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Chronic kidney disease worsens health outcomes in diabetic patients after hip fracture surgery: An Asian nationwide population-based cohort study

Journal of Bone and Mineral Research Mar 21, 2019

Huang PH, et al. - In diabetic patients with different stages of renal function, researchers evaluated the surgical outcomes, readmission, and mortality rates following osteosynthesis of hip fractures. Between January 1997 and December 2013, diabetic patients who had primary osteosynthesis for hip fracture were assessed. Study participants were 44,065 patients, of whom 11,954 had chronic kidney disease (CKD; diabetic CKD group), 1,662 patients were receiving dialysis (diabetic dialysis group), and 30,449 patients had no CKD (diabetic non-CKD group). According to this population-based cohort study, after hip fracture fixation surgery, CKD was associated with worse results. Patients with CKD had a similar risk of infection and revision vs patients without CKD, but their risk of readmission and mortality was significantly higher. Compared with diabetic non-CKD patients and diabetic CKD patients, the diabetic dialysis group had a significantly higher risk of infection and revision surgery.

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