SynthesisInternational orthopaedics2013
Do we really need closed-suction drainage in total hip arthroplasty? A meta-analysis.
Synthesis in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02562586 (Is Drainage Necessary After Total Hip Replacement? A Randomized Controlled Trial), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled 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.
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.
Is Drainage Necessary After Total Hip Replacement? A Randomized Controlled Trial
Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.
- Analysis of the Need for Postoperative Drainage Application for Hip Arthroplasty: A Systematic Review and Meta-Analysis.Computational and mathematical methods in medicine · 2022Pooled it
- The use of postoperative suction drainage in total knee arthroplasty: a systematic review.International orthopaedics · 2015Pooled it
- [Fast-Track-Arthroplasty].Orthopadie (Heidelberg, Germany) · 2024Trial
- Value of closed suction drainage in arthroscopic and minimally invasive surgery of the ankle joint: a prospective randomised study.Archives of orthopaedic and trauma surgery · 2023Trial
- Drainage relieves pain without increasing post-operative blood loss in high tibial osteotomy: a prospective randomized controlled study.International orthopaedics · 2020Trial
- Closed suction drainage has no benefits in revision total hip arthroplasty: a randomized controlled trial.International orthopaedics · 2016Trial
- Randomized controlled trial of conventional versus modern surgical dressings following primary total hip and knee replacement.International orthopaedics · 2015Trial
- Knowledge and attitudes toward perioperative patient blood management: A cross-sectional study among Anaesthesiology and Orthopaedic Surgery Departments at a university hospital.Transfusion medicine (Oxford, England) · 2026Article
- Evaluating the benefits of using drainage tubes after high tibial osteotomy: A retrospective study.The Journal of international medical research · 2026Article
- Is submuscular drainage mandatory for posterior spinal fusion in adolescent idiopathic scoliosis? A retrospective clinical study.Frontiers in surgery · 2026Article
- Blood loss, complications, and the role of suction drains in shoulder arthroplasty: a systematic review and meta-analysis.JSES international · 2025Review
- Predicting Postoperative Blood Transfusion in Elderly Patients Undergoing Total Hip and Knee Arthroplasty Using Machine Learning Models.Risk management and healthcare policy · 2025Article
- Similar Short-Term Outcomes of Adolescent Idiopathic Scoliosis Surgery with or without Drainage: A Systematic Review of the Literature and Meta-Analysis.Journal of personalized medicine · 2024Review
- Early Biofilm Formation on the Drain Tip after Total Knee Arthroplasty Is Not Associated with Prosthetic Joint Infection: A Pilot Prospective Case Series Study of a Single Center.Healthcare (Basel, Switzerland) · 2024Article
- Do Patients with Borderline Anemia Need Treatment before Total Hip Arthroplasty? A Propensity Score-Matched Cohort Study.Orthopaedic surgery · 2024Article
- Response to Letter to the Editor: "How to avoid Common Complications in Hamstrings Harvest for Anterior Cruciate Ligament Reconstruction. A Practical Guide."The archives of bone and joint surgery · 2024Article
- Surgical drain has no benefits in hemiarthroplasty for femoral neck fractures in elderly patients.Scientific reports · 2023Article
- Article
- Negative versus natural drainage after single-level posterior lumbar interbody fusion. A prospective randomized study.Brain & spine · 2023Article
- How to Avoid Common Complications in Hamstrings Harvest for Anterior Cruciate Ligament Reconstruction: A Practical Guide.The archives of bone and joint surgery · 2023Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe clinical use of closed-suction drainage, which aims to reduce postoperative wound haematomas and infection, is common. This study was performed to determine whether closed-suction drainage is safe and effective in promoting wound healing and reducing blood loss and other complications compared with no-drainage in total hip arthroplasty.
methodsThe literature search was based on PubMed, the Cochrane Library, MEDLINE, and EMBASE. The data were evaluated using the generic evaluation tool designed by the Cochrane Bone, Joint and Muscle Trauma Group, and then analysed using RevMan 5.0. Twenty randomised controlled trials involving 3,186 patients were included in our analysis.
resultsThe results of our meta-analysis indicate that closed-suction drainage reduces the requirement for dressing reinforcement, but increases the rate of homologous blood transfusion. No significant difference was observed in the incidence of infection, blood loss, changes in haemoglobin and haematocrit, functional assessment, or other complications when the drainage group was compared with the no-drainage group.
conclusionsOur results of the comparison between closed-suction drainage and no drainage in THA have indicated that the routine use of closed-suction drainage for elective total hip arthroplasty may be of more harm than benefit.
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Registered trials
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.