Evidence map›Paper›PMID 21249484›Full record

ArticleClinical orthopaedics and related research2011

Factors and consequences of waiting times for total hip arthroplasty.

Itziar Vergara, Amaia Bilbao, Nerea Gonzalez, Antonio Escobar, José M Quintana

Abstract read
In one paragraph

Article in Clinical orthopaedics and related research, 2011. 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
–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

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

  1. Preparation for the next COVID-19 wave: The European Hip Society and European Knee Associates recommendations.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Guideline
  2. Trial
  3. Article
  4. Observational
  5. Evaluation of "appropriate use criteria" for surgical decision-making in lumbar degenerative spondylolisthesis. A controlled, multicentre, prospective observational study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
    Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Comparison of pre- and post-operative health-related quality of life and length of stay after primary total hip replacement in matched English and German patient cohorts.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2015
    Article
  12. Surgical management of hip osteoarthritis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014
    Review
  13. Painful prosthesis: approaching the patient with persistent pain following total hip and knee arthroplasty.Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases · 2013
    Review
  14. Access to orthopedic specialist service in Ontario via eConsult.Canadian journal of surgery. Journal canadien de chirurgie
    Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Itziar VergaraBasque Foundation for Health Innovation and Research (BIOEF), Pza. Asúa 1, Sondika, 48150 Bizkaia, Spain. vergara@bioef.org
Amaia Bilbao
Nerea Gonzalez
Antonio Escobar
José M Quintana

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious priority criteria for waiting lists for THA have been proposed. These criteria, however, are not typically included in clinical practice, resulting in unclear management procedures. Further, the clinical effects of waiting times on subsequent pain control or function are unclear. QUESTIONS/PURPOSES: Therefore, we asked (1) what factors affect the waiting time for THA when no prioritization criteria are implemented, and (2) does waiting time influence pain and function after THA? PATIENT AND

methodsWe prospectively identified all 1495 patients on a waiting list for THA during a year. Of these patients, 991 fulfilled the inclusion criteria, and waiting times were available for 695, of whom 527 (76%) responded to a followup questionnaire. Variables included wait time, sociodemographic data, comorbidities, and WOMAC and SF-36 questionnaires, collected preoperatively and 6 months after surgery.

resultsThe mean wait time was 5 months (SD, 3.0). Patients with lower levels of pain and better function on the WOMAC scale, or better physical function on the SF-36, had longer waiting times. The gains in function were smaller for patients who waited more than 6 months. The likelihood of perceiving a gain greater than the minimal clinically important difference was greater for patients waiting less than 3 months.

conclusionOnly pain and previous function were significant determinants of prioritizing patients on the waiting list. Suboptimal patient selection had clinical consequences in function gain that affect the quality of the clinical care.

Indexed as

Arthroplasty, Replacement, HipPatient SelectionWaiting ListsAgedDisability EvaluationFemaleHospitals, PublicHospitals, TeachingHumansLinear ModelsLogistic ModelsMaleOsteoarthritis, HipPain MeasurementProspective StudiesQuality of Health Care

Identifiers

PMID21249484
PMCPMC3069288

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.