{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T19:27:46Z","timestamp":1773948466848,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2007,7,30]],"date-time":"2007-07-30T00:00:00Z","timestamp":1185753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[2007,8,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The number of individuals ages \u2265100 years in the US is expected to increase considerably in the future along with the need for arthroplasties. This report focuses on the poorly studied epidemiology and mortality outcomes of arthroplasty among these individuals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We describe the epidemiology of knee and hip arthroplasties among centenarians using data from a large hospital discharge database in the US (the Nationwide Inpatient Sample) during the period 1993 through 2002. We used nonagenarians as the comparison group with adjustment for differences in the prevalence of congestive heart failure, neurologic diseases such as dementia and stroke, renal and hepatic diseases, obesity, anemia, malignancy, coagulopathy, and depression and other psychiatric illnesses. Cox regression models were used to study the mortality outcomes following arthroplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, there were 679 hip arthroplasties and 7 knee arthroplasties among centenarians in this database. The corresponding figures for nonagenarians were 33,975 and 2,050, respectively. A vast majority (83%) of hip arthroplasty recipients were women. Risk\u2010adjusted mortality estimates following arthroplasty for centenarians were higher than for nonagenarians (hazard ratio 1.46, 95% confidence interval 1.10\u20131.95). However, this was similar to differences in overall in\u2010hospital mortality (hazard ratio 1.36, 95% confidence interval 1.32\u20131.40) between these 2 age categories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In the US population, hip and knee arthroplasty are very rarely performed among centenarians. Our in\u2010hospital mortality data suggest that arthroplasties should not be denied to centenarians solely because of short\u2010term postoperative life expectancy estimates.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.22888","type":"journal-article","created":{"date-parts":[[2007,7,30]],"date-time":"2007-07-30T16:48:41Z","timestamp":1185814121000},"page":"1038-1042","source":"Crossref","is-referenced-by-count":26,"title":["Primary knee and hip arthroplasty among nonagenarians and centenarians in the United States"],"prefix":"10.1002","volume":"57","author":[{"given":"Eswar","family":"Krishnan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James F.","family":"Fries","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Kent","family":"Kwoh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,7,30]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00826.x"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200403000-00006"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.21420"},{"key":"e_1_2_6_5_2","volume-title":"Population projections of the United States by age, sex, race, and hispanic origin: 1995 to 2050","author":"US Department of Commerce","year":"1996"},{"key":"e_1_2_6_6_2","volume-title":"Statistical models in epidemiology","author":"Clayton D","year":"1993"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000044908.25275.E1"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200401000-00029"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.4065\/78.3.285"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(03)00338-3"},{"key":"e_1_2_6_11_2","doi-asserted-by":"crossref","first-page":"407","DOI":"10.3928\/0147-7447-20040401-18","article-title":"In\u2010hospital deaths following elective total joint arthroplasty","volume":"27","author":"Rauh MA","year":"2004","journal-title":"Orthopedics"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(99)90002-5"},{"key":"e_1_2_6_13_2","volume-title":"Setting limits: medical goals in an aging society","author":"Callahan D","year":"1987"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199304153281506"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198007173030304"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/59.11.1195"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1993.01420190043006"},{"key":"e_1_2_6_18_2","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1177\/000313480006600916","article-title":"Intensive care unit outcomes of surgical centenarians: the \u201coldest old\u201d of the new millennium","volume":"66","author":"Wilson MT","year":"2000","journal-title":"Am Surg"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2004.02.004"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200101000-00007"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1982.tb01685.x"},{"key":"e_1_2_6_22_2","first-page":"25","volume-title":"US Bureau of Census Current Population Reports","author":"Day J","year":"1996"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02441"}],"container-title":["Arthritis Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.22888","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.22888","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T13:26:18Z","timestamp":1696944378000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/art.22888"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,7,30]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2007,8,15]]}},"alternative-id":["10.1002\/art.22888"],"URL":"https:\/\/doi.org\/10.1002\/art.22888","archive":["Portico"],"relation":{},"ISSN":["0893-7524","1529-0123"],"issn-type":[{"value":"0893-7524","type":"print"},{"value":"1529-0123","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,7,30]]}}}