Evidence map›Paper›PMID 15808034›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2005

Population survey comparing older adults with hip versus knee pain in primary care.

Louise Linsell, Jill Dawson, Krina Zondervan, Peter Rose, Andrew Carr, Tony Randall, Ray Fitzpatrick

Open access · greenAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% of its field
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

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  15. Joint first for hip and knee replacements.The British journal of general practice : the journal of the Royal College of General Practitioners · 2005
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Louise LinsellDivision of Public Health and Primary Health Care, Oxford University, Old Road, Oxford OX3 7LF, UK. louise.linsell@public-health.oxford.ac.uk
Jill Dawson
Krina Zondervan
Peter Rose
Andrew Carr
Tony Randall
Ray Fitzpatrick
University of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnee pain is nearly twice as prevalent as hip pain in elderly people, yet knee replacement is far less common than hip replacement.

aimTo investigate whether systematic differences in the primary care management of hip versus knee problems might explain the disparate rates of joint replacement. DESIGN OF STUDY: Cross-sectional, population-based postal survey.

settingRandom sample of 5500 Oxfordshire residents aged 65 years and above.

methodScreening questions were used to identify symptomatic individuals: "During the past 12 months, have you had pain in or around either of your hips/knees on most days for 1 month or longer?". Standard (Lequesne) severity ratings were obtained for each hip and knee. Logistic regression was used to estimate odds ratios (ORs) for "knee cases" versus "hip cases" for selected healthcare services and attitudes toward replacement.

resultsAmong 3341 responders, 212 hip cases and 612 knee cases were identified. Knee pain led to a GP consultation more often than hip pain (OR = 1.76, P = 0.04), but specialist referral was no more likely (OR = 0.85, P = 0.57). Similar percentages of hip and knee cases would agree to hip/knee replacement surgery if it was offered, but hip and knee cases differed in their views on the general success of joint replacement.

conclusionsSome variations in primary care management for hip versus knee pain were apparent. People with hip pain were mostly positive about replacement outcomes, whereas people with knee pain were more uncertain about replacement. Attitudes appeared to be influenced by knowing someone who had undergone such surgery.

Indexed as

AgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeAttitude to HealthCross-Sectional StudiesFamily PracticeFemaleHumansMaleOsteoarthritis, HipOsteoarthritis, KneePainPain MeasurementPrevalenceSurveys and Questionnaires

Identifiers

PMID15808034
PMCPMC1463089
OpenAlexW1935266795

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.