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Do Invasive Dental Procedures Cause Prosthetic Joint Infections (PJI)?

A retrospective, case-crossover design, observational study of English national data comparing the incidence of invasive dental procedures in the 3 months immediately preceding a late prosthetic joint infection (cases) with the incidence of invasive dental procedures in earlier 3-month control periods (3-6, 6-9 or 9-12 months before a late prosthetic joint infection)

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN11310789
Enrollment
100000
Registered
2018-05-30
Start date
2010-04-01
Completion date
Unknown
Last updated
2022-03-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Invasive dental procedures leading to development of late prosthetic joint infections Infections and Infestations Late prosthetic joint infections

Interventions

We do not intend to contact patients or involve them personally with this research, the proposed research is an observational study only. It uses routinely collected national data for England.

Sponsors

University of Sheffield
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Developed a prosthetic joint infection as a primary or secondary discharge diagnosis (ICD-10 codes M00.0, M00.1, M00.2, M00.8, M00.9) 2. >3 months after having had a prosthetic joint inserted (OPCS-4 codes W37-W51)

Exclusion criteria

Exclusion criteria: Current exclusion criteria as of 12/11/2018: 1. NHS number is missing or cannot be derived using established algorithms from their other personally identifying data (name, date of birth, gender, address etc.). Any missing or corrupt records are also excluded 2. Prosthetic joint was inserted <3 months before the prosthetic joint infection are also excluded 3. Patients that do not want the confidential patient information held on them by NHS Digital (or NHSBSA) to be used in this, or other research, can use the National data opt-out programme (https://digital.nhs.uk/services/national-data-opt-out-programme ) to have it excluded. Patients can find out more and set their opt-out choice at: https://www.nhs.uk/your-nhs-data-matters/. Previous exclusion criteria: 1. NHS number is missing or cannot be derived using established algorithms from their other personally identifying data (name, date of birth, gender, address etc.). Any missing or corrupt records are also excluded 2. Prosthetic joint was inserted <3 months before the prosthetic joint infection are also excluded 3. Notified NHS Digital or NHSBSA that they do not wish their data to be shared for purposes other than their own direct care (known as a 'Type 2 Opt-Out')

Design outcomes

Primary

MeasureTime frame
Incidence of invasive dental procedures in the 3 months immediately preceding a late prosthetic joint infection (LPJI) (case period) compared to the frequency of invasive dental procedures in earlier 3 month control periods (3-6, 6-9 and 9-12 month before LPJI), measured by linking national hospital diagnosis and procedure data with national dental treatment data

Secondary

MeasureTime frame
LPJI free survival following a course of dental treatment involving an invasive dental procedure (cases) compared to LPJI free survival following a course of dental treatment NOT involving an invasive dental procedure (controls) measured by linking national hospital diagnosis and procedure data with national dental treatment data. Invasive dental procedures are defined as extractions, dental scaling and endodontic (root canal) treatment.

Countries

England, United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026