{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:06:06Z","timestamp":1790251566042,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Total hip arthroplasty (THA) is one of the most successful orthopaedic procedures and provides good functional outcomes in both rheumatoid arthritis (RA) and osteoarthritis (OA) patients. However, RA patients face higher risks of adverse post\u2010operative outcomes. Despite recognising the unique risks of RA autoimmunity and drug therapy, there remains minimal RA\u2010specific evidence to guide arthroplasty surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study analysed the rate of all cause revision, and revision for infection, dislocation, periprosthetic fracture, and aseptic loosening for 3657 RA and 446\u2009428 OA patients who underwent primary THA recorded in the Australian Orthopaedic National Joint Replacement Registry (AOANJRR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Key findings of this study indicate that RA is associated with a younger age at THA, an increased risk of all\u2010cause revision (HR 1.35; 95% CI 1.16\u20131.56;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), and an increased risk of revision for infection (HR 1.48; 95% CI 1.12\u20131.98;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006), dislocation (HR 1.87; 95% CI 1.45\u20132.42;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and early aseptic loosening (0\u20133\u2009month; HR 2.81; 95% CI 1.50\u20135.26;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). There was no difference in all\u2010cause revision for cemented, cementless, or hybrid THA fixation in RA patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggests that RA continues to be associated with worse post\u2010THA outcomes compared to OA. Further research is needed to develop strategies that improve perioperative management of inflammation and immune suppression to reduce the risk of post\u2010operative complications in RA patients undergoing THA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70797","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:33:11Z","timestamp":1781847191000},"page":"2388-2397","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Revision Risk Following Total Hip Arthroplasty in Patients With Rheumatoid Arthritis: A Cohort Study From the Australian Orthopaedic Association National Joint Replacement Registry"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7021-7588","authenticated-orcid":false,"given":"Owen","family":"Taylor\u2010Williams","sequence":"first","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"},{"name":"University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Wall","sequence":"additional","affiliation":[{"name":"Darling Downs Health  Toowoomba Queensland Australia"},{"name":"University of Queensland  Brisbane Queensland Australia"},{"name":"Australian Orthopaedic Association National Joint Replacement Registry  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2833-7997","authenticated-orcid":false,"given":"Johannes","family":"Nossent","sequence":"additional","affiliation":[{"name":"University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl","family":"Holder","sequence":"additional","affiliation":[{"name":"South Australian Health and Medical Research Institute  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Inderjeeth","sequence":"additional","affiliation":[{"name":"University of Western Australia  Perth Western Australia Australia"},{"name":"Sir Charles Gairdner Osborne Park Hospital Group  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15035"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/rmdopen-2020-001214"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1586\/eci.12.35"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.21978"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.23721"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21641"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.39480"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2016-210715"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard-2022-223356"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40744-021-00414-9"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40744-020-00238-z"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2015.1017793"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-023-00720-1"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.32481\/djph.2017.03.006"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1053\/berh.2002.0257"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24091"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-007-0364-3"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2022.152061"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.38205"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.5301\/HIP.2013.11049"},{"key":"e_1_2_11_22_1","unstructured":"P. L. G. D.Lewis M. J.McAuliffe C.McDougall et\u00a0al. \u201cAustralian Orthopaedic Association National Joint Replacement Registry Hip Knee and Shoulder Arthroplasty: 2024 Annual Report \u201d2024."},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyaf078"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/pds.1256"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000036132"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kead304"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874312920131210005"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.38231"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2017-212339"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.06.002"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/17453670610013132"},{"key":"e_1_2_11_32_1","first-page":"884","article-title":"Dislocation Following Total Hip Replacement","volume":"111","author":"Dargel J.","year":"2014","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200301000-00005"},{"key":"e_1_2_11_34_1","first-page":"394","article-title":"Primary and Revision Hip Arthroplasty: 5\u2010Year Outcomes and Influence of Age and Comorbidity","volume":"34","author":"L\u00fcbbeke A.","year":"2007","journal-title":"Journal of Rheumatology"},{"key":"e_1_2_11_35_1","first-page":"1670","article-title":"High Mortality Following Revision Hip Arthroplasty for Periprosthetic Femoral Fracture","volume":"102","author":"Khan T.","year":"2020","journal-title":"Bone & Joint Journal"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(19)30045-1"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.5312\/wjo.v12.i9.629"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2015.01.008"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2022.02.003"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/140143"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.21037\/aoj.2017.09.03"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70797","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70797","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70797","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:16:59Z","timestamp":1790248619000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70797"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,18]]},"references-count":40,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/ans.70797"],"URL":"https:\/\/doi.org\/10.1111\/ans.70797","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,18]]},"assertion":[{"value":"2025-11-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}