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10.1371/journal.pone.0065891

http://scihub22266oqcxt.onion/10.1371/journal.pone.0065891
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suck abstract from ncbi


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pmid23861740      PLoS+One 2013 ; 8 (7): e65891
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  • Patterns of risk of cancer in patients with metal-on-metal hip replacements versus other bearing surface types: a record linkage study between a prospective joint registry and general practice electronic health records in England #MMPMID23861740
  • Lalmohamed A; MacGregor AJ; de Vries F; Leufkens HG; van Staa TP
  • PLoS One 2013[]; 8 (7): e65891 PMID23861740show ga
  • BACKGROUND: There are concerns that metal-on-metal hip implants may cause cancer. The objective of this study was to evaluate patterns and timing of risk of cancer in patients with metal-on-metal total hip replacements (THR). METHODS: In a linkage study between the English National Joint Registry (NJR) and the Clinical Practice Research Datalink (CPRD), we selected all THR surgeries (NJR) between 2003 and 2010 (n = 11,540). THR patients were stratified by type of bearing surface. Patients were followed up for cancer and Poisson regression was used to derive adjusted relative rates (RR). RESULTS: The risk of cancer was similar in patients with hip resurfacing (RR 0.69; 95% Confidence Interval [CI] 0.39-1.22) or other types of bearing surfaces (RR 0.96; 95% CI 0.64-1.43) compared to individuals with stemmed metal-on-metal THR. The pattern of cancer risk over time did not support a detrimental effect of metal hip implants. There was substantial confounding: patients with metal-on-metal THRs used fewer drugs and had less comorbidity. CONCLUSIONS: Metal-on-metal THRs were not associated with an increased risk of cancer. There were substantial baseline differences between the different hip implants, indicating possibility of confounding in the comparisons between different types of THR implants.
  • |*Registries[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Arthroplasty, Replacement, Hip/adverse effects/*statistics & numerical data[MESH]
  • |Electronic Health Records/*statistics & numerical data[MESH]
  • |England[MESH]
  • |Female[MESH]
  • |Hip Prosthesis/adverse effects[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Metals, Heavy/*therapeutic use[MESH]
  • |Middle Aged[MESH]
  • |Neoplasms/etiology[MESH]
  • |Regression Analysis[MESH]
  • |Retrospective Studies[MESH]
  • |Risk[MESH]


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