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NCT05623540

Bisphosphonates Use After Total Joint Arthroplasty

Completed Last updated 22 November 2022
What this trial tests

trial testing Bisphosphonates, Combinations in Diphosphonates in 27,405 participants. Completed in 2 November 2022.

Timeline
1 January 2000
Primary endpoint
31 December 2015
2 November 2022

Quick facts

Lead sponsorNational Defense Medical Center, Taiwan
StatusCompleted
Study typeOBSERVATIONAL
Enrollment27,405
Start date1 January 2000
Primary completion31 December 2015
Estimated completion2 November 2022
Sites1 location across Taiwan

Drugs / interventions tested

Conditions studied

Sponsor

National Defense Medical Center, Taiwan

Who can join

40 and older, any sex, with Diphosphonates. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background Bisphosphonates has been associated with a decreased risk of revision total joint replacements because of its effects on decreased periprosthetic bone loss and prosthetic migration. However, the results in the early literature are inconsistent and the influence of bisphosphonates on associated complications and subsequent total joint arthroplasty (TJA) remains unknown. This study is to investigate the association between the use of bisphosphonates and risk of adverse outcomes after primary TJA. Materials and Methods This matched cohort study utilized National Health Insurance Research Database in Taiwan to identify patients who underwent primary TJA over a 15-year period (January 2000- December 2015 inclusive). Study participants were further categorized into two groups: bisphosphonates users and nonusers, using propensity score matching. The Kaplan-Meier curve analysis and adjusted hazard ratios (aHR) of revision surgery, adverse outcomes of primary surgery and undergoing subsequent TJA were calculated using Cox regression analysis.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Postoperative Bisphosphonates Use is Associated with Reduced Adverse Outcomes After Primary Total Joint Arthroplasty of Hip and Knee: A Nationwide Population-Based Cohort Study.
    Shih JT, Tan TL, Shen PH, Yeh TT, et al · · 2024 · cited 7× · PMID 38492035 · DOI 10.1007/s00223-024-01192-6

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