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Letters Mortality after hip replacement

Unintended consequences: might major surgery accelerate cancer?

BMJ 2014; 348 doi: (Published 15 January 2014) Cite this as: BMJ 2014;348:g247
  1. Michael S Hofman, nuclear medicine physician1
  1. 1Peter MacCallum Cancer Centre, East Melbourne, VIC 3002, Australia
  1. michael.hofman{at}

Kendal and colleagues found a strong overall survival advantage at 10 years’ follow-up for patients undergoing metal-on-metal hip resurfacing compared with those undergoing total hip replacement.1 The authors analysed all cause mortality, unlike many studies, which confine research to disease specific end points, thereby masking unanticipated consequences of …

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