Evidence map›Paper›PMID 23912419›Full record

ArticleArchives of orthopaedic and trauma surgery2013

Simultaneous and staged bilateral total hip arthroplasty: a Danish nationwide study.

Martin Lindberg-Larsen, Christoffer Calov Joergensen, Henrik Husted, Henrik Kehlet

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Article in Archives of orthopaedic and trauma surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 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

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Simultaneous versus staged bilateral total hip arthroplasty: a meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
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  10. One-stage versus 2-stage bilateral total joint arthroplasty: a matched cohort study.Canadian journal of surgery. Journal canadien de chirurgie · 2020
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  13. Review
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  17. Fast track in hip arthroplasty.EFORT open reviews · 2017
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  18. Article
  19. Early morbidity after simultaneous and staged bilateral total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2015
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Martin Lindberg-LarsenSection of Surgical Pathophysiology, Rigshospitalet, Copenhagen University, Copenhagen, Denmark, martinl@dadlnet.dk.
Christoffer Calov Joergensen
Henrik Husted
Henrik Kehlet

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBilateral total hip arthroplasty (BTHA) and bilateral simultaneous total hip arthroplasty (BSTHA) are done increasingly. Previous studies evaluating outcomes after bilateral procedures have found different results. The aim of this study was to investigate length of hospital stay (LOS), 30 days readmissions and 90 days mortality after BSTHA and BTHA on a nationwide basis. MATERIALS AND

methodsAll bilateral primary total hip arthroplasties performed in Denmark from January 1, 2010 to June 31, 2011 were identified using data from the Danish National Patient Registry. The staged procedures were divided into early staged BTHA (0-6 months) and late staged BTHA (6-18 months).

results103 patients underwent BSTHA, 370 underwent BTHA (0-6 months) and 207 underwent BTHA (6-18 months). Median total LOS was 4 days (IQR 3) after BSTHA vs. 6 days (3) after both BTHA (0-6 months) and BTHA (6-18 months) (p < 0.001). There were no deaths in the BSTHA group vs. 1 death in each BTHA group ≤90 days postoperatively (0.3 and 0.5 %, respectively) (p = 0.755). The readmission rate ≤30 days was 1.9 % after BSTHA vs. 8.9 % (cumulated) after BTHA (0-6 months) and 15.9 % (cumulated) after BTHA (6-18 months) (p < 0.001).

conclusionsIf patients are carefully selected for BSTHA, the procedure appears to be safe when combined with a fast-track protocol in Denmark. We found significantly lower readmission rates and shorter total LOS in the BSTHA group compared with the BTHA groups, potentially reflecting selection bias. The results should stimulate to evaluate BSTHA in a randomised controlled trial or a detailed prospective, large multicenter study with a fast-track protocol regarding morbidity, convalescence and mortality.

Indexed as

AdolescentAdultAgedAged, 80 and overArthroplasty, Replacement, HipDenmarkFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionProspective StudiesRetrospective StudiesTime FactorsYoung Adult

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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.