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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 Feb 17, 2019

Huang PH, et al. - Among diabetic patients with varying levels of renal function, researchers assessed 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 recruited. Participants in the study 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). The results obtained from the population-based cohort study indicate that, following hip fracture fixation surgery, CKD was related to worse outcomes. Patients with CKD had a similar risk of infection and revision compared to patients without CKD, their risk of readmission and mortality was significantly higher.

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