Neurologic and psychiatric disorders as risk factors following hip arthroplasty: results from the German arthroplasty registry Article Swipe
Nele Wagener
,
Alexander Grimberg
,
Yinan Wu
,
Sebastian Hardt
,
Carsten Perka
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1007/s00264-025-06593-2
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1007/s00264-025-06593-2
Purpose We investigated whether neurologic and psychiatric disorders (ICD-10 F00–F99, G00–G99) increase postoperative complications and mortality after hip arthroplasty and identified subgroups with distinct complication patterns, including dislocations, loosening, fractures, and elevated mortality. Methods We analyzed 190,340 primary cementless hip arthroplasties from the German Arthroplasty Registry (2012–2024). Patients with relevant diagnoses were compared to matched controls (1:1 Mahalanobis distance) across subgroups F00–F99 and G00–G99, adjusting for age, sex, BMI, Elixhauser Index, and arthroplasty type. Primary endpoints were implant survival (time to revision) and all-cause mortality over up to eight years. Revision causes including periprosthetic fracture, infection, dislocation, loosening, and others were systematically recorded. Results Most subgroups showed significantly higher revision rates ( p < 0.0001 for F00–F09, F10–F19, F30–F39, G20–G26, G40–G47, G60–G64). Mortality was also significantly higher ( p < 0.0001 for F00–F09, F10–F19, F30–F39). Schizophrenia (F20–F29) increased revision ( p < 0.0001) and mortality ( p < 0.0001). Organic mental disorders (F00–F09) showed markedly elevated revision and mortality rates, with more frequent dislocations and fractures ( p < 0.0001). Extrapyramidal disorders (G20–G26) mainly increased dislocation risk ( p = 0.00032), while degenerative diseases (G30–G32) raised mortality ( p < 0.0001). Episodic/paroxysmal disorders (G40–G47) increased loosening ( p = 0.0041) and revision ( p < 0.0001). Polyneuropathies (G60–G64) were linked to joint instability and dislocations ( p = 0.0008). Conclusion Neurologic and psychiatric disorders significantly elevate revision and mortality risks following hip arthroplasty. Subgroup-specific vulnerabilities, dislocations/fractures (F00–F09), high complication and mortality (F10–F19), and joint instability (G60–G64), highlight the need for individualized perioperative strategies and close postoperative monitoring to improve outcomes.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00264-025-06593-2
- https://link.springer.com/content/pdf/10.1007/s00264-025-06593-2.pdf
- OA Status
- hybrid
- References
- 15
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4411666805
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4411666805Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00264-025-06593-2Digital Object Identifier
- Title
-
Neurologic and psychiatric disorders as risk factors following hip arthroplasty: results from the German arthroplasty registryWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-06-26Full publication date if available
- Authors
-
Nele Wagener, Alexander Grimberg, Yinan Wu, Sebastian Hardt, Carsten PerkaList of authors in order
- Landing page
-
https://doi.org/10.1007/s00264-025-06593-2Publisher landing page
- PDF URL
-
https://link.springer.com/content/pdf/10.1007/s00264-025-06593-2.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://link.springer.com/content/pdf/10.1007/s00264-025-06593-2.pdfDirect OA link when available
- Concepts
-
Medicine, Periprosthetic, Arthroplasty, Orthopedic surgery, Complication, Implant, Surgery, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
15Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
Full payload
| id | https://openalex.org/W4411666805 |
|---|---|
| doi | https://doi.org/10.1007/s00264-025-06593-2 |
| ids.doi | https://doi.org/10.1007/s00264-025-06593-2 |
| ids.pmid | https://pubmed.ncbi.nlm.nih.gov/40569372 |
| ids.openalex | https://openalex.org/W4411666805 |
| fwci | 0.0 |
| mesh[0].qualifier_ui | |
| mesh[0].descriptor_ui | D006801 |
| mesh[0].is_major_topic | False |
| mesh[0].qualifier_name | |
| mesh[0].descriptor_name | Humans |
| mesh[1].qualifier_ui | Q000009 |
| mesh[1].descriptor_ui | D019644 |
| mesh[1].is_major_topic | True |
| mesh[1].qualifier_name | adverse effects |
| mesh[1].descriptor_name | Arthroplasty, Replacement, Hip |
| mesh[2].qualifier_ui | Q000401 |
| mesh[2].descriptor_ui | D019644 |
| mesh[2].is_major_topic | True |
| mesh[2].qualifier_name | mortality |
| mesh[2].descriptor_name | Arthroplasty, Replacement, Hip |
| mesh[3].qualifier_ui | |
| mesh[3].descriptor_ui | D005260 |
| mesh[3].is_major_topic | False |
| mesh[3].qualifier_name | |
| mesh[3].descriptor_name | Female |
| mesh[4].qualifier_ui | |
| mesh[4].descriptor_ui | D008297 |
| mesh[4].is_major_topic | False |
| mesh[4].qualifier_name | |
| mesh[4].descriptor_name | Male |
| mesh[5].qualifier_ui | |
| mesh[5].descriptor_ui | D012042 |
| mesh[5].is_major_topic | False |
| mesh[5].qualifier_name | |
| mesh[5].descriptor_name | Registries |
| mesh[6].qualifier_ui | Q000453 |
| mesh[6].descriptor_ui | D005858 |
| mesh[6].is_major_topic | False |
| mesh[6].qualifier_name | epidemiology |
| mesh[6].descriptor_name | Germany |
| mesh[7].qualifier_ui | |
| mesh[7].descriptor_ui | D000368 |
| mesh[7].is_major_topic | False |
| mesh[7].qualifier_name | |
| mesh[7].descriptor_name | Aged |
| mesh[8].qualifier_ui | Q000150 |
| mesh[8].descriptor_ui | D001523 |
| mesh[8].is_major_topic | True |
| mesh[8].qualifier_name | complications |
| mesh[8].descriptor_name | Mental Disorders |
| mesh[9].qualifier_ui | Q000453 |
| mesh[9].descriptor_ui | D001523 |
| mesh[9].is_major_topic | True |
| mesh[9].qualifier_name | epidemiology |
| mesh[9].descriptor_name | Mental Disorders |
| mesh[10].qualifier_ui | |
| mesh[10].descriptor_ui | D012307 |
| mesh[10].is_major_topic | False |
| mesh[10].qualifier_name | |
| mesh[10].descriptor_name | Risk Factors |
| mesh[11].qualifier_ui | Q000453 |
| mesh[11].descriptor_ui | D011183 |
| mesh[11].is_major_topic | True |
| mesh[11].qualifier_name | epidemiology |
| mesh[11].descriptor_name | Postoperative Complications |
| mesh[12].qualifier_ui | Q000209 |
| mesh[12].descriptor_ui | D011183 |
| mesh[12].is_major_topic | True |
| mesh[12].qualifier_name | etiology |
| mesh[12].descriptor_name | Postoperative Complications |
| mesh[13].qualifier_ui | |
| mesh[13].descriptor_ui | D008875 |
| mesh[13].is_major_topic | False |
| mesh[13].qualifier_name | |
| mesh[13].descriptor_name | Middle Aged |
| mesh[14].qualifier_ui | Q000706 |
| mesh[14].descriptor_ui | D012086 |
| mesh[14].is_major_topic | False |
| mesh[14].qualifier_name | statistics & numerical data |
| mesh[14].descriptor_name | Reoperation |
| mesh[15].qualifier_ui | |
| mesh[15].descriptor_ui | D011475 |
| mesh[15].is_major_topic | False |
| mesh[15].qualifier_name | |
| mesh[15].descriptor_name | Prosthesis Failure |
| mesh[16].qualifier_ui | Q000150 |
| mesh[16].descriptor_ui | D009422 |
| mesh[16].is_major_topic | True |
| mesh[16].qualifier_name | complications |
| mesh[16].descriptor_name | Nervous System Diseases |
| mesh[17].qualifier_ui | Q000453 |
| mesh[17].descriptor_ui | D009422 |
| mesh[17].is_major_topic | True |
| mesh[17].qualifier_name | epidemiology |
| mesh[17].descriptor_name | Nervous System Diseases |
| mesh[18].qualifier_ui | |
| mesh[18].descriptor_ui | D000369 |
| mesh[18].is_major_topic | False |
| mesh[18].qualifier_name | |
| mesh[18].descriptor_name | Aged, 80 and over |
| mesh[19].qualifier_ui | |
| mesh[19].descriptor_ui | D000328 |
| mesh[19].is_major_topic | False |
| mesh[19].qualifier_name | |
| mesh[19].descriptor_name | Adult |
| mesh[20].qualifier_ui | |
| mesh[20].descriptor_ui | D006801 |
| mesh[20].is_major_topic | False |
| mesh[20].qualifier_name | |
| mesh[20].descriptor_name | Humans |
| mesh[21].qualifier_ui | Q000009 |
| mesh[21].descriptor_ui | D019644 |
| mesh[21].is_major_topic | True |
| mesh[21].qualifier_name | adverse effects |
| mesh[21].descriptor_name | Arthroplasty, Replacement, Hip |
| mesh[22].qualifier_ui | Q000401 |
| mesh[22].descriptor_ui | D019644 |
| mesh[22].is_major_topic | True |
| mesh[22].qualifier_name | mortality |
| mesh[22].descriptor_name | Arthroplasty, Replacement, Hip |
| mesh[23].qualifier_ui | |
| mesh[23].descriptor_ui | D005260 |
| mesh[23].is_major_topic | False |
| mesh[23].qualifier_name | |
| mesh[23].descriptor_name | Female |
| mesh[24].qualifier_ui | |
| mesh[24].descriptor_ui | D008297 |
| mesh[24].is_major_topic | False |
| mesh[24].qualifier_name | |
| mesh[24].descriptor_name | Male |
| mesh[25].qualifier_ui | |
| mesh[25].descriptor_ui | D012042 |
| mesh[25].is_major_topic | False |
| mesh[25].qualifier_name | |
| mesh[25].descriptor_name | Registries |
| mesh[26].qualifier_ui | Q000453 |
| mesh[26].descriptor_ui | D005858 |
| mesh[26].is_major_topic | False |
| mesh[26].qualifier_name | epidemiology |
| mesh[26].descriptor_name | Germany |
| mesh[27].qualifier_ui | |
| mesh[27].descriptor_ui | D000368 |
| mesh[27].is_major_topic | False |
| mesh[27].qualifier_name | |
| mesh[27].descriptor_name | Aged |
| mesh[28].qualifier_ui | Q000150 |
| mesh[28].descriptor_ui | D001523 |
| mesh[28].is_major_topic | True |
| mesh[28].qualifier_name | complications |
| mesh[28].descriptor_name | Mental Disorders |
| mesh[29].qualifier_ui | Q000453 |
| mesh[29].descriptor_ui | D001523 |
| mesh[29].is_major_topic | True |
| mesh[29].qualifier_name | epidemiology |
| mesh[29].descriptor_name | Mental Disorders |
| mesh[30].qualifier_ui | |
| mesh[30].descriptor_ui | D012307 |
| mesh[30].is_major_topic | False |
| mesh[30].qualifier_name | |
| mesh[30].descriptor_name | Risk Factors |
| mesh[31].qualifier_ui | Q000453 |
| mesh[31].descriptor_ui | D011183 |
| mesh[31].is_major_topic | True |
| mesh[31].qualifier_name | epidemiology |
| mesh[31].descriptor_name | Postoperative Complications |
| mesh[32].qualifier_ui | Q000209 |
| mesh[32].descriptor_ui | D011183 |
| mesh[32].is_major_topic | True |
| mesh[32].qualifier_name | etiology |
| mesh[32].descriptor_name | Postoperative Complications |
| mesh[33].qualifier_ui | |
| mesh[33].descriptor_ui | D008875 |
| mesh[33].is_major_topic | False |
| mesh[33].qualifier_name | |
| mesh[33].descriptor_name | Middle Aged |
| mesh[34].qualifier_ui | Q000706 |
| mesh[34].descriptor_ui | D012086 |
| mesh[34].is_major_topic | False |
| mesh[34].qualifier_name | statistics & numerical data |
| mesh[34].descriptor_name | Reoperation |
| mesh[35].qualifier_ui | |
| mesh[35].descriptor_ui | D011475 |
| mesh[35].is_major_topic | False |
| mesh[35].qualifier_name | |
| mesh[35].descriptor_name | Prosthesis Failure |
| mesh[36].qualifier_ui | Q000150 |
| mesh[36].descriptor_ui | D009422 |
| mesh[36].is_major_topic | True |
| mesh[36].qualifier_name | complications |
| mesh[36].descriptor_name | Nervous System Diseases |
| mesh[37].qualifier_ui | Q000453 |
| mesh[37].descriptor_ui | D009422 |
| mesh[37].is_major_topic | True |
| mesh[37].qualifier_name | epidemiology |
| mesh[37].descriptor_name | Nervous System Diseases |
| mesh[38].qualifier_ui | |
| mesh[38].descriptor_ui | D000369 |
| mesh[38].is_major_topic | False |
| mesh[38].qualifier_name | |
| mesh[38].descriptor_name | Aged, 80 and over |
| mesh[39].qualifier_ui | |
| mesh[39].descriptor_ui | D000328 |
| mesh[39].is_major_topic | False |
| mesh[39].qualifier_name | |
| mesh[39].descriptor_name | Adult |
| type | article |
| title | Neurologic and psychiatric disorders as risk factors following hip arthroplasty: results from the German arthroplasty registry |
| biblio.issue | 9 |
| biblio.volume | 49 |
| biblio.last_page | 2046 |
| biblio.first_page | 2035 |
| grants[0].funder | https://openalex.org/F4320321526 |
| grants[0].award_id | |
| grants[0].funder_display_name | Charité – Universitätsmedizin Berlin |
| topics[0].id | https://openalex.org/T10512 |
| topics[0].field.id | https://openalex.org/fields/27 |
| topics[0].field.display_name | Medicine |
| topics[0].score | 0.9997000098228455 |
| topics[0].domain.id | https://openalex.org/domains/4 |
| topics[0].domain.display_name | Health Sciences |
| topics[0].subfield.id | https://openalex.org/subfields/2746 |
| topics[0].subfield.display_name | Surgery |
| topics[0].display_name | Orthopaedic implants and arthroplasty |
| topics[1].id | https://openalex.org/T11293 |
| topics[1].field.id | https://openalex.org/fields/27 |
| topics[1].field.display_name | Medicine |
| topics[1].score | 0.998199999332428 |
| topics[1].domain.id | https://openalex.org/domains/4 |
| topics[1].domain.display_name | Health Sciences |
| topics[1].subfield.id | https://openalex.org/subfields/2746 |
| topics[1].subfield.display_name | Surgery |
| topics[1].display_name | Orthopedic Infections and Treatments |
| topics[2].id | https://openalex.org/T10562 |
| topics[2].field.id | https://openalex.org/fields/27 |
| topics[2].field.display_name | Medicine |
| topics[2].score | 0.9955999851226807 |
| topics[2].domain.id | https://openalex.org/domains/4 |
| topics[2].domain.display_name | Health Sciences |
| topics[2].subfield.id | https://openalex.org/subfields/2746 |
| topics[2].subfield.display_name | Surgery |
| topics[2].display_name | Total Knee Arthroplasty Outcomes |
| funders[0].id | https://openalex.org/F4320321526 |
| funders[0].ror | https://ror.org/001w7jn25 |
| funders[0].display_name | Charité – Universitätsmedizin Berlin |
| is_xpac | False |
| apc_list.value | 3290 |
| apc_list.currency | EUR |
| apc_list.value_usd | 3990 |
| apc_paid.value | 3290 |
| apc_paid.currency | EUR |
| apc_paid.value_usd | 3990 |
| concepts[0].id | https://openalex.org/C71924100 |
| concepts[0].level | 0 |
| concepts[0].score | 0.9134113192558289 |
| concepts[0].wikidata | https://www.wikidata.org/wiki/Q11190 |
| concepts[0].display_name | Medicine |
| concepts[1].id | https://openalex.org/C2778120723 |
| concepts[1].level | 3 |
| concepts[1].score | 0.7259016633033752 |
| concepts[1].wikidata | https://www.wikidata.org/wiki/Q16872681 |
| concepts[1].display_name | Periprosthetic |
| concepts[2].id | https://openalex.org/C2778336525 |
| concepts[2].level | 2 |
| concepts[2].score | 0.6367987394332886 |
| concepts[2].wikidata | https://www.wikidata.org/wiki/Q708178 |
| concepts[2].display_name | Arthroplasty |
| concepts[3].id | https://openalex.org/C68312169 |
| concepts[3].level | 2 |
| concepts[3].score | 0.569797694683075 |
| concepts[3].wikidata | https://www.wikidata.org/wiki/Q216685 |
| concepts[3].display_name | Orthopedic surgery |
| concepts[4].id | https://openalex.org/C81182388 |
| concepts[4].level | 2 |
| concepts[4].score | 0.5091783404350281 |
| concepts[4].wikidata | https://www.wikidata.org/wiki/Q353963 |
| concepts[4].display_name | Complication |
| concepts[5].id | https://openalex.org/C2781411149 |
| concepts[5].level | 2 |
| concepts[5].score | 0.47752252221107483 |
| concepts[5].wikidata | https://www.wikidata.org/wiki/Q486975 |
| concepts[5].display_name | Implant |
| concepts[6].id | https://openalex.org/C141071460 |
| concepts[6].level | 1 |
| concepts[6].score | 0.452421098947525 |
| concepts[6].wikidata | https://www.wikidata.org/wiki/Q40821 |
| concepts[6].display_name | Surgery |
| concepts[7].id | https://openalex.org/C126322002 |
| concepts[7].level | 1 |
| concepts[7].score | 0.4246140122413635 |
| concepts[7].wikidata | https://www.wikidata.org/wiki/Q11180 |
| concepts[7].display_name | Internal medicine |
| keywords[0].id | https://openalex.org/keywords/medicine |
| keywords[0].score | 0.9134113192558289 |
| keywords[0].display_name | Medicine |
| keywords[1].id | https://openalex.org/keywords/periprosthetic |
| keywords[1].score | 0.7259016633033752 |
| keywords[1].display_name | Periprosthetic |
| keywords[2].id | https://openalex.org/keywords/arthroplasty |
| keywords[2].score | 0.6367987394332886 |
| keywords[2].display_name | Arthroplasty |
| keywords[3].id | https://openalex.org/keywords/orthopedic-surgery |
| keywords[3].score | 0.569797694683075 |
| keywords[3].display_name | Orthopedic surgery |
| keywords[4].id | https://openalex.org/keywords/complication |
| keywords[4].score | 0.5091783404350281 |
| keywords[4].display_name | Complication |
| keywords[5].id | https://openalex.org/keywords/implant |
| keywords[5].score | 0.47752252221107483 |
| keywords[5].display_name | Implant |
| keywords[6].id | https://openalex.org/keywords/surgery |
| keywords[6].score | 0.452421098947525 |
| keywords[6].display_name | Surgery |
| keywords[7].id | https://openalex.org/keywords/internal-medicine |
| keywords[7].score | 0.4246140122413635 |
| keywords[7].display_name | Internal medicine |
| language | en |
| locations[0].id | doi:10.1007/s00264-025-06593-2 |
| locations[0].is_oa | True |
| locations[0].source.id | https://openalex.org/S3756010 |
| locations[0].source.issn | 0341-2695, 1432-5195 |
| locations[0].source.type | journal |
| locations[0].source.is_oa | False |
| locations[0].source.issn_l | 0341-2695 |
| locations[0].source.is_core | True |
| locations[0].source.is_in_doaj | False |
| locations[0].source.display_name | International Orthopaedics |
| locations[0].source.host_organization | https://openalex.org/P4310319900 |
| locations[0].source.host_organization_name | Springer Science+Business Media |
| locations[0].source.host_organization_lineage | https://openalex.org/P4310319900 |
| locations[0].license | cc-by |
| locations[0].pdf_url | https://link.springer.com/content/pdf/10.1007/s00264-025-06593-2.pdf |
| locations[0].version | publishedVersion |
| locations[0].raw_type | journal-article |
| locations[0].license_id | https://openalex.org/licenses/cc-by |
| locations[0].is_accepted | True |
| locations[0].is_published | True |
| locations[0].raw_source_name | International Orthopaedics |
| locations[0].landing_page_url | https://doi.org/10.1007/s00264-025-06593-2 |
| locations[1].id | pmid:40569372 |
| locations[1].is_oa | False |
| locations[1].source.id | https://openalex.org/S4306525036 |
| locations[1].source.issn | |
| locations[1].source.type | repository |
| locations[1].source.is_oa | False |
| locations[1].source.issn_l | |
| locations[1].source.is_core | False |
| locations[1].source.is_in_doaj | False |
| locations[1].source.display_name | PubMed |
| locations[1].source.host_organization | https://openalex.org/I1299303238 |
| locations[1].source.host_organization_name | National Institutes of Health |
| locations[1].source.host_organization_lineage | https://openalex.org/I1299303238 |
| locations[1].license | |
| locations[1].pdf_url | |
| locations[1].version | publishedVersion |
| locations[1].raw_type | |
| locations[1].license_id | |
| locations[1].is_accepted | True |
| locations[1].is_published | True |
| locations[1].raw_source_name | International orthopaedics |
| locations[1].landing_page_url | https://pubmed.ncbi.nlm.nih.gov/40569372 |
| locations[2].id | pmh:oai:europepmc.org:11216418 |
| locations[2].is_oa | True |
| locations[2].source.id | https://openalex.org/S4306400806 |
| locations[2].source.issn | |
| locations[2].source.type | repository |
| locations[2].source.is_oa | False |
| locations[2].source.issn_l | |
| locations[2].source.is_core | False |
| locations[2].source.is_in_doaj | False |
| locations[2].source.display_name | Europe PMC (PubMed Central) |
| locations[2].source.host_organization | https://openalex.org/I1303153112 |
| locations[2].source.host_organization_name | European Bioinformatics Institute |
| locations[2].source.host_organization_lineage | https://openalex.org/I1303153112 |
| locations[2].license | other-oa |
| locations[2].pdf_url | |
| locations[2].version | submittedVersion |
| locations[2].raw_type | Text |
| locations[2].license_id | https://openalex.org/licenses/other-oa |
| locations[2].is_accepted | False |
| locations[2].is_published | False |
| locations[2].raw_source_name | |
| locations[2].landing_page_url | https://www.ncbi.nlm.nih.gov/pmc/articles/12405395 |
| indexed_in | crossref, pubmed |
| authorships[0].author.id | https://openalex.org/A5007754189 |
| authorships[0].author.orcid | https://orcid.org/0000-0002-4012-1363 |
| authorships[0].author.display_name | Nele Wagener |
| authorships[0].countries | DE |
| authorships[0].affiliations[0].institution_ids | https://openalex.org/I39343248, https://openalex.org/I75951250, https://openalex.org/I7877124 |
| authorships[0].affiliations[0].raw_affiliation_string | Center for Musculoskeletal Surgery, Department of Orthopaedic Surgery, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. [email protected]. |
| authorships[0].institutions[0].id | https://openalex.org/I7877124 |
| authorships[0].institutions[0].ror | https://ror.org/001w7jn25 |
| authorships[0].institutions[0].type | healthcare |
| authorships[0].institutions[0].lineage | https://openalex.org/I7877124 |
| authorships[0].institutions[0].country_code | DE |
| authorships[0].institutions[0].display_name | Charité - Universitätsmedizin Berlin |
| authorships[0].institutions[1].id | https://openalex.org/I75951250 |
| authorships[0].institutions[1].ror | https://ror.org/046ak2485 |
| authorships[0].institutions[1].type | education |
| authorships[0].institutions[1].lineage | https://openalex.org/I75951250 |
| authorships[0].institutions[1].country_code | DE |
| authorships[0].institutions[1].display_name | Freie Universität Berlin |
| authorships[0].institutions[2].id | https://openalex.org/I39343248 |
| authorships[0].institutions[2].ror | https://ror.org/01hcx6992 |
| authorships[0].institutions[2].type | education |
| authorships[0].institutions[2].lineage | https://openalex.org/I39343248 |
| authorships[0].institutions[2].country_code | DE |
| authorships[0].institutions[2].display_name | Humboldt-Universität zu Berlin |
| authorships[0].author_position | first |
| authorships[0].raw_author_name | Nele Wagener |
| authorships[0].is_corresponding | False |
| authorships[0].raw_affiliation_strings | Center for Musculoskeletal Surgery, Department of Orthopaedic Surgery, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. [email protected]. |
| authorships[1].author.id | https://openalex.org/A5007023067 |
| authorships[1].author.orcid | https://orcid.org/0000-0001-8062-788X |
| authorships[1].author.display_name | Alexander Grimberg |
| authorships[1].affiliations[0].raw_affiliation_string | Endoprothesenregister Deutschland (EPRD), 10623, Berlin, Germany. |
| authorships[1].author_position | middle |
| authorships[1].raw_author_name | Alexander Grimberg |
| authorships[1].is_corresponding | False |
| authorships[1].raw_affiliation_strings | Endoprothesenregister Deutschland (EPRD), 10623, Berlin, Germany. |
| authorships[2].author.id | https://openalex.org/A5100949277 |
| authorships[2].author.orcid | https://orcid.org/0009-0001-4200-8065 |
| authorships[2].author.display_name | Yinan Wu |
| authorships[2].affiliations[0].raw_affiliation_string | Endoprothesenregister Deutschland (EPRD), 10623, Berlin, Germany. |
| authorships[2].author_position | middle |
| authorships[2].raw_author_name | Yinan Wu |
| authorships[2].is_corresponding | False |
| authorships[2].raw_affiliation_strings | Endoprothesenregister Deutschland (EPRD), 10623, Berlin, Germany. |
| authorships[3].author.id | https://openalex.org/A5009319450 |
| authorships[3].author.orcid | https://orcid.org/0000-0001-8774-7585 |
| authorships[3].author.display_name | Sebastian Hardt |
| authorships[3].countries | DE |
| authorships[3].affiliations[0].institution_ids | https://openalex.org/I7877124, https://openalex.org/I7877124, https://openalex.org/I7877124 |
| authorships[3].affiliations[0].raw_affiliation_string | Center for Musculoskeletal Surgery, Department of Orthopaedic Surgery, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. |
| authorships[3].institutions[0].id | https://openalex.org/I7877124 |
| authorships[3].institutions[0].ror | https://ror.org/001w7jn25 |
| authorships[3].institutions[0].type | healthcare |
| authorships[3].institutions[0].lineage | https://openalex.org/I7877124 |
| authorships[3].institutions[0].country_code | DE |
| authorships[3].institutions[0].display_name | Charité - Universitätsmedizin Berlin |
| authorships[3].author_position | middle |
| authorships[3].raw_author_name | Sebastian Hardt |
| authorships[3].is_corresponding | False |
| authorships[3].raw_affiliation_strings | Center for Musculoskeletal Surgery, Department of Orthopaedic Surgery, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. |
| authorships[4].author.id | https://openalex.org/A5038986793 |
| authorships[4].author.orcid | https://orcid.org/0000-0002-0993-581X |
| authorships[4].author.display_name | Carsten Perka |
| authorships[4].countries | DE |
| authorships[4].affiliations[0].institution_ids | https://openalex.org/I7877124, https://openalex.org/I7877124, https://openalex.org/I7877124 |
| authorships[4].affiliations[0].raw_affiliation_string | Center for Musculoskeletal Surgery, Department of Orthopaedic Surgery, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. |
| authorships[4].institutions[0].id | https://openalex.org/I7877124 |
| authorships[4].institutions[0].ror | https://ror.org/001w7jn25 |
| authorships[4].institutions[0].type | healthcare |
| authorships[4].institutions[0].lineage | https://openalex.org/I7877124 |
| authorships[4].institutions[0].country_code | DE |
| authorships[4].institutions[0].display_name | Charité - Universitätsmedizin Berlin |
| authorships[4].author_position | last |
| authorships[4].raw_author_name | Carsten Perka |
| authorships[4].is_corresponding | False |
| authorships[4].raw_affiliation_strings | Center for Musculoskeletal Surgery, Department of Orthopaedic Surgery, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Germany. |
| has_content.pdf | True |
| has_content.grobid_xml | True |
| is_paratext | False |
| open_access.is_oa | True |
| open_access.oa_url | https://link.springer.com/content/pdf/10.1007/s00264-025-06593-2.pdf |
| open_access.oa_status | hybrid |
| open_access.any_repository_has_fulltext | False |
| created_date | 2025-10-10T00:00:00 |
| display_name | Neurologic and psychiatric disorders as risk factors following hip arthroplasty: results from the German arthroplasty registry |
| has_fulltext | False |
| is_retracted | False |
| updated_date | 2025-11-06T03:46:38.306776 |
| primary_topic.id | https://openalex.org/T10512 |
| primary_topic.field.id | https://openalex.org/fields/27 |
| primary_topic.field.display_name | Medicine |
| primary_topic.score | 0.9997000098228455 |
| primary_topic.domain.id | https://openalex.org/domains/4 |
| primary_topic.domain.display_name | Health Sciences |
| primary_topic.subfield.id | https://openalex.org/subfields/2746 |
| primary_topic.subfield.display_name | Surgery |
| primary_topic.display_name | Orthopaedic implants and arthroplasty |
| related_works | https://openalex.org/W4399805058, https://openalex.org/W4389804730, https://openalex.org/W4302425336, https://openalex.org/W3080095799, https://openalex.org/W2902005046, https://openalex.org/W3094436093, https://openalex.org/W4408079041, https://openalex.org/W4390532281, https://openalex.org/W3217805664, https://openalex.org/W2959328181 |
| cited_by_count | 0 |
| locations_count | 3 |
| best_oa_location.id | doi:10.1007/s00264-025-06593-2 |
| best_oa_location.is_oa | True |
| best_oa_location.source.id | https://openalex.org/S3756010 |
| best_oa_location.source.issn | 0341-2695, 1432-5195 |
| best_oa_location.source.type | journal |
| best_oa_location.source.is_oa | False |
| best_oa_location.source.issn_l | 0341-2695 |
| best_oa_location.source.is_core | True |
| best_oa_location.source.is_in_doaj | False |
| best_oa_location.source.display_name | International Orthopaedics |
| best_oa_location.source.host_organization | https://openalex.org/P4310319900 |
| best_oa_location.source.host_organization_name | Springer Science+Business Media |
| best_oa_location.source.host_organization_lineage | https://openalex.org/P4310319900 |
| best_oa_location.license | cc-by |
| best_oa_location.pdf_url | https://link.springer.com/content/pdf/10.1007/s00264-025-06593-2.pdf |
| best_oa_location.version | publishedVersion |
| best_oa_location.raw_type | journal-article |
| best_oa_location.license_id | https://openalex.org/licenses/cc-by |
| best_oa_location.is_accepted | True |
| best_oa_location.is_published | True |
| best_oa_location.raw_source_name | International Orthopaedics |
| best_oa_location.landing_page_url | https://doi.org/10.1007/s00264-025-06593-2 |
| primary_location.id | doi:10.1007/s00264-025-06593-2 |
| primary_location.is_oa | True |
| primary_location.source.id | https://openalex.org/S3756010 |
| primary_location.source.issn | 0341-2695, 1432-5195 |
| primary_location.source.type | journal |
| primary_location.source.is_oa | False |
| primary_location.source.issn_l | 0341-2695 |
| primary_location.source.is_core | True |
| primary_location.source.is_in_doaj | False |
| primary_location.source.display_name | International Orthopaedics |
| primary_location.source.host_organization | https://openalex.org/P4310319900 |
| primary_location.source.host_organization_name | Springer Science+Business Media |
| primary_location.source.host_organization_lineage | https://openalex.org/P4310319900 |
| primary_location.license | cc-by |
| primary_location.pdf_url | https://link.springer.com/content/pdf/10.1007/s00264-025-06593-2.pdf |
| primary_location.version | publishedVersion |
| primary_location.raw_type | journal-article |
| primary_location.license_id | https://openalex.org/licenses/cc-by |
| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | International Orthopaedics |
| primary_location.landing_page_url | https://doi.org/10.1007/s00264-025-06593-2 |
| publication_date | 2025-06-26 |
| publication_year | 2025 |
| referenced_works | https://openalex.org/W3091396307, https://openalex.org/W2782796531, https://openalex.org/W4406798947, https://openalex.org/W4402661613, https://openalex.org/W3004632307, https://openalex.org/W4400881199, https://openalex.org/W2065832208, https://openalex.org/W3156623520, https://openalex.org/W2793768078, https://openalex.org/W2990234820, https://openalex.org/W2991226662, https://openalex.org/W3145560354, https://openalex.org/W3112958016, https://openalex.org/W4292239457, https://openalex.org/W2512715308 |
| referenced_works_count | 15 |
| abstract_inverted_index.( | 112, 128, 140, 146, 167, 178, 188, 197, 203, 216 |
| abstract_inverted_index.= | 180, 199, 218 |
| abstract_inverted_index.p | 113, 129, 141, 147, 168, 179, 189, 198, 204, 217 |
| abstract_inverted_index.We | 2, 35 |
| abstract_inverted_index.to | 54, 81, 88, 211, 258 |
| abstract_inverted_index.up | 87 |
| abstract_inverted_index.and | 6, 15, 20, 31, 63, 72, 83, 99, 144, 158, 165, 201, 214, 222, 228, 240, 243, 254 |
| abstract_inverted_index.for | 66, 116, 132, 250 |
| abstract_inverted_index.hip | 18, 40, 232 |
| abstract_inverted_index.the | 43, 248 |
| abstract_inverted_index.was | 124 |
| abstract_inverted_index.< | 114, 130, 142, 148, 169, 190, 205 |
| abstract_inverted_index.(1:1 | 57 |
| abstract_inverted_index.BMI, | 69 |
| abstract_inverted_index.Most | 105 |
| abstract_inverted_index.age, | 67 |
| abstract_inverted_index.also | 125 |
| abstract_inverted_index.from | 42 |
| abstract_inverted_index.high | 238 |
| abstract_inverted_index.more | 162 |
| abstract_inverted_index.need | 249 |
| abstract_inverted_index.over | 86 |
| abstract_inverted_index.risk | 177 |
| abstract_inverted_index.sex, | 68 |
| abstract_inverted_index.were | 52, 77, 101, 209 |
| abstract_inverted_index.with | 23, 49, 161 |
| abstract_inverted_index.(time | 80 |
| abstract_inverted_index.after | 17 |
| abstract_inverted_index.close | 255 |
| abstract_inverted_index.eight | 89 |
| abstract_inverted_index.joint | 212, 244 |
| abstract_inverted_index.rates | 111 |
| abstract_inverted_index.risks | 230 |
| abstract_inverted_index.type. | 74 |
| abstract_inverted_index.while | 182 |
| abstract_inverted_index.0.0001 | 115, 131 |
| abstract_inverted_index.German | 44 |
| abstract_inverted_index.Index, | 71 |
| abstract_inverted_index.across | 60 |
| abstract_inverted_index.causes | 92 |
| abstract_inverted_index.higher | 109, 127 |
| abstract_inverted_index.linked | 210 |
| abstract_inverted_index.mainly | 174 |
| abstract_inverted_index.mental | 151 |
| abstract_inverted_index.others | 100 |
| abstract_inverted_index.raised | 186 |
| abstract_inverted_index.rates, | 160 |
| abstract_inverted_index.showed | 107, 154 |
| abstract_inverted_index.years. | 90 |
| abstract_inverted_index.(ICD-10 | 9 |
| abstract_inverted_index.0.0001) | 143 |
| abstract_inverted_index.0.0041) | 200 |
| abstract_inverted_index.190,340 | 37 |
| abstract_inverted_index.Methods | 34 |
| abstract_inverted_index.Organic | 150 |
| abstract_inverted_index.Primary | 75 |
| abstract_inverted_index.Purpose | 1 |
| abstract_inverted_index.Results | 104 |
| abstract_inverted_index.elevate | 226 |
| abstract_inverted_index.implant | 78 |
| abstract_inverted_index.improve | 259 |
| abstract_inverted_index.matched | 55 |
| abstract_inverted_index.primary | 38 |
| abstract_inverted_index.whether | 4 |
| abstract_inverted_index.0.0001). | 149, 170, 191, 206 |
| abstract_inverted_index.0.0008). | 219 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Patients | 48 |
| abstract_inverted_index.Registry | 46 |
| abstract_inverted_index.Revision | 91 |
| abstract_inverted_index.analyzed | 36 |
| abstract_inverted_index.compared | 53 |
| abstract_inverted_index.controls | 56 |
| abstract_inverted_index.diseases | 184 |
| abstract_inverted_index.distinct | 24 |
| abstract_inverted_index.elevated | 32, 156 |
| abstract_inverted_index.frequent | 163 |
| abstract_inverted_index.increase | 12 |
| abstract_inverted_index.markedly | 155 |
| abstract_inverted_index.relevant | 50 |
| abstract_inverted_index.revision | 110, 139, 157, 202, 227 |
| abstract_inverted_index.survival | 79 |
| abstract_inverted_index.0.00032), | 181 |
| abstract_inverted_index.F00–F99 | 62 |
| abstract_inverted_index.Mortality | 123 |
| abstract_inverted_index.adjusting | 65 |
| abstract_inverted_index.all-cause | 84 |
| abstract_inverted_index.diagnoses | 51 |
| abstract_inverted_index.disorders | 8, 152, 172, 193, 224 |
| abstract_inverted_index.distance) | 59 |
| abstract_inverted_index.endpoints | 76 |
| abstract_inverted_index.following | 231 |
| abstract_inverted_index.fracture, | 95 |
| abstract_inverted_index.fractures | 166 |
| abstract_inverted_index.highlight | 247 |
| abstract_inverted_index.including | 27, 93 |
| abstract_inverted_index.increased | 138, 175, 195 |
| abstract_inverted_index.loosening | 196 |
| abstract_inverted_index.mortality | 16, 85, 145, 159, 187, 229, 241 |
| abstract_inverted_index.outcomes. | 260 |
| abstract_inverted_index.patterns, | 26 |
| abstract_inverted_index.recorded. | 103 |
| abstract_inverted_index.revision) | 82 |
| abstract_inverted_index.subgroups | 22, 61, 106 |
| abstract_inverted_index.Conclusion | 220 |
| abstract_inverted_index.Elixhauser | 70 |
| abstract_inverted_index.F00–F09, | 117, 133 |
| abstract_inverted_index.F00–F99, | 10 |
| abstract_inverted_index.F10–F19, | 118, 134 |
| abstract_inverted_index.F30–F39, | 119 |
| abstract_inverted_index.G00–G99) | 11 |
| abstract_inverted_index.G00–G99, | 64 |
| abstract_inverted_index.G20–G26, | 120 |
| abstract_inverted_index.G40–G47, | 121 |
| abstract_inverted_index.Neurologic | 221 |
| abstract_inverted_index.cementless | 39 |
| abstract_inverted_index.fractures, | 30 |
| abstract_inverted_index.identified | 21 |
| abstract_inverted_index.infection, | 96 |
| abstract_inverted_index.loosening, | 29, 98 |
| abstract_inverted_index.monitoring | 257 |
| abstract_inverted_index.mortality. | 33 |
| abstract_inverted_index.neurologic | 5 |
| abstract_inverted_index.strategies | 253 |
| abstract_inverted_index.(F00–F09) | 153 |
| abstract_inverted_index.(F20–F29) | 137 |
| abstract_inverted_index.(G20–G26) | 173 |
| abstract_inverted_index.(G30–G32) | 185 |
| abstract_inverted_index.(G40–G47) | 194 |
| abstract_inverted_index.(G60–G64) | 208 |
| abstract_inverted_index.F30–F39). | 135 |
| abstract_inverted_index.G60–G64). | 122 |
| abstract_inverted_index.Mahalanobis | 58 |
| abstract_inverted_index.dislocation | 176 |
| abstract_inverted_index.instability | 213, 245 |
| abstract_inverted_index.psychiatric | 7, 223 |
| abstract_inverted_index.(F00–F09), | 237 |
| abstract_inverted_index.(F10–F19), | 242 |
| abstract_inverted_index.(G60–G64), | 246 |
| abstract_inverted_index.Arthroplasty | 45 |
| abstract_inverted_index.arthroplasty | 19, 73 |
| abstract_inverted_index.complication | 25, 239 |
| abstract_inverted_index.degenerative | 183 |
| abstract_inverted_index.dislocation, | 97 |
| abstract_inverted_index.dislocations | 164, 215 |
| abstract_inverted_index.investigated | 3 |
| abstract_inverted_index.Schizophrenia | 136 |
| abstract_inverted_index.arthroplasty. | 233 |
| abstract_inverted_index.complications | 14 |
| abstract_inverted_index.dislocations, | 28 |
| abstract_inverted_index.perioperative | 252 |
| abstract_inverted_index.postoperative | 13, 256 |
| abstract_inverted_index.significantly | 108, 126, 225 |
| abstract_inverted_index.(2012–2024). | 47 |
| abstract_inverted_index.Extrapyramidal | 171 |
| abstract_inverted_index.arthroplasties | 41 |
| abstract_inverted_index.individualized | 251 |
| abstract_inverted_index.periprosthetic | 94 |
| abstract_inverted_index.systematically | 102 |
| abstract_inverted_index.Polyneuropathies | 207 |
| abstract_inverted_index.vulnerabilities, | 235 |
| abstract_inverted_index.Subgroup-specific | 234 |
| abstract_inverted_index.Episodic/paroxysmal | 192 |
| abstract_inverted_index.dislocations/fractures | 236 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 5 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.38939598 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |