Evidence map›Paper›PMID 23648016›Full record

ArticleJournal of thrombosis and haemostasis : JTH2013

Incidence of venous thromboembolism after elective knee arthroscopic surgery: a historical cohort study.

K F Mauck, D A Froehling, P R Daniels, D L Dahm, A A Ashrani, D J Crusan, T M Petterson, K R Bailey, J A Heit

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
2.9field-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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Symptomatic Deep Vein Thrombosis Following Elective Knee Arthroscopy Over the Age of 40.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. What's new in VTE risk and prevention in orthopedic surgery.Research and practice in thrombosis and haemostasis · 2020
    Article
  14. Article
  15. Arthroscopic debridement of the degenerative knee - Is there still a role?Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2019
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

9 authors at 3 institutions in 1 country.

K F MauckDivision of General Internal Medicine, Department of Internal Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. mauck.karen@mayo.edu
D A Froehling
P R Daniels
D L Dahm
A A Ashrani
D J Crusan
T M Petterson
K R Bailey
J A Heit
Mayo Clinic in Florida · USUniversity of Minnesota Rochester · USMayo Clinic · US

Funding

RISK FACTORS FOR VENOUS THROMBOEMBOLISM IN THE COMMUNITYR01HL066216 · NHLBI · MAYO CLINIC ROCHESTER · PI ASHRANI, ANEEL ARJUN, BAILEY, KENT R · 2001 to 2019
$10.4M
Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
NHLBI NIH HHS R01 HL066216NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

backgroundThe incidence of symptomatic venous thromboembolism (VTE) after knee arthroscopy is uncertain.

objectivesTo estimate the incidence of symptomatic VTE after arthroscopic knee surgery.

methodsIn a population-based historical cohort study, all Olmsted County, MN, USA, residents undergoing a first arthroscopic knee surgery during the 18-year period of 1988-2005 were followed for incident deep venous thrombosis or pulmonary embolism. The cumulative incidence of VTE after knee arthroscopy was determined using the Kaplan-Meier product limit estimator. Patient age at surgery, sex, calendar year of surgery, body mass index, anesthesia characteristics, and hospitalization were tested as potential predictors of VTE using Cox proportional hazards modeling, both univariately and adjusted for age and sex.

resultsAmong 4833 Olmsted County residents with knee arthroscopy, 18 developed postoperative VTE, all within the first 6 weeks after surgery. The cumulative incidence rates of symptomatic VTE at 7, 14, and 35 days were 0.2%, 0.3%, and 0.4%, respectively. The hazard for postoperative VTE was significantly increased for older patient age (hazard ratio = 1.34 for each 10-year increase in patient age; P = 0.03) and hospitalization either before or after knee arthroscopy (hazard ratio = 14.1; P < 0.001).

conclusionsThe incidence of symptomatic VTE after arthroscopic knee surgery is very low. Older age and hospitalization are associated with increased risk. Routine prophylaxis to prevent symptomatic VTE is likely not needed in this patient population.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsArthroscopyChildChild, PreschoolElective Surgical ProceduresFemaleHospitalizationHumansIncidenceKaplan-Meier EstimateKnee JointMaledeep venous thrombosis epidemiologyincidenceknee replacement arthroplastypulmonary embolismvenous thromboembolism

Identifiers

PMID23648016
PMCPMC3827585
OpenAlexW2037796328

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.