Evidence map›Paper›PMID 18508984›Full record

ArticlePostgraduate medical journal2008

Management of septic arthritis: a systematic review.

C J Mathews, G Kingsley, M Field, A Jones, V C Weston, M Phillips, D Walker, G Coakley

Abstract read
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In one paragraph

Article in Postgraduate medical journal, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Corticosteroids for septic arthritis in children.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Septic Arthritis Risk Calculator: External Validation of a Prediction Model for Native Adult Knees Among Veterans.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
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  6. Observational
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  11. The accuracy and diagnostic value of gram staining joint aspirates in suspected joint infections.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2024
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  17. The Role of Neutrophils in Brucellosis.Microbiology and molecular biology reviews : MMBR · 2020
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

C J MathewsQueen Elizabeth Hospital, Stadium Road, Woolwich, London SE18 4QH, UK.
G Kingsley
M Field
A Jones
V C Weston
M Phillips
D Walker
G Coakley

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the existing evidence on the diagnosis and management of septic arthritis in native joints.

designSystematic review. DATA SOURCES: Cochrane Library, Medline, Embase, National Electronic Library for Health, reference lists, national experts. REVIEW

methodsSystematic review of the literature with evaluation of the methodological quality of the selected papers using defined criteria set out by the Clinical Effectiveness and Evaluation Unit of the Royal College of Physicians.

results3291 citations were initially identified. Of these, 189 full text articles were identified for potential selection. Following review of these full text articles, 80 articles were found to fulfil the inclusion criteria and were included in the final list. Conclusions were drawn on the diagnosis, investigation and management of septic arthritis. DISCUSSION: Little good quality evidence exists to guide the diagnosis and management of septic arthritis. Overall, no investigation is more reliable in the diagnosis of septic arthritis than the opinion of an experienced doctor. Aspiration and culture of synovial fluid is crucial to the diagnosis, but measurement of cell count is unhelpful. Antibiotics are clearly required for a prolonged period, but there are no data to indicate by which route or for how long. Key unanswered questions remain surrounding the medical and surgical management of the infected joint.

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.