2013
DOI: 10.1111/hiv.12084
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Abstract: ObjectivesThis was a cross-sectional study with a nested case−control analysis among a cohort of HIV-infected adults aiming to explore the prevalence of and risk factors for elective hip surgery (total hip arthroplasty and resurfacing). MethodsCases were identified from the out-patient database of HIV-infected adults attending one tertiary hospital service. For each case, five controls from the same database matched by age, gender and ethnicity were identified. From the case notes, information about demographi… Show more

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Cited by 2 publications
(2 citation statements)
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References 24 publications
(33 reference statements)
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“…Therefore, the number of HIV-1-infected people is rapidly increasing. 6 HIV-1-infected people are prone to developing diseases that require surgical treatment, 7 such as appendicitis, liver cancer, and thighbone fracture. It is anticipated that there will be a corresponding increase in surgical workload for HIV-1-infected patients.…”
Section: Introductionmentioning
confidence: 99%
“…The principal risk factors are the same as those found in the general population, namely male gender, glucocorticoid use, excess alcohol and hypogonadism. Having observed that a significant number of patients with HIV had required total hip replacement (despite the median age of the cohort being 42 years), we undertook a case-control study, comparing the past exposures of the cases with a total hip replacement with 5 controls matched for age, gender and ethnicity [48]. Overwhelmingly the single most important risk factor for hip replacement, performed at a median age of 47 years, was exposure to systemic glucocorticoids (OR 44.6, p<0.0001), which had occurred in many cases at the time of their presentation with newly-diagnosed HIV and pneumocystis pneumonia.…”
Section: Avascular Necrosismentioning
confidence: 99%