Evidence map›Paper›PMID 22956233›Full record

SynthesisClinical orthopaedics and related research2013

Do patients lose weight after joint arthroplasty surgery? A systematic review.

Maria C S Inacio, Donna Kritz-Silverstein, Elizabeth W Paxton, Donald C Fithian

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Clinical orthopaedics and related research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Body mass index changes after unicompartmental knee arthroplasty do not adversely influence patient outcomes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
    Article
  8. Patients Less Likely to Lose Weight Following a Knee Replacement: Results From the Osteoarthritis Initiative.Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases · 2017
    Article
  9. New Joints, Same Old Weight: Weight Changes After Total Hip and Knee Arthroplasty.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2016
    Review
  10. Review
  11. Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Maria C S InacioJoint Doctoral Program in Epidemiology, San Diego State University/University of California, 3033 Bunker Hill St., San Diego, CA 92109, USA. maria.cs.inacio@kp.org
Donna Kritz-Silverstein
Elizabeth W Paxton
Donald C Fithian
Colorado Permanente Medical Group · USKaiser Permanente · USSan Diego State University · USUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ability of patients with a total joint arthroplasty (TJA) to lose weight after surgery has been investigated in a few studies with inconsistent results. QUESTIONS/PURPOSES: We asked: (1) What is the quality of evidence of current published literature on postoperative weight trends for patients who have had a TJA? (2) Do patients lose any weight after TJA? (3) Do patients lose a clinically meaningful amount of weight after TJA?

methodsWe conducted a systematic review of PubMed and the Cochrane Library. Studies were summarized according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement. Studies were reviewed for quality of evidence and limitations according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria. Twelve studies were identified, one case-cohort study and 11 case series. Most studies were from single-surgeon or single-hospital series. Five studies included THAs and TKAs, four only THAs, and three only TKAs. We determined study type, level of evidence, inclusion criteria, procedures, proportion of patients who changed weight, body composition assessment, time of composition assessment, statistical analysis performed, and subgroup analysis conducted.

resultsOwing to the observational nature of the studies and the serious limitations identified, all were considered very low quality according to GRADE criteria. Studies reported 14% to 49% of patients had some weight loss at least 1 year postoperatively.

conclusionsWe found no conclusive evidence that weight or body composition increases, decreases, or remains the same after TJA.

Indexed as

Arthroplasty, ReplacementPostoperative PeriodWeight LossBody WeightHumans

Identifiers

PMID22956233
PMCPMC3528939
OpenAlexW2006330337

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.