{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:43:35Z","timestamp":1760921015747,"version":"build-2065373602"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,1,10]],"date-time":"2015-01-10T00:00:00Z","timestamp":1420848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,1,10]],"date-time":"2015-01-10T00:00:00Z","timestamp":1420848000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To determine predictors of mortality up to 10 post\u2010operative years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort of 1,569 consecutive patients who underwent primary cementless total knee arthroplasty (TKA) for osteoarthritis was prospectively evaluated. Patient mortality was compared to the general population using standardized mortality ratios (SMR). The effects on patient mortality and surgical data, as well as post\u2010operative outcomes, were analysed using Cox regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 10\u2010year survival was 88.9 % in females and 73.4 % in males (<jats:italic>p<\/jats:italic> = 0.001). The SMR were higher for females under 50 years (213.1 %) and for males over 70 years (170.5 %). Aged 70 or older and male gender were predictive for mortality in any post\u2010operative time. Lengthening of the follow\u2010up time showed different patterns of other risk mortality factors. Within 8 years, high Charlson index, poorer post\u2010operative clinical status, and quality of life were also associated with an increased mortality risk, and obesity was protective factor. However, 10\u2010year mortality was only associated with age, female gender, post\u2010operative walking disability, and increasing post\u2010operative WOMAC pain score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this study, patient\u2010related factors that can help identify patients at risk were only age and gender, while recovery of walking ability, WOMAC pain, and SF\u201012\u00a0mental component were important survival factors among post\u2010operative factors. This study identified important patient\u2010related predictors of mortality after TKA, which may be useful in order to inform the patients of the potential risks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-015-3502-2","type":"journal-article","created":{"date-parts":[[2015,1,9]],"date-time":"2015-01-09T09:53:42Z","timestamp":1420797222000},"page":"1848-1855","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Ten\u2010year mortality risk predictors after primary total knee arthroplasty for osteoarthritis"],"prefix":"10.1002","volume":"23","author":[{"given":"Alejandro","family":"Lizaur\u2010Utrilla","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Elda University Hospital Ctra Elda\u2010Sax s\/n 03600 Elda, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Santiago","family":"Gonzalez\u2010Parre\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Elda University Hospital Ctra Elda\u2010Sax s\/n 03600 Elda, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco A.","family":"Miralles\u2010Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Elda University Hospital Ctra Elda\u2010Sax s\/n 03600 Elda, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando A.","family":"Lopez\u2010Prats","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Faculty of Medicine Miguel Hernandez University Elche, Alicante Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,1,10]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"American Society of Anesthesiologists(2008)Relative value guide 2008.http:\/\/www.asahq.org"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00018"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00021220"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021\u20109681(87)90171\u20108"},{"key":"e_1_2_7_6_1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/00003086-197309000-00003","article-title":"The nine and ten year results of the low\u2010friction arthroplasty of the hip","volume":"95","author":"Charnley J","year":"1973","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.94B2.28114"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200303000-00005"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198911000-00004"},{"key":"e_1_2_7_10_1","unstructured":"Instituto Nacional de Estad\u00edstica Espa\u00f1a(2012)Tablas de mortalidad.Serie 2002\u20102011. Comunidad Valenciana.http:\/\/www.ine.es\/jaxi\/tabla.do"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2012.752691"},{"key":"e_1_2_7_12_1","first-page":"219","article-title":"Standardized mortality ratios and fatal pulmonary embolism rates following total knee replacement: a cohort of 936 consecutive cases","volume":"15","author":"Khan A","year":"2002","journal-title":"J Knee Surg"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01882"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d1165"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2003.50095"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200108000-00004"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.89B5.18355"},{"key":"e_1_2_7_18_1","first-page":"428","article-title":"Patient characteristics affecting the prognosis of total hip and knee joint arthroplasty: a systematic review","volume":"51","author":"Santaguida PL","year":"2008","journal-title":"Can J Surg"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264\u2010013\u20101862\u20100"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453679809002353"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.03.008"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115507"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.85B1.12992"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650\u2010199603000\u201000003"},{"volume-title":"Obesity: preventing and managing the global epidemic","year":"2000","author":"World Health Organization","key":"e_1_2_7_25_1"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301\u2010620X.89B1.17790"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00167-015-3502-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00167-015-3502-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00167-015-3502-2","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T14:17:48Z","timestamp":1760883468000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/s00167-015-3502-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,10]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,6]]}},"alternative-id":["10.1007\/s00167-015-3502-2"],"URL":"https:\/\/doi.org\/10.1007\/s00167-015-3502-2","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"type":"print","value":"0942-2056"},{"type":"electronic","value":"1433-7347"}],"subject":[],"published":{"date-parts":[[2015,1,10]]}}}