Outcomes of hip arthroplasty in Parkinson’s disease: a meta-analysis and systematic review

Autor: Kai Liu, Qiu Huang, Shan-Shan Chu, Yongcai Wang, Yu Zhang
Rok vydání: 2021
Předmět:
Zdroj: International Orthopaedics. 46:705-716
ISSN: 1432-5195
0341-2695
DOI: 10.1007/s00264-021-05228-6
Popis: Hip arthroplasty in Parkinson’s disease (PD) is considered to be associated with higher mortality, perioperative complications, and worse clinical outcomes. The purpose of this study was to evaluate the outcomes of hip arthroplasty in PD. The PUBMED, EMBASE, and Cochrane Library databases were searched for all available studies comparing the outcomes of hip arthroplasty in PD and non-PD patients. The quality of the studies was scored using the Newcastle–Ottawa scale (NOS). Meta-analysis was performed using Stata 12.0 software. Six retrospective cohort studies with a total of 59,878 patients were included. Among them, there were 15,313 patients in the Parkinson’s group and 44,565 in the non-Parkinson’s group. Results showed that patients in the Parkinson’s group were more likely to have periprosthetic fracture (OR = 7.93, 95% CI, 1.96–32.04; P = 0.004), revision surgery (OR = 2.33, 95% CI, 1.37–3.98; P = 0.002), deep vein thrombosis (OR = 2.34, 95% CI, 1.56–3.49; P
Databáze: OpenAIRE