{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T16:05:26Z","timestamp":1784045126361,"version":"3.55.0"},"reference-count":34,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"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":[[2026,8]]},"DOI":"10.1016\/j.arth.2025.11.005","type":"journal-article","created":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T01:38:21Z","timestamp":1762565901000},"page":"2424-2431.e6","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Hemoglobin as a Continuous Predictor of Postoperative Complications Following Elective Total Hip Arthroplasty"],"prefix":"10.1016","volume":"41","author":[{"given":"Ryan C.","family":"Palmer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew A.","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar S.","family":"Telang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avinash","family":"Iyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"McKenzie W.","family":"Culler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew G.","family":"Yun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay R.","family":"Lieberman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1293-1702","authenticated-orcid":false,"given":"Nathanael D.","family":"Heckmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.arth.2025.11.005_bib1","doi-asserted-by":"crossref","first-page":"2695","DOI":"10.1007\/s11999-012-2435-z","article-title":"Preoperative anemia in total joint arthroplasty: is it associated with periprosthetic joint infection?","volume":"470","author":"Greenky","year":"2012","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.arth.2025.11.005_bib2","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1016\/j.arth.2014.12.026","article-title":"Preoperative anemia increases postoperative complications and mortality following total joint arthroplasty","volume":"30","author":"Viola","year":"2015","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.11.005_bib3","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1016\/j.arth.2023.01.025","article-title":"How does preoperative anemia impact clinical outcomes following primary total hip arthroplasty?: experience from Colombia","volume":"38","author":"Z\u00e1rate Leal","year":"2023","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.11.005_bib4","doi-asserted-by":"crossref","first-page":"2","DOI":"10.2106\/00004623-199901000-00002","article-title":"An analysis of blood management in patients having a total hip or knee arthroplasty","volume":"81","author":"Bierbaum","year":"1999","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2025.11.005_bib5","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1111\/j.1423-0410.1992.tb02492.x","article-title":"Prevalence and classification of anemia in elective orthopedic surgery patients: implications for blood conservation programs","volume":"63","author":"Goodnough","year":"1992","journal-title":"Vox Sang"},{"key":"10.1016\/j.arth.2025.11.005_bib6","author":"Nutrition"},{"key":"10.1016\/j.arth.2025.11.005_bib7","doi-asserted-by":"crossref","first-page":"S169","DOI":"10.1016\/j.arth.2025.02.058","article-title":"Preoperative anemia as a predictor of periprosthetic joint infection following total knee arthroplasty: a continuous variable analysis","volume":"40","author":"Telang","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.11.005_bib8","doi-asserted-by":"crossref","first-page":"S214","DOI":"10.1016\/j.arth.2020.01.012","article-title":"The effect of preoperative anemia on complications after total hip arthroplasty","volume":"35","author":"Grosso","year":"2020","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.11.005_bib9","doi-asserted-by":"crossref","first-page":"2697","DOI":"10.1016\/j.arth.2025.04.036","article-title":"Periprosthetic joint infection mortality after total hip arthroplasty is comparable to 5-year rates of common cancers: a meta-analysis","volume":"40","author":"Ramos","year":"2025","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.11.005_bib10","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/j.arth.2020.09.043","article-title":"Iron deficiency anemia is associated with increased early postoperative surgical and medical complications following total hip arthroplasty","volume":"36","author":"Sequeira","year":"2021","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.11.005_bib11","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 Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2025.11.005_bib12","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1016\/j.arth.2023.10.059","article-title":"The definition of anemia matters when using preoperative hemoglobin as a screening tool prior to total hip and knee arthroplasty","volume":"39","author":"Harris","year":"2024","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.11.005_bib13","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1001\/jamainternmed.2021.1653","article-title":"Patterns and determinants of low-value preoperative testing in Michigan","volume":"181","author":"Berlin","year":"2021","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.arth.2025.11.005_bib14","doi-asserted-by":"crossref","DOI":"10.1016\/j.jclinane.2021.110580","article-title":"Utility of preoperative laboratory testing in ASA 1 & ASA 2 patients undergoing outpatient surgery in the United States","volume":"76","author":"Vikas","year":"2022","journal-title":"J Clin Anesth"},{"key":"10.1016\/j.arth.2025.11.005_bib15","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1177\/15563316211030923","article-title":"Preoperative patient optimization in total joint arthroplasty-the paradigm shift from preoperative clearance: a narrative review","volume":"18","author":"MacMahon","year":"2022","journal-title":"HSS J"},{"key":"10.1016\/j.arth.2025.11.005_bib16","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1097\/SLA.0b013e318265bcdb","article-title":"Preoperative laboratory testing in patients undergoing elective, low-risk ambulatory surgery","volume":"256","author":"Benarroch-Gampel","year":"2012","journal-title":"Ann Surg"},{"key":"10.1016\/j.arth.2025.11.005_bib17","series-title":"Database White Paper. Data that informs and performs","year":"2020"},{"key":"10.1016\/j.arth.2025.11.005_bib18","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1080\/00031305.1998.10480547","article-title":"Markov chain Monte Carlo in practice: a roundtable discussion","volume":"52","author":"Kass","year":"1998","journal-title":"Am Stat"},{"key":"10.1016\/j.arth.2025.11.005_bib19","first-page":"389","article-title":"Hierarchical bayesian analysis of changepoint problems","volume":"41","author":"Carlin","year":"1992","journal-title":"J R Stat Soc Ser C Appl Stat"},{"key":"10.1016\/j.arth.2025.11.005_bib20","author":"Spiegelhalter"},{"key":"10.1016\/j.arth.2025.11.005_bib21","doi-asserted-by":"crossref","first-page":"S147","DOI":"10.1016\/j.arth.2018.09.065","article-title":"General assembly, prevention, blood conservation: proceedings of international consensus on orthopedic infections","volume":"34","author":"Akonjom","year":"2019","journal-title":"J Arthroplasty"},{"key":"10.1016\/j.arth.2025.11.005_bib22","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1182\/blood.V97.5.1180","article-title":"Deleterious clinical effects of transfusion-associated immunomodulation: fact or fiction?","volume":"97","author":"Vamvakas","year":"2001","journal-title":"Blood"},{"key":"10.1016\/j.arth.2025.11.005_bib23","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.blre.2007.07.003","article-title":"Transfusion-related immunomodulation (TRIM): an update","volume":"21","author":"Vamvakas","year":"2007","journal-title":"Blood Rev"},{"key":"10.1016\/j.arth.2025.11.005_bib24","first-page":"4709","article-title":"The effects of allogeneic and autologous blood transfusion on immune function in patients receiving total hip replacement","volume":"15","author":"Han","year":"2023","journal-title":"Am J Transl Res"},{"key":"10.1016\/j.arth.2025.11.005_bib25","doi-asserted-by":"crossref","first-page":"99","DOI":"10.7150\/jbji.30636","article-title":"Association 302 between Allogeneic Blood Transfusion and Wound Infection after Total Hip or Knee 303 Arthroplasty: A Retrospective Case-Control Study","volume":"4","year":"2019","journal-title":"J Bone Jt Infect"},{"key":"10.1016\/j.arth.2025.11.005_bib26","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1046\/j.1365-3148.1998.00149.x","article-title":"Blood 342 transfusion and total joint replacement surgery: t helper 2 (TH2) cytokine secretion and 343 clinical outcome","volume":"8","author":"Kirkley","year":"1998","journal-title":"Transfus Med"},{"key":"10.1016\/j.arth.2025.11.005_bib27","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1001\/jama.2014.2726","article-title":"Health care-associated infection after red blood cell transfusion: a systematic review and meta-analysis","volume":"311","author":"Rohde","year":"2014","journal-title":"JAMA"},{"key":"10.1016\/j.arth.2025.11.005_bib28","doi-asserted-by":"crossref","first-page":"1396","DOI":"10.1016\/S0140-6736(11)61381-0","article-title":"Preoperative anaemia and postoperative outcomes in non-cardiac surgery: a retrospective cohort study","volume":"378","author":"Musallam","year":"2011","journal-title":"Lancet"},{"key":"10.1016\/j.arth.2025.11.005_bib29","doi-asserted-by":"crossref","first-page":"1314","DOI":"10.1002\/bjs.9861","article-title":"Meta-analysis of the association between preoperative anaemia and mortality after surgery","volume":"102","author":"Fowler","year":"2015","journal-title":"Br J Surg"},{"key":"10.1016\/j.arth.2025.11.005_bib30","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.2106\/JBJS.23.00146","article-title":"Increased risk of venous thromboembolism in patients with postoperative anemia after total joint arthroplasty: are transfusions to blame?","volume":"105","author":"Liu","year":"2023","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.arth.2025.11.005_bib31","doi-asserted-by":"crossref","first-page":"2324","DOI":"10.3390\/nu7042324","article-title":"Chronic iron deficiency as an emerging risk factor for osteoporosis: a hypothesis","volume":"7","author":"Toxqui","year":"2015","journal-title":"Nutrients"},{"key":"10.1016\/j.arth.2025.11.005_bib32","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1007\/s12011-012-9511-9","article-title":"A comparison of the biological activities of human osteoblast hFOB1.19 between iron excess and iron deficiency","volume":"150","author":"Zhao","year":"2012","journal-title":"Biol Trace Elem Res"},{"key":"10.1016\/j.arth.2025.11.005_bib33","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1007\/BF01633414","article-title":"Iron de ciency anaemia as a possible con- tributary factor in the development of dislocation of the hip","volume":"15","author":"Aksoy","year":"1967","journal-title":"Blut"},{"key":"10.1016\/j.arth.2025.11.005_bib34","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.hoc.2015.11.002","article-title":"The Global Burden of anemia","volume":"30","author":"Kassebaum","year":"2016","journal-title":"Hematol Oncol Clin North Am"}],"container-title":["The Journal of Arthroplasty"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325014299?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0883540325014299?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T15:23:18Z","timestamp":1784042598000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0883540325014299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":34,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S0883540325014299"],"URL":"https:\/\/doi.org\/10.1016\/j.arth.2025.11.005","relation":{},"ISSN":["0883-5403"],"issn-type":[{"value":"0883-5403","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Preoperative Hemoglobin as a Continuous Predictor of Postoperative Complications Following 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.2025.11.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}