{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:55:49Z","timestamp":1792166149133,"version":"4.4.0"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:00:00Z","timestamp":1792108800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To determine whether diabetes mellitus is associated with higher systemic and hip\u2010specific complications and to evaluate reoperation rates after hip arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using the TriNetX Research Network and Current Procedural Terminology\u00a0and International Classification of Diseases\u00a0codes, we identified diabetic and nondiabetic patients aged 12 to 65 years who underwent hip arthroscopy between 2005 and 2025. Ninety\u2010day systemic complications and 6\u2010month, 1\u2010year, and 3\u2010year hip\u2010specific outcomes were evaluated. Propensity score matching (1:1) was performed on 35 demographic and comorbidity variables. Risk analyses, Kaplan\u2010Meier curves, and Cox proportional hazards models compared outcomes, with significance set at\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After matching, 1784 diabetic and 1784 nondiabetic patients were included. At 90 days, diabetes was associated with a higher hospital admission rate (odds ratio [OR] 1.83, 95% confidence interval [CI] 1.16\u20102.87,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.01). Diabetic patients had higher rates of subsequent hip arthroscopy at 1 year (OR 1.42, 95% CI 1.12\u20101.79,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.004) and 3 years (OR 1.39, 95% CI 1.14\u20101.69,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.001). Rates of arthroscopic irrigation and debridement were higher in patients with diabetes at 6 months (OR 1.81, 95% CI 1.09\u20103.00,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.019), 1 year (OR 1.96, 95% CI 1.32\u20102.92,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.001), and 3 years (OR 1.75, 95% CI 1.29\u20102.37,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Infection diagnoses were also higher among diabetic patients at 6 months (OR 1.64, 95% CI 1.06\u20102.52,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.033) and 3 years (OR 1.70, 95% CI 1.24\u20102.33,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.008).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Diabetes was not associated with higher rates of most early systemic complications after hip arthroscopy, although hospital admissions were more common among patients with diabetes. Diabetes was associated with higher rates of subsequent hip arthroscopy procedures, arthroscopic irrigation and debridement, and infection diagnoses after index hip arthroscopy; however, these findings should be interpreted in the context of database limitations, including the inability to confirm laterality or ipsilateral revision status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ars2.70105","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:32:02Z","timestamp":1792164722000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diabetes Mellitus Is Associated With Increased Risk for Subsequent Hip Arthroscopy After Index Hip Arthroscopy"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3248-7082","authenticated-orcid":false,"given":"Nicholas J.","family":"Morriss","sequence":"first","affiliation":[{"name":"Department of Orthopaedics University of Rochester Medical Center  Rochester New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Harrington","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Rochester Medical Center  Rochester New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0880-0793","authenticated-orcid":false,"given":"Jacob","family":"Waldron","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Rochester Medical Center  Rochester New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2021-7587","authenticated-orcid":false,"given":"Brian","family":"Giordano","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics University of Rochester Medical Center  Rochester New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,16]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.arthro.2021.04.049","article-title":"The incidence of hip arthroscopy in patients with femoroacetabular impingement syndrome and labral pathology increased by 85% between 2011 and 2018 in the United States","volume":"38","author":"Zusmanovich M","year":"2022","journal-title":"Arthroscopy."},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.5435\/JAAOS-D-22-01112","article-title":"Diabetes in orthopaedic sports medicine surgeries standard review","volume":"32","author":"Morriss N","year":"2024","journal-title":"J Am Acad Orthop Surg."},{"key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"2117","DOI":"10.2106\/JBJS.22.00149","article-title":"Perioperative identification and management of hyperglycemia in orthopaedic surgery","volume":"104","author":"Lamanna DL","year":"2022","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1007\/s11892-017-0839-6","article-title":"Management of hyperglycemia and diabetes in orthopedic surgery","volume":"17","author":"Akiboye F","year":"2017","journal-title":"Curr Diab Rep"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"1473","DOI":"10.1056\/NEJMe1616575","article-title":"Increase in the incidence of diabetes and its implications","volume":"376","author":"Ingelfinger JR","year":"2017","journal-title":"N Engl J Med"},{"key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1016\/j.arthro.2017.11.034","article-title":"Not all patients with diabetes have the same risks: Perioperative glycemic control is associated with postoperative infection following knee arthroscopy","volume":"34","author":"Cancienne JM","year":"2018","journal-title":"Arthroscopy"},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.3928\/01477447-20210621-02","article-title":"Diabetes mellitus is not a negative prognostic factor for patients undergoing hip arthroscopy","volume":"44","author":"Perets I","year":"2021","journal-title":"Orthopedics"},{"key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1016\/j.arthro.2018.10.108","article-title":"Body mass index as a risk factor for 30\u2010day postoperative complications in knee, hip, and shoulder arthroscopy","volume":"35","author":"Nicolay RW","year":"2019","journal-title":"Arthroscopy"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"S321","DOI":"10.2337\/dc25-S016","article-title":"16. 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