Sex-based differences in the outcomes of total hip and knee arthroplasty: a narrative review.
Annabelle L C ChoongCade ShadboltMichelle M DowseyPeter F M ChoongPublished in: ANZ journal of surgery (2020)
Total joint arthroplasty (TJA) is an effective treatment for end-stage osteoarthritis, which aims to alleviate pain and improve function and mobility. Despite the remarkable success of TJA, complications can arise, leading to unplanned hospital readmission, implant failure, morbidity and mortality. Recently, there has been a growing interest in analysing sex-based differences in diseases and response to medical interventions. This review summaries evidence pertaining to the widening gap between men and women regarding the utilization and outcome of TJA surgery. Interactions between sex and patient-reported outcome, implant failure and medical complication are complex and often demonstrate conflicting results. Significantly, there is a global consensus that men are at a higher risk of developing prosthetic joint infection following joint arthroplasty. Guided by the literature, there is a clear need for standardized methods of collecting, analysing and reporting sex-specific data to improve outcomes for both men and women who undergo TJA.
Keyphrases
- total hip
- patient reported outcomes
- healthcare
- total knee arthroplasty
- minimally invasive
- chronic pain
- systematic review
- adverse drug
- rheumatoid arthritis
- soft tissue
- physical activity
- pain management
- electronic health record
- coronary artery bypass
- risk factors
- big data
- type diabetes
- coronary artery disease
- machine learning
- combination therapy
- skeletal muscle
- glycemic control
- deep learning