Evidence map›Paper›PMID 11176772›Full record

ArticleArchives of internal medicine2001

The effect of age on pain, function, and quality of life after total hip and knee arthroplasty.

C A Jones, D C Voaklander, D W Johnston, M E Suarez-Almazor

Abstract read
PubMed Publisher
In one paragraph

Article in Archives of internal medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 128 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. The impact of non-traumatic hip and knee disorders on health-related quality of life as measured with the SF-36 or SF-12. A systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2005
    Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Guided Imagery for Total Knee Replacement: A Randomized, Placebo-Controlled Pilot Study.Journal of alternative and complementary medicine (New York, N.Y.) · 2016
    Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Article

68 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

C A JonesDepartment of Public Health Sciences, PT, Room 2137, Dentistry/Pharmacy Bldg, University of Alberta, Edmonton, Alberta, Canada T6G 2N8. ajones@pharmacy.ualberta.ca
D C Voaklander
D W Johnston
M E Suarez-Almazor

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs utilization rates for total joint arthroplasty increase, there is a hesitancy to perform this surgery on very old patients. The objective of this prospective study was to compare pain, functional, and health-related quality-of-life outcomes after total hip and total knee arthroplasty in an older patient group (> or =80 years) and a representative younger patient group (55-79 years).

methodsIn an inception community-based cohort within a Canadian health care system, 454 patients who received primary total hip arthroplasty (n = 197) or total knee arthroplasty (n = 257) were evaluated within a month prior to surgery and 6 months postoperatively. Pain, function, and health-related quality of life were evaluated with the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index and the 36-Item Short-Form Health Survey (SF-36).

resultsThere were no age-related differences in joint pain, function, or quality-of-life measures preoperatively or 6 months postoperatively. Furthermore, after adjusting for potential confounding effects, age was not a significant determinant of pain or function. Although those in the older and younger groups had comparable numbers of comorbid conditions and complications, those in the older group were more likely to be transferred to a rehabilitation facility than younger patients. Regardless of age, patients did not achieve comparable overall physical health when matched with the general population for age and sex.

conclusionsWith increasing life expectancy and elective surgery improving quality of life, age alone is not a factor that affects the outcome of joint arthroplasty and should not be a limiting factor when considering who should receive this surgery.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneePostoperative PainQuality of LifeAgedAged, 80 and overAge FactorsFemaleHumansLinear ModelsMaleMiddle AgedPostoperative PeriodProspective StudiesTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.