SynthesisThe Journal of rheumatology2011
Smoking and outcomes after knee and hip arthroplasty: a systematic review.
Synthesis in The Journal of rheumatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.
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.
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.
Who cites it
51 citing papers in PubMed, 191 citations in OpenAlex.
- Smoking increases the risk of early postoperative infection after elective total hip arthroplasty: Evidence from a Nationwide Japanese database.International orthopaedics · 2026Article
- Rural vs Urban Outcomes in Total Knee and Hip Arthroplasty: A Study of Patient-Reported Outcomes and Web-Based Tool Efficacy.Arthroplasty today · 2026Article
- Impact of Rurality on Total Joint Arthroplasty Access and Outcomes: A Systematic Review.Arthroplasty today · 2026Review
- Bridging Mouth and Metal: Dental Hygiene and the Risk of Periprosthetic Joint Infection.Orthopedic reviews · 2026Article
- International, consensus-based, indications and treatment options for knee arthroplasty in acute fractures around the knee.Archives of orthopaedic and trauma surgery · 2025Review
- Do modifiable patient factors increase the risk of postoperative complications after total joint arthroplasty?Archives of orthopaedic and trauma surgery · 2024Article
- Genetic and Modifiable Risk Factors for Postoperative Complications of Total Joint Arthroplasty: A Genome-Wide Association and Mendelian Randomization Study.Bioengineering (Basel, Switzerland) · 2024Article
- Smoking is associated with higher short-term risk of revision and mortality following primary hip or knee arthroplasty: a cohort study of 272,640 patients from the Dutch Arthroplasty Registry.Acta orthopaedica · 2024Article
- Comorbid Factors and Selection for Same-Day Total Joint Arthroplasty.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Outpatient Hip and Knee Arthroplasty Can be Safe in Patients With Multiple Medical Comorbidities via Use of Evidence-Based Perioperative Protocols.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Establishing the Minimally Important Difference for the KOOS-Joint Replacement and PROMIS Global-10 in Patients After Total Knee Arthroplasty.Orthopaedic journal of sports medicine · 2024Article
- One-year unplanned readmission after total hip arthroplasty in patients with osteonecrosis of the femoral head: rate, causes, and risk factors.BMC musculoskeletal disorders · 2023Article
- Rural-Urban Differences in Hospital and Patient-Reported Outcomes Following Total Hip Arthroplasty.Arthroplasty today · 2023Article
- 30-Day Post-Operative Complications of Facial Fracture Repairs: A United States Database Study.Craniomaxillofacial trauma & reconstruction · 2023Article
- Development of a machine learning algorithm to identify surgical candidates for hip and knee arthroplasty without in-person evaluation.Archives of orthopaedic and trauma surgery · 2023Article
- Smokers have increased risk of soft-tissue complications following primary elective TKA.Archives of orthopaedic and trauma surgery · 2023Article
- Outcomes of total hip and knee arthroplasty in special populations: a synopsis and critical appraisal of systematic reviews.Arthroplasty (London, England) · 2023Article
- Fast Track Protocols and Early Rehabilitation after Surgery in Total Hip Arthroplasty: A Narrative Review.Clinics and practice · 2023Review
- Effect of Tobacco Use on Radiolucent Lines in Modern Cementless Total Knee Arthroplasty Tibial Components.Arthroplasty today · 2023Article
- Cannabis Use Among Lower-Extremity Arthroplasty Patients Does Not Lead to Worse Postoperative Outcomes.Cureus · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
Abstract
objectiveStudies have suggested higher rates of perioperative and postoperative complications in smokers compared to nonsmokers. The objective of this systematic review was to assess the association of smoking and postoperative outcomes following total hip arthroplasty (THA) or total knee arthroplasty (TKA).
methodsA search of 6 databases (The Cochrane Library, Scopus, Proquest Dissertation abstracts, CINAHL, Ovid Medline, and Embase) was performed by a Cochrane librarian. All titles and abstracts were screened by 2 independent reviewers with expertise in performing systematic reviews. Studies were included if they were fully published reports that included smoking and any perioperative or postoperative clinical outcome in patients with TKA or THA.
resultsA total of 21 studies were included for the review, of which 6 provided multivariable-adjusted analyses, 14 univariate analyses, and one statistical modeling. For most outcomes, results from 1-2 studies could be pooled. Current smokers were significantly more likely to have any postoperative complication (risk ratio 1.24, 95% CI 1.01 to 1.54) and death (risk ratio 1.63, 95% CI 1.06 to 2.51) compared to nonsmokers. Former smokers were significantly more likely to have any post-operative complication (risk ratio 1.32, 95% CI 1.05 to 1.66) and death (risk ratio 1.69, 95% CI 1.08 to 2.64) compared to nonsmokers.
conclusionThis systematic review found that smoking is associated with significantly higher risk of postoperative complication and mortality following TKA or THA. Studies examining longterm consequences of smoking on implant survival and complications are needed. Smoking cessation may improve outcomes after THA or TKA.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.