Gender and Total Joint Arthroplasty: Variable Outcomes by Procedure Type
Aalok Patel, Christian Gronbeck, Monique C. Chambers, Melvin A. Harrington, Mohamad J. Halawi
Abstract
BACKGROUND: Recent reports on the influence of gender on the outcomes of total joint arthroplasty were limited by either lack of longitudinal data or absent stratification by total hip arthroplasty (THA) or total knee arthroplasty (TKA). As a result, there remains a lack of clarity on this topic. METHODS: The American College of Surgeons National Surgical Quality Improvement Program was queried for all primary, elective THAs and TKAs performed between 2011 and 2017. Differences in demographics, comorbidity profiles, operative time, hospital length of stay (LOS), and 30-day outcomes were compared between male and female patients. Multivariate analyses were performed separately for THA and TKA. RESULTS: < .001). Regardless of the procedure, females were 64%-82% more likely to require an LOS >2 days than males. DISCUSSION: A variable effect of gender was observed on the post-total joint arthroplasty LOS and outcomes depending on the procedure type (THA or TKA). Differences attributed to gender should be accounted for in risk-stratification models. Future studies are also needed to elucidate the underlying causes of gender differences in joint arthroplasty.