{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T03:39:27Z","timestamp":1792121967561,"version":"4.4.0"},"reference-count":61,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroplastyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Arthroplasty"],"published-print":{"date-parts":[[2020,9]]},"DOI":"10.1016\/j.arth.2020.04.028","type":"journal-article","created":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T11:33:39Z","timestamp":1587468819000},"page":"2488-2494","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":46,"title":["Combined Malnutrition and Frailty Significantly Increases Complications and Mortality in Patients Undergoing Elective Total Hip Arthroplasty"],"prefix":"10.1016","volume":"35","author":[{"given":"Jacob M.","family":"Wilson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M.","family":"Schwartz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin X.","family":"Farley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas L.","family":"Bradbury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George N.","family":"Guild","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2020.04.028_bib1","doi-asserted-by":"crossref","first-page":"780","DOI":"10.2106\/00004623-200704000-00012","article-title":"Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030","volume":"89","author":"Kurtz","year":"2007","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2020.04.028_bib2","doi-asserted-by":"crossref","first-page":"2606","DOI":"10.1007\/s11999-009-0834-6","article-title":"Future young patient demand for primary and revision joint replacement: national projections from 2010 to 2030","volume":"467","author":"Kurtz","year":"2009","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2020.04.028_bib3","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.2106\/JBJS.N.01141","article-title":"Prevalence of total hip and knee replacement in the United States","volume":"97","author":"Maradit Kremers","year":"2015","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2020.04.028_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.arth.2020.02.030","article-title":"Projections and epidemiology of revision hip and knee arthroplasty in the United States to 2030","author":"Schwartz","year":"2020","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib5","first-page":"260","article-title":"The incidence of shoulder arthroplasty: rise and future projections compared to hip and knee arthroplasty","volume":"27","author":"Wagner","year":"2020","journal-title":"J\u00a0Shoulder Elbow Surg"},{"key":"10.1016\/j.arth.2020.04.028_bib6","first-page":"400","article-title":"Determinants of malnutrition and post-operative complications in hospitalized surgical patients","volume":"32","author":"Leandro-Merhi","year":"2014","journal-title":"J\u00a0Health Popul Nutr"},{"key":"10.1016\/j.arth.2020.04.028_bib7","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1080\/07315724.2004.10719365","article-title":"The influence of nutritional status on complications after major intraabdominal surgery","volume":"23","author":"Sungurtekin","year":"2004","journal-title":"J\u00a0Am Coll Nutr"},{"key":"10.1016\/j.arth.2020.04.028_bib8","first-page":"CD008879","article-title":"Pre-operative nutrition support in patients undergoing gastrointestinal surgery","volume":"11","author":"Burden","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.arth.2020.04.028_bib9","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1177\/000313480407001214","article-title":"Admission serum albumin is predicitve of outcome in critically ill trauma patients","volume":"70","author":"Sung","year":"2004","journal-title":"Am Surg"},{"key":"10.1016\/j.arth.2020.04.028_bib10","doi-asserted-by":"crossref","first-page":"193","DOI":"10.5435\/JAAOS-22-03-193","article-title":"Evaluation of malnutrition in orthopaedic surgery","volume":"22","author":"Cross","year":"2014","journal-title":"J\u00a0Am Acad Orthop Surg"},{"key":"10.1016\/j.arth.2020.04.028_bib11","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/BOT.0000000000001254","article-title":"Malnutrition and the orthopaedic trauma patient: a systematic review of the literature","volume":"32","author":"Ernst","year":"2018","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.arth.2020.04.028_bib12","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1097\/BOT.0000000000001386","article-title":"Frailty and malnutrition are associated with inpatient postoperative complications and mortality in hip fracture patients","volume":"33","author":"Wilson","year":"2019","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.arth.2020.04.028_bib13","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1016\/j.jhsa.2019.05.004","article-title":"The effect of malnutrition on postoperative complications following surgery for distal radius fractures","volume":"44","author":"Wilson","year":"2019","journal-title":"J\u00a0Hand Surg"},{"key":"10.1016\/j.arth.2020.04.028_bib14","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1097\/BOT.0000000000001448","article-title":"Hypoalbuminemia is an independent risk factor for 30-day mortality, postoperative complications, readmission, and reoperation in the operative lower extremity orthopaedic trauma patient","volume":"33","author":"Wilson","year":"2019","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.arth.2020.04.028_bib15","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1177\/1071100719895222","article-title":"Role of hypoalbuminemia as an independent predictor of 30-day postoperative complications following surgical fixation of ankle fractures","volume":"41","author":"Wilson","year":"2019","journal-title":"Foot Ankle Int"},{"key":"10.1016\/j.arth.2020.04.028_bib16","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1097\/BRS.0000000000001551","article-title":"Preoperative nutritional status is an independent predictor of 30-day hospital readmission after elective spine surgery","volume":"41","author":"Adogwa","year":"2016","journal-title":"Spine"},{"key":"10.1016\/j.arth.2020.04.028_bib17","doi-asserted-by":"crossref","first-page":"1513","DOI":"10.1097\/BRS.0000000000000450","article-title":"Preoperative serum albumin level as a predictor of postoperative complication after spine fusion","volume":"39","author":"Adogwa","year":"2014","journal-title":"Spine"},{"key":"10.1016\/j.arth.2020.04.028_bib18","doi-asserted-by":"crossref","first-page":"2971","DOI":"10.1016\/j.arth.2018.04.027","article-title":"Malnutrition and the development of periprosthetic joint infection in patients undergoing primary elective total joint arthroplasty","volume":"33","author":"Blevins","year":"2018","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib19","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.arth.2015.08.028","article-title":"Hypoalbuminemia independently predicts surgical site infection, pneumonia, length of stay, and readmission after total joint arthroplasty","volume":"31","author":"Bohl","year":"2016","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib20","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/j.arth.2015.11.025","article-title":"Is hypoalbuminemia associated with septic failure and acute infection after revision total joint arthroplasty? A study of 4517 patients from the national surgical quality improvement Program","volume":"31","author":"Bohl","year":"2016","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib21","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/S0883-5403(06)80183-X","article-title":"Preoperative nutritional status of total joint patients. Relationship to postoperative wound complications","volume":"6","author":"Greene","year":"1991","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib22","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1080\/07315724.1999.10718863","article-title":"Nutritional parameters and short term outcome in arthroplasty","volume":"18","author":"Lavernia","year":"1999","journal-title":"J\u00a0Am Coll Nutr"},{"issue":"8 Suppl","key":"10.1016\/j.arth.2020.04.028_bib23","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.arth.2013.05.038","article-title":"The effect of malnutrition on patients undergoing elective joint arthroplasty","volume":"28","author":"Huang","year":"2013","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib24","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1097\/00005131-199903000-00003","article-title":"The effects of nutritional status on outcome after hip fracture","volume":"13","author":"Koval","year":"1999","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.arth.2020.04.028_bib25","first-page":"552","article-title":"Hypoalbuminemia remains an independent predictor of complications following total joint arthroplasty","volume":"16","author":"Fryhofer","year":"2019","journal-title":"J\u00a0Orthop"},{"key":"10.1016\/j.arth.2020.04.028_bib26","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.jhin.2019.04.020","article-title":"Association of malnutrition with periprosthetic joint and surgical site infections after total joint arthroplasty: a systematic review and meta-analysis","volume":"103","author":"Tsantes","year":"2019","journal-title":"J\u00a0Hosp Infect"},{"key":"10.1016\/j.arth.2020.04.028_bib27","doi-asserted-by":"crossref","first-page":"2963","DOI":"10.1016\/j.arth.2017.04.056","article-title":"Modified frailty index is an effective risk assessment tool in primary total hip arthroplasty","volume":"32","author":"Bellamy","year":"2017","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib28","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.arth.2018.09.040","article-title":"New 5-factor modified frailty index predicts morbidity and mortality in primary hip and knee arthroplasty","volume":"34","author":"Traven","year":"2019","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib29","doi-asserted-by":"crossref","first-page":"2389","DOI":"10.1016\/j.arth.2016.04.020","article-title":"Simplified frailty index as a predictor of adverse outcomes in total hip and knee arthroplasty","volume":"31","author":"Shin","year":"2016","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib30","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jss.2013.01.021","article-title":"Accumulating deficits model of frailty and postoperative mortality and morbidity: its application to a national database","volume":"183","author":"Velanovich","year":"2013","journal-title":"J\u00a0Surg Res"},{"key":"10.1016\/j.arth.2020.04.028_bib31","doi-asserted-by":"crossref","first-page":"673","DOI":"10.5435\/JAAOS-D-15-00217","article-title":"Nationwide databases in orthopaedic surgery research","volume":"24","author":"Bohl","year":"2016","journal-title":"J\u00a0Am Acad Orthop Surg"},{"key":"10.1016\/j.arth.2020.04.028_bib32","doi-asserted-by":"crossref","first-page":"1574","DOI":"10.1007\/s11999-014-3597-7","article-title":"Use of the national surgical quality improvement Program in orthopaedic surgery","volume":"473","author":"Molina","year":"2015","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2020.04.028_bib33","doi-asserted-by":"crossref","first-page":"2443","DOI":"10.1016\/j.injury.2017.08.026","article-title":"The frail fail: increased mortality and post-operative complications in orthopaedic trauma patients","volume":"48","author":"Vu","year":"2017","journal-title":"Injury"},{"key":"10.1016\/j.arth.2020.04.028_bib34","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1097\/TA.0b013e3182542fab","article-title":"Are the frail destined to fail? Frailty index as predictor of surgical morbidity and mortality in the elderly","volume":"72","author":"Farhat","year":"2012","journal-title":"J\u00a0Trauma Acute Care Surg"},{"key":"10.1016\/j.arth.2020.04.028_bib35","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1016\/j.jse.2018.12.004","article-title":"Modified frailty index is an effective risk-stratification tool for patients undergoing total shoulder arthroplasty","volume":"28","author":"Holzgrefe","year":"2019","journal-title":"J\u00a0Shoulder Elbow Surg"},{"key":"10.1016\/j.arth.2020.04.028_bib36","doi-asserted-by":"crossref","first-page":"e225","DOI":"10.1016\/j.wneu.2018.04.172","article-title":"The 5-item modified frailty index is predictive of 30-day postoperative complications in patients undergoing kyphoplasty vertebral augmentation","volume":"116","author":"Segal","year":"2018","journal-title":"World Neurosurg"},{"key":"10.1016\/j.arth.2020.04.028_bib37","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.jhsa.2018.05.029","article-title":"Use of a 5-item modified frailty index for risk stratification in patients undergoing surgical management of distal radius fractures","volume":"43","author":"Wilson","year":"2018","journal-title":"J\u00a0Hand Surg"},{"key":"10.1016\/j.arth.2020.04.028_bib38","doi-asserted-by":"crossref","first-page":"2110","DOI":"10.2106\/JBJS.16.01620","article-title":"Serum albumin predicts survival and postoperative course following surgery for geriatric hip fracture","volume":"99","author":"Bohl","year":"2017","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2020.04.028_bib39","doi-asserted-by":"crossref","first-page":"2256","DOI":"10.1016\/j.arth.2018.02.037","article-title":"Impact of operative time on adverse events following primary total joint arthroplasty","volume":"33","author":"Bohl","year":"2018","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib40","doi-asserted-by":"crossref","first-page":"455","DOI":"10.2106\/JBJS.N.00662","article-title":"General compared with spinal anesthesia for total hip arthroplasty","volume":"97","author":"Basques","year":"2015","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2020.04.028_bib41","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/ALN.0b013e3181e2c1c3","article-title":"Anesthetic management and surgical site infections in total hip or knee replacement: a population-based study","volume":"113","author":"Chang","year":"2010","journal-title":"Anesthesiology"},{"key":"10.1016\/j.arth.2020.04.028_bib42","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1213\/01.ane.0000237267.75543.59","article-title":"A comparison of neuraxial block versus general anesthesia for elective total hip replacement: a meta-analysis","volume":"103","author":"Mauermann","year":"2006","journal-title":"Anesth Analg"},{"key":"10.1016\/j.arth.2020.04.028_bib43","doi-asserted-by":"crossref","first-page":"186","DOI":"10.2106\/JBJS.N.00612","article-title":"Effects of regional versus general anesthesia on outcomes after total hip arthroplasty: a retrospective propensity-matched cohort study","volume":"97","author":"Helwani","year":"2015","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2020.04.028_bib44","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1097\/CORR.0000000000000887","article-title":"Is spinal anesthesia safer than general anesthesia for patients undergoing revision THA? Analysis of the ACS-NSQIP database","volume":"478","author":"Wilson","year":"2020","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2020.04.028_bib45","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/j.arth.2019.03.048","article-title":"General vs spinal anesthesia for revision total knee arthroplasty: do complication rates differ?","volume":"34","author":"Wilson","year":"2019","journal-title":"J\u00a0Arthroplasty"},{"key":"10.1016\/j.arth.2020.04.028_bib46","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.jss.2018.06.056","article-title":"The malnourished patient with obesity: a unique paradox in bariatric surgery","volume":"232","author":"Fieber","year":"2018","journal-title":"J\u00a0Surg Res"},{"key":"10.1016\/j.arth.2020.04.028_bib47","doi-asserted-by":"crossref","first-page":"467","DOI":"10.2147\/DMSO.S149832","article-title":"Obesity and morbid obesity associated with higher odds of hypoalbuminemia in adults without liver disease or renal failure","volume":"10","author":"Mosli","year":"2017","journal-title":"Diabetes Metab Syndr Obes"},{"key":"10.1016\/j.arth.2020.04.028_bib48","first-page":"99","article-title":"Effect of malnutrition and morbid obesity on complication rates following primary total joint arthroplasty","volume":"25","author":"Courtney","year":"2016","journal-title":"J\u00a0Surg Orthop Adv"},{"key":"10.1016\/j.arth.2020.04.028_bib49","first-page":"2012","article-title":"The malnutrition of obesity: micronutrient deficiencies that promote diabetes","volume":"103472","author":"Via","year":"2012","journal-title":"ISRN Endocrinol"},{"key":"10.1016\/j.arth.2020.04.028_bib50","doi-asserted-by":"crossref","first-page":"S2","DOI":"10.1016\/j.athoracsur.2009.05.053","article-title":"The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1--coronary artery bypass grafting surgery","volume":"88","author":"Shahian","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.arth.2020.04.028_bib51","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1097\/CORR.0000000000000601","article-title":"Can machine learning methods produce accurate and easy-to-use prediction models of 30-day complications and mortality after knee or hip arthroplasty?","volume":"477","author":"Harris","year":"2019","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2020.04.028_bib52","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1007\/s11999-011-2043-3","article-title":"Patient-related risk factors for postoperative mortality and periprosthetic joint infection in medicare patients undergoing TKA","volume":"470","author":"Bozic","year":"2012","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2020.04.028_bib53","doi-asserted-by":"crossref","first-page":"794","DOI":"10.2106\/JBJS.K.00072","article-title":"Patient-related risk factors for periprosthetic joint infection and postoperative mortality following total hip arthroplasty in Medicare patients","volume":"94","author":"Bozic","year":"2012","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2020.04.028_bib54","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1054\/clnu.2002.0588","article-title":"The effect of unselected post-operative nutritional supplementation on nutritional status and clinical outcome of orthopaedic patients","volume":"22","author":"Lawson","year":"2003","journal-title":"Clin Nutr"},{"key":"10.1016\/j.arth.2020.04.028_bib55","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1097\/01.blo.0000224054.86625.06","article-title":"Nutritional supplementation decreases hip fracture-related complications","volume":"451","author":"Eneroth","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2020.04.028_bib56","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1016\/0140-6736(90)91073-J","article-title":"Dietary supplementation in elderly patients with fractured neck of the femur","volume":"335","author":"Delmi","year":"1990","journal-title":"Lancet"},{"key":"10.1016\/j.arth.2020.04.028_bib57","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.clnu.2013.03.005","article-title":"Tight calorie control in geriatric patients following hip fracture decreases complications: a randomized, controlled study","volume":"33","author":"Anbar","year":"2014","journal-title":"Clin Nutr"},{"key":"10.1016\/j.arth.2020.04.028_bib58","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/j.clnu.2007.06.003","article-title":"Nutritional status among patients with hip fracture in relation to pressure ulcers","volume":"26","author":"Hommel","year":"2007","journal-title":"Clin Nutr"},{"key":"10.1016\/j.arth.2020.04.028_bib59","doi-asserted-by":"crossref","first-page":"2027","DOI":"10.1111\/j.1365-2702.2006.01864.x","article-title":"Malnutrition in hip fracture patients: an intervention study","volume":"16","author":"Olofsson","year":"2007","journal-title":"J\u00a0Clin Nurs"},{"key":"10.1016\/j.arth.2020.04.028_bib60","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/BOT.0000000000001254","article-title":"Malnutrition and the orthopedic trauma patient: a systematic review of the literature","volume":"32","author":"Ernst","year":"2018","journal-title":"J\u00a0Orthop Trauma"},{"key":"10.1016\/j.arth.2020.04.028_bib61","doi-asserted-by":"crossref","first-page":"183","DOI":"10.5435\/JAAOS-22-03-183","article-title":"Diabetes mellitus: musculoskeletal manifestations and perioperative considerations for the orthopaedic surgeon","volume":"22","author":"Uhl","year":"2014","journal-title":"J\u00a0Am Acad Orthop Surg"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S088354032030382X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S088354032030382X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:31:15Z","timestamp":1760121075000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S088354032030382X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9]]},"references-count":61,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2020,9]]}},"alternative-id":["S088354032030382X"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2020.04.028","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Combined Malnutrition and Frailty Significantly Increases Complications and Mortality in Patients Undergoing Elective Total Hip Arthroplasty","name":"articletitle","label":"Article Title"},{"value":"The Journal of Arthroplasty","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arth.2020.04.028","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}