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Fibromyalgia Increases the Risk of Surgical Complications Following Total Knee Arthroplasty: A Nationwide Database Study.

Publication ,  Journal Article
Sodhi, N; Moore, T; Vakharia, RM; Leung, P; Seyler, TM; Roche, MW; Mont, MA
Published in: J Arthroplasty
September 2019

BACKGROUND: Although fibromyalgia is a common comorbidity with knee osteoarthritis, the orthopedic literature on this population is limited. Therefore, the purpose of this study is to assess if fibromyalgia patients have a higher likelihood of developing surgical complications after total knee arthroplasty (TKA) than a matched control cohort. METHODS: The Medicare Standard Analytical Files of the PearlDiver supercomputer was utilized to identify patients who underwent a TKA between 2005 and 2014. Patients were 1:1 propensity score matched based on the diagnosis of fibromyalgia, age, gender, and the Charlson Comorbidity Index, yielding a total of 305,510 patients. Odds ratios (ORs), 95% confidence intervals (95% CIs), and P-values (<.05) were calculated to examine the likelihood of developing any surgical complication, as well as specific surgical complications. RESULTS: Compared to a matched cohort, fibromyalgia patients had increased odds of developing any surgical complication (OR 1.55, 95% CI 1.51-1.60, P < .001), such as bearing wear (OR 2.11, 95% CI 1.48-3.01, P < .0001) and periprosthetic osteolysis (OR 1.71, 95% CI 1.10-2.66, P = .018). Furthermore, these patients had significantly greater odds of developing revision of tibial insert (OR 1.5, 95% CI 1.14-2.05, P = .046), mechanical loosening (OR 1.34, 95% CI 1.26-1.53, P < .0001), infection/inflammation (OR 1.33, 95% CI 1.26-1.14, P < .0001), dislocations (OR 1.33, 95% CI 1.21-1.47, P < .0001), as well as other complications (OR 1.74, 95% CI 1.68-1.80, P < .0001). CONCLUSION: This analysis of over 300,000 patients identified that fibromyalgia patients can have a greater risk of developing certain surgical complications after TKA. Therefore, fibromyalgia patients must be made aware of the increased postoperative risks and surgeons should consider enhanced preoperative medical and surgical optimization.

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Published In

J Arthroplasty

DOI

EISSN

1532-8406

Publication Date

September 2019

Volume

34

Issue

9

Start / End Page

1953 / 1956

Location

United States

Related Subject Headings

  • United States
  • Risk Factors
  • Retrospective Studies
  • Propensity Score
  • Postoperative Period
  • Postoperative Complications
  • Osteoarthritis, Knee
  • Orthopedics
  • Odds Ratio
  • Medicare
 

Citation

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ICMJE
MLA
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Sodhi, N., Moore, T., Vakharia, R. M., Leung, P., Seyler, T. M., Roche, M. W., & Mont, M. A. (2019). Fibromyalgia Increases the Risk of Surgical Complications Following Total Knee Arthroplasty: A Nationwide Database Study. J Arthroplasty, 34(9), 1953–1956. https://doi.org/10.1016/j.arth.2019.04.023
Sodhi, Nipun, Tara Moore, Rushabh M. Vakharia, Patrick Leung, Thorsten M. Seyler, Martin W. Roche, and Michael A. Mont. “Fibromyalgia Increases the Risk of Surgical Complications Following Total Knee Arthroplasty: A Nationwide Database Study.J Arthroplasty 34, no. 9 (September 2019): 1953–56. https://doi.org/10.1016/j.arth.2019.04.023.
Sodhi N, Moore T, Vakharia RM, Leung P, Seyler TM, Roche MW, et al. Fibromyalgia Increases the Risk of Surgical Complications Following Total Knee Arthroplasty: A Nationwide Database Study. J Arthroplasty. 2019 Sep;34(9):1953–6.
Sodhi, Nipun, et al. “Fibromyalgia Increases the Risk of Surgical Complications Following Total Knee Arthroplasty: A Nationwide Database Study.J Arthroplasty, vol. 34, no. 9, Sept. 2019, pp. 1953–56. Pubmed, doi:10.1016/j.arth.2019.04.023.
Sodhi N, Moore T, Vakharia RM, Leung P, Seyler TM, Roche MW, Mont MA. Fibromyalgia Increases the Risk of Surgical Complications Following Total Knee Arthroplasty: A Nationwide Database Study. J Arthroplasty. 2019 Sep;34(9):1953–1956.
Journal cover image

Published In

J Arthroplasty

DOI

EISSN

1532-8406

Publication Date

September 2019

Volume

34

Issue

9

Start / End Page

1953 / 1956

Location

United States

Related Subject Headings

  • United States
  • Risk Factors
  • Retrospective Studies
  • Propensity Score
  • Postoperative Period
  • Postoperative Complications
  • Osteoarthritis, Knee
  • Orthopedics
  • Odds Ratio
  • Medicare