Serious adverse events and lifetime risk of reoperation after elective shoulder replacement: population based cohort study using hospital episode statistics for England

BMJ : British Medical Journal
Richard S CraigJonathan L Rees

Abstract

To provide accurate risk estimates of serious adverse events after elective shoulder replacement surgery for arthritis, including age and sex specific estimates of the lifetime risk of revision surgery. Population based cohort study. Hospital episode statistics for NHS England, including civil registration mortality data. 58 054 elective shoulder replacements in 51 895 adults (aged ≥50 years) between April 1998 and April 2017. The lifetime risk of revision surgery, calculated using an actuarial life table approach and the cumulative probability method. Rates of serious adverse events at 30 and 90 days post-surgery: pulmonary embolism, myocardial infarction, lower respiratory tract infection, acute kidney injury, urinary tract infection, cerebrovascular events, and all cause death. Secondary outcome measures were the number of surgeries performed each year and Kaplan-Meier estimates of revision risk at 3, 5, 10, and 15 years. The number of shoulder replacements performed each year increased 5.6-fold between 1998 and 2017. Lifetime risks of revision surgery ranged from 1 in 37 (2.7%, 95% confidence interval 2.6% to 2.8%) in women aged 85 years and older to 1 in 4 (23.6%, 23.2% to 24.0%) in men aged 55-59 years. The risks of revis...Continue Reading

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Citations

Feb 1, 2020·Annals of the Royal College of Surgeons of England·A ChowdhuryIar MacLeod
Apr 18, 2020·Annals of the Royal College of Surgeons of England·P DacombeM R Whitehouse
Aug 3, 2020·Plastic and Reconstructive Surgery·Ruud W SellesUNKNOWN Hand-Wrist Study Group
Apr 30, 2020·Plastic and Reconstructive Surgery·Ruud W SellesUNKNOWN Hand-Wrist Study Group
Mar 16, 2021·Shoulder & Elbow·Jamie A NicholsonJulie McBirnie
Mar 7, 2021·Journal of Shoulder and Elbow Surgery·Jonathan P EvansChristopher D Smith
Sep 23, 2021·Journal of Medical Engineering & Technology·James Croucher, Aziza Mahomed

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