS ,ODDS ratio ,MEDLINE ,TRANSPLANTATION of organs, tissues, etc. ,COMPLICATIONS of prosthesis ,DISEASE risk factors - Abstract
A meta‐analysis study to assess the knee and hip arthroplasty joint surgical site wound infection (SSWI) in end‐stage renal disease (ESRD) subjects who underwent dialysis or a kidney transplant (KT). A comprehensive literature examination till February 2023 was implemented and 1046 linked studies were appraised. The picked studies contained 5 471 898 subjects with total joint arthroplasty (TJA) at the baseline, 13 049 of them were haemodialysis or renal transplant, and 5 458 849 were control. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were used to calculate the consequence of knee and hip arthroplasty SSWI in ESRD subjects who underwent dialysis or a KT by the dichotomous and continuous styles and a fixed or random model. Haemodialysis or renal transplant had a significantly higher postoperative SSWI (OR, 2.13; 95% CI, 1.73–2.62, P <.001) compared with control in TJA subjects. However, no significant difference was observed between haemodialysis and renal transplant in postoperative SSWI (OR, 0.93; 95% CI, 0.16–5.54, P =.94) and between haemodialysis or renal transplant and control in prosthetic joint infection (OR, 1.07; 95% CI, 0.25–4.55, P =.93) in TJA subjects. Haemodialysis had a significantly higher prosthetic joint infection (OR, 1.92; 95% CI, 1.21–3.03, P =.005) compared with renal transplant in TJA subjects. Haemodialysis or renal transplant had a significantly higher postoperative SSWI in TJA subjects. Also, haemodialysis had a significantly higher prosthetic joint infection compared with renal transplant in TJA subjects. Although precautions should be taken when commerce with the consequences because a low number of selected studies was picked for certain comparisons in this meta‐analysis. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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