Evidence map›Paper›PMID 23508867›Full record

ArticleInternational orthopaedics2013

Perioperative mortality in hip fracture patients treated with cemented and uncemented hemiprosthesis: a register study of 11,210 patients.

Ove Talsnes, Tarjei Vinje, Jan Erik Gjertsen, Ola E Dahl, Lars B Engesæter, Valborg Baste, Are Hugo Pripp, Olav Reikerås

Abstract readComparative Study
In one paragraph

Article in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing 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

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

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  10. Osseointegration of a hydroxyapatite-coated stem in femoral neck fractures in the over-80 s.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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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

8 authors.

Ove TalsnesDepartment of Orthopaedics, Innlandet Hospital Trust, Elverum, Norway. ove.talsnes@sykehuset-innlandet.no
Tarjei Vinje
Jan Erik Gjertsen
Ola E Dahl
Lars B Engesæter
Valborg Baste
Are Hugo Pripp
Olav Reikerås

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdverse events associated with the use of bone cement for fixation of prostheses is a known complication. Due to inconclusive results in studies of hip fracture patients treated with cemented and uncemented hemiprostheses, this study was initiated.

methodsOur study is based on data reported to the Norwegian Hip Fracture Register on 11,210 cervical hip fractures treated with hemiprostheses (8,674 cemented and 2,536 uncemented).

resultsSignificantly increased mortality within the first day of surgery was found in the cemented group (relative risk 2.9, 95 % confidence interval 1.6-5.1, p=0.001). The finding was robust giving the same results after adjusting for independent risk factors such as age, sex, cognitive impairment and comorbidity [American Society of Anesthesiologists (ASA) score]. For the first post-operative day the number needed to harm was 116 (one death for every 116 cemented prosthesis). However, in the most comorbid group (ASA worse than 3), the number needed to harm was only 33.

conclusionsWe found increased mortality for the cemented hemiprosthesis the first post-operative day compared to uncemented procedures. This increased risk is closely related to patient comorbidity estimated by the patient's ASA score.

Indexed as

Bone CementsHip ProsthesisPerioperative PeriodAgedAged, 80 and overArthroplasty, Replacement, HipFemaleHip FracturesHospital MortalityHumansMaleNorwayRegistriesRetrospective StudiesRisk FactorsSurvival RateBone Cements

Identifiers

PMID23508867
PMCPMC3664168

What OpenQuestion holds

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Registered trials

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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.