{"doi":"10.1111/os.13589","title":"A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease","abstract":"<jats:sec><jats:title>Objective</jats:title><jats:p>With the rising prevalence of chronic kidney disease (CKD) and the increasing demand for joint arthroplasty, the management of CKD patients in the perioperative period of joint arthroplasty has become an issue worthy of attention for orthopedic surgeons. This study aimed to explore comprehensive perioperative period management strategies for CKD patients.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>From March 2017 to August 2022, 62 patients who underwent joint arthroplasty in our hospital were included in a retrospective study, including 31 CKD patients (mean age 69.8 ± 13.4 years old) and 31 non‐CKD patients (mean age 69.4 ± 14.2 years old). The outcome indicators were analyzed, including serum urea, serum creatinine, blood uric acid, hematocrit, and hemoglobin.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>All patients included in the retrospective study had an average preoperative preparation time of 4.3 ± 2.6 days and an average hospitalization time of 11.0 ± 7.3 days. There were no significant differences in the changes in the serum urea values between the preoperative and postoperative measurements in the CKD patients or in the serum creatinine values and blood uric acid values (<jats:italic>P</jats:italic> &gt; 0.05). The hemoglobin value in postoperative measurements was lower than in preoperative measurements in the CKD patients (<jats:italic>P</jats:italic> &lt; 0.05). The hematocrit value in postoperative measurements was lower than in preoperative measurements in the CKD patients (<jats:italic>P</jats:italic> &lt; 0.001).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Patients with CKD have distinct characteristics compared to non‐CKD patients, and they generally have a higher risk for postoperative complications and adverse events. Recognition of risk factors, suitable timing of surgery, the undertaking of protective strategies, and proper management of complications are vital for managing CKD patients in the perioperative period of joint arthroplasty.</jats:p></jats:sec>","journal":"Orthopaedic Surgery","year":2023,"id":642982,"datarank":0.24141568686511508,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"self_citation_contribution":0.24141568686511508,"citation_network_contribution":0.0,"self_endowment_contribution":0.24141568686511508,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":4,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":143368,"name":"Miao He","orcid":"0000-0002-9918-3729","position":1,"is_corresponding":false},{"id":640623,"name":"Guang Yang","orcid":"0000-0001-9198-3556","position":2,"is_corresponding":false},{"id":1341160,"name":"Wenqing Xie","orcid":"0000-0001-9810-7372","position":3,"is_corresponding":false},{"id":981067,"name":"Dengjie Yu","orcid":"0000-0002-0185-7271","position":4,"is_corresponding":false},{"id":1341161,"name":"Hengzhen Li","orcid":"0000-0002-1140-3660","position":5,"is_corresponding":false},{"id":1341164,"name":"Wenfeng Xiao","orcid":"0000-0003-0515-3113","position":6,"is_corresponding":false},{"id":667622,"name":"Yusheng Li","orcid":"0000-0003-2437-0295","position":7,"is_corresponding":false},{"id":1341162,"name":"Hongfu Jin","orcid":"0000-0002-7207-9147","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease","abstract":"<jats:sec><jats:title>Objective</jats:title><jats:p>With the rising prevalence of chronic kidney disease (CKD) and the increasing demand for joint arthroplasty, the management of CKD patients in the perioperative period of joint arthroplasty has become an issue worthy of attention for orthopedic surgeons. This study aimed to explore comprehensive perioperative period management strategies for CKD patients.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>From March 2017 to August 2022, 62 patients who underwent joint arthroplasty in our hospital were included in a retrospective study, including 31 CKD patients (mean age 69.8 ± 13.4 years old) and 31 non‐CKD patients (mean age 69.4 ± 14.2 years old). The outcome indicators were analyzed, including serum urea, serum creatinine, blood uric acid, hematocrit, and hemoglobin.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>All patients included in the retrospective study had an average preoperative preparation time of 4.3 ± 2.6 days and an average hospitalization time of 11.0 ± 7.3 days. There were no significant differences in the changes in the serum urea values between the preoperative and postoperative measurements in the CKD patients or in the serum creatinine values and blood uric acid values (<jats:italic>P</jats:italic> &gt; 0.05). The hemoglobin value in postoperative measurements was lower than in preoperative measurements in the CKD patients (<jats:italic>P</jats:italic> &lt; 0.05). The hematocrit value in postoperative measurements was lower than in preoperative measurements in the CKD patients (<jats:italic>P</jats:italic> &lt; 0.001).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Patients with CKD have distinct characteristics compared to non‐CKD patients, and they generally have a higher risk for postoperative complications and adverse events. Recognition of risk factors, suitable timing of surgery, the undertaking of protective strategies, and proper management of complications are vital for managing CKD patients in the perioperative period of joint arthroplasty.</jats:p></jats:sec>","is_dataset_classified":null,"base_score":1.6094379124341003,"endowment":1.6094379124341003,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"36453119","pmcid":"PMC9891927","openalex_id":"https://openalex.org/W4310535988","authors":[],"funders":[{"funder_name":"National Natural Science Foundation of China","grant_id":"82072506","title":null},{"funder_name":"National Natural Science Foundation of China","grant_id":"81874030","title":null},{"funder_name":"National Natural Science Foundation of China","grant_id":"82272611","title":null},{"funder_name":"Wu Jieping Medical Foundation","grant_id":"320.6750.2020‐03‐14","title":null},{"funder_name":"Wu Jieping Medical Foundation","grant_id":"320.6750.2020-03-14","title":null},{"funder_name":"Innovation-Driven Project of Central South University","grant_id":"2020CX045","title":null},{"funder_name":"Provincial Clinical Medical Technology Innovation Project of Hunan","grant_id":"2020SK53709","title":null},{"funder_name":"Hunan Young Talents of Science and Technology","grant_id":"2021RC3025","title":null},{"funder_name":"National Clinical Research Center for Geriatric Disorders","grant_id":"2021KFJJ02","title":null},{"funder_name":"Exploration and Innovation Project for Undergraduate Students of Central South University","grant_id":"XCX2021046","title":null},{"funder_name":"National Clinical Research Center for Orthopedics, Sports Medicine and Rehabilitation","grant_id":"2021-NCRC-CXJJ-PY-40","title":null}],"total_grants":11,"fwci":0.4202,"citation_percentile":0.6302524,"influential_citations":0,"citation_trend":[{"year":2025,"count":2},{"year":2026,"count":2}],"oa_status":"gold","license":"cc-by-nc","oa_locations":[{"url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/os.13589","host_type":"journal"},{"url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/os.13589","host_type":"publisher"},{"url":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/os.13589","host_type":"publisher"},{"url":"https://onlinelibrary.wiley.com/doi/full-xml/10.1111/os.13589","host_type":"publisher"},{"url":"https://doi.org/10.1111/os.13589","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/36453119","host_type":"repository"},{"url":"https://doaj.org/article/f615a68c1f83407dab8fa3d261b7c1e8","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9891927","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC9891927","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC9891927?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Total Knee Arthroplasty Outcomes","Bone and Joint Diseases","Parathyroid Disorders and Treatments"],"mesh_terms":["Aged","Aged, 80 and over","Creatinine","Hemoglobins","Humans","Middle Aged","Retrospective Studies","Risk Factors","Urea","Uric Acid","Arthroplasty, Replacement, Hip","Renal Insufficiency, Chronic","Perioperative Period"],"keywords":["Medicine","Perioperative","Kidney disease","Hematocrit","Retrospective cohort study","Creatinine","Uric acid","Surgery","Arthroplasty","Blood management","Internal medicine","Renal function","Chronic Kidney Disease","perioperative period","Joint Arthroplasty"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[{"name":"doi"}],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-08T11:21:46.683359Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}