Evidence map›Paper›PMID 14563808›Full record

ArticleThe Journal of bone and joint surgery. American volume2003

Comparison of simultaneous bilateral with unilateral total knee arthroplasty in terms of perioperative complications.

Daniel P Bullock, Scott M Sporer, Thomas G Shirreffs

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in The Journal of bone and joint surgery. American volume, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 6 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

55 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Efficacy and Safety of Tranexamic Acid in Bilateral Total Knee Replacement: A Meta-Analysis and Systematic Review.Medical science monitor : international medical journal of experimental and clinical research · 2015
    Pooled it
  4. Pooled it
  5. Guideline
  6. Pooled it
  7. The effect of total synovectomy in total knee arthroplasty: a prospective randomized controlled study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2011
    Trial
  8. Simultaneous bilateral MIS-TKA results in faster functional recovery.Clinical orthopaedics and related research · 2008
    Trial
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Daniel P BullockDepartment of Orthopaedic Surgery, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA.
Scott M Sporer
Thomas G Shirreffs

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have demonstrated an increased rate of perioperative complications and morbidity following simultaneous bilateral total knee arthroplasty compared with the rate following unilateral total knee arthroplasty. The purpose of this study was to compare the rate of perioperative complications and morbidity associated with simultaneous bilateral total knee arthroplasty with that associated with unilateral total knee arthroplasty.

methodsThe records on all bilateral total knee arthroplasties performed between January 1994 and June 2000 and unilateral total knee arthroplasties performed between January 1995 and June 2000 were retrospectively reviewed. The records on 514 unilateral total knee arthroplasties and 255 bilateral total knee arthroplasties were analyzed to determine demographic information, preoperative comorbidities, perioperative complications, and thirty-day and one-year mortality rates.

resultsThe rates of some perioperative complications, including myocardial infarction, postoperative confusion, and the need for intensive monitoring, were greater after the bilateral arthroplasties. However, the thirty-day and one-year mortality rates and the risks of pulmonary embolism, infection, and deep venous thrombosis were similar for the two groups.

conclusionsThe risk of perioperative complications associated with bilateral simultaneous total knee arthroplasty was slightly increased compared with that associated with unilateral total knee arthroplasty, but the mortality rates were similar. Ultimately, the decision to proceed with simultaneous knee replacement should depend on patient preference through informed choice.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, KneeFollow-Up StudiesHumansIntraoperative ComplicationsKnee JointMiddle AgedOsteoarthritisPostoperative ComplicationsRetrospective StudiesRisk FactorsSurvival RateTime FactorsTreatment Outcome

Identifiers

PMID14563808

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.