Evidence map›Paper›PMID 21724724›Full record

SynthesisThe Journal of rheumatology2011

Early postoperative mortality following joint arthroplasty: a systematic review.

Jasvinder A Singh, Joseph Kundukulam, Daniel L Riddle, Vibeke Strand, Peter Tugwell

Open access · bronzeAbstract readSystematic Review
In one paragraph

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 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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  16. Autologous haematopoietic stem cell transplantation for neurological diseases.Journal of neurology, neurosurgery, and psychiatry · 2018
    Review
  17. Observational
  18. Is Preoperative Patient-Reported Health Status Associated with Mortality after Total Hip Replacement?International journal of environmental research and public health · 2017
    Article
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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 at 4 institutions in 1 country.

Jasvinder A SinghMedicine Service and Center for Surgical Medical Acute Care Research and Transitions, Birmingham Veterans Affairs (VA) Medical Center, Birmingham, Alabama, USA. Jasvinder.md@gmail.com
Joseph Kundukulam
Daniel L Riddle
Vibeke Strand
Peter Tugwell
Mayo Clinic · USBirmingham VA Medical Center · USUniversity of Alabama · USVirginia Commonwealth University · US

Funding

Mayo Clinic Center for Translational Science ActivitiesKL2RR024151 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$15.3M
UAB Short-Term Research Training in Health Professional Schools (SHRT)T35HL007473 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WILLIAM M GEISLER · 1985 to 2026
$4.0M
NCRR NIH HHS 1 KL2 RR024151-01NCRR NIH HHS KL2 RR024151
6 · The paper itself

Abstract

objectiveTo perform a systematic review of 30- and 90-day mortality rates in patients undergoing hip or knee arthroplasties.

methodsFive databases were searched for English-language studies of mortality in hip or knee arthroplasties and the following data were extracted: patient characteristics (age, sex, ethnicity), arthroplasty characteristics (unilateral vs bilateral, hip vs knee), system factors (hospital volume and surgeon volume), year of study, etc. Mortality rates were compared across variable categories; proportions were compared using relative risk ratios and 95% confidence intervals.

resultsOut of 650 titles and abstracts, 80 studies qualified for analysis. Of these, 35%, 34%, and 31% of studies provided 30-, 90-, and > 90-day mortality rates. Overall 30-day mortality rates across all types of arthroplasties were 0.3%; 90-day, 0.7%. For those reports with specific rates, 30-day mortality was significantly higher in men than women [1.8% vs 0.4%, respectively; relative risk (RR) 3.93, 95% CI 3.30-4.68] and in bilateral versus unilateral procedures (0.5% vs 0.3%; RR 1.6, 95% CI 1.49-1.72), but no differences were noted by the underlying diagnosis of osteoarthritis (OA) versus rheumatoid arthritis (0.4% vs 0.3%; RR 0.77, 95% CI 0.48-1.24). 90-day mortality showed nonsignificant trends favoring women, OA as the underlying diagnosis, and unilateral procedures.

conclusionSeveral demographic and surgical factors were associated with higher 30-day mortality rates following knee and hip arthroplasties. More studies are needed to examine the effect of body mass index, comorbidities, and other modifiable factors, in order to identify interventions to lower mortality rates following arthroplasty procedures.

Indexed as

Arthritis, RheumatoidArthroplasty, Replacement, HipArthroplasty, Replacement, KneeFemaleHumansMaleOsteoarthritis, HipOsteoarthritis, KneePostoperative PeriodSurvival RateTime Factors

Identifiers

PMID21724724
PMCPMC4262531
OpenAlexW2047328992

What OpenQuestion holds

Textmetadata
LicenceTDM
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.