Gout and healthcare utilization and complications after hip arthroplasty: a cohort study using the US National Inpatient Sample (NIS)

Academic Article


  • © 2019, International League of Associations for Rheumatology (ILAR). Little is known about the effect of gout on in-hospital complications and healthcare utilization after total hip arthroplasty (THA). We used the 1998-2014 U.S. National Inpatient Sample (NIS) to examine this question using cohort study design. Multivariable-adjusted Cox regression analyses included age, race, gender, underlying diagnosis, Deyo-Romano comorbidity index, insurance payer, and income. In adjusted analyses, we found that gout was associated with 9-20% higher healthcare utilization and 6% higher hazard of transfusion after primary THA. These findings can inform surgeons and patients of gout-associated complications post-THA.
  • Digital Object Identifier (doi)

    Author List

  • Singh JA; Cleveland JD
  • Start Page

  • 1213
  • End Page

  • 1216
  • Volume

  • 38
  • Issue

  • 4