Benign prostatic hyperplasia is associated with increased 90-day medical complications but not peri-prosthetic joint infections following reverse shoulder arthroplasty

• Published in: European journal of orthopaedic surgery & traumatology 2023-07, Vol.33 (5), p.1773-1779
• Main Authors: Gordon, Adam M., Diamond, Keith B., Ashraf, Asad M., Magruder, Matthew L., Sadeghpour, Ramin, Choueka, Jack
• Format: Article
• Language: English
• Subjects: Expenditures; Genital diseases; Hyperplasia; Infections; Joint surgery; Kidneys; Males; Medicine; Medicine & Public Health; Original Article; Prostheses; Shoulder; Surgical Orthopedics; Traumatic Surgery
• ISSN: 1432-1068; 1633-8065; 1432-1068
• DOI: 10.1007/s00590-022-03344-6

Introduction Studies have shown male sex to be a predisposing factor for peri-prosthetic joint infections (PJIs). Symptomatic benign prostatic hyperplasia (BPH) has been suggested as an additional risk for PJI. This study aimed to assess the impact of BPH on (1) lengths of stay (LOS), (2) complications (medical and implant-related), (3) readmission rates, and (4) healthcare expenditures after reverse shoulder arthroplasty (RSA). Methods Utilizing a nationwide sample from the 2010–2020 PearlDiver insurance database, an analysis was performed retrospectively for all males who underwent primary RSA. Males with BPH ( n  = 2,184) represented the study group and were ratio-matched with men without a history of BPH ( n  = 10,832) in a 1:5 manner by medical comorbidities. T-tests compared LOS and healthcare expenditures. Multivariate logistic regression models were used to determine the effect of BPH on 90-day medical complications, 2-year implant complications, and readmissions. A p value less than 0.001 was statistically significant. Results In-hospital LOS (1.96 days vs. 1.99 days, p  = 0.683) did not significantly differ between cohorts. Males with BPH had significantly greater occurrence and odds (34.3% vs. 21.2%, odds ratio (OR):1.84, p