Evidence map›Paper›PMID 25050094›Full record

ArticleHSS journal : the musculoskeletal journal of Hospital for Special Surgery2014

The use of biologic DMARDs identifies rheumatoid arthritis patients with more optimistic expectations of total knee arthroplasty.

Susan M Goodman, Lisa A Mandl, Mark Figgie, Beverly K Johnson, Michael Alexiades, Hassan Ghomrawi

Abstract read
In one paragraph

Article in HSS journal : the musculoskeletal journal of Hospital for Special Surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Susan M GoodmanDivision of Rheumatology, Weill Cornell Medical College, New York, NY 10065 USA ; Division of Rheumatology, Hospital for Special Surgery, 535 East 70th St, New York, NY 10021 USA.
Lisa A MandlDivision of Rheumatology, Weill Cornell Medical College, New York, NY 10065 USA ; Division of Rheumatology, Hospital for Special Surgery, 535 East 70th St, New York, NY 10021 USA.
Mark FiggieDepartment of Orthopedic Surgery, Weill Cornell Medical College, New York, NY 10065 USA ; Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th St, New York, NY 10021 USA.
Beverly K JohnsonDivision of Rheumatology, Weill Cornell Medical College, New York, NY 10065 USA ; Division of Rheumatology, Hospital for Special Surgery, 535 East 70th St, New York, NY 10021 USA.
Michael AlexiadesDepartment of Orthopedic Surgery, Weill Cornell Medical College, New York, NY 10065 USA ; Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th St, New York, NY 10021 USA.
Hassan GhomrawiDivision of Health Policy, Weill Cornell Medical College, New York, NY USA ; Hospital for Special Surgery, 535 East 70th Street, New York, NY USA.

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024996 · NCRR · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2007 to 2011
$49.6M
Impact of Discordant Patient-Surgeon Expectations on Joint Arthroplasty OutcomesR00HD060686 · NICHD · WEILL MEDICAL COLL OF CORNELL UNIV · PI GHOMRAWI, HASSAN · 2011 to 2013
$663k
AHRQ HHS U18 HS016075NCRR NIH HHS UL1 RR024996NICHD NIH HHS R00 HD060686
6 · The paper itself

Abstract

backgroundPreoperative expectations of total knee arthroplasty (TKA) correlate with postsurgical satisfaction, and are linked to outcomes. Rheumatoid arthritis (RA), and other chronic diseases, may lower expectations, although new biologic medications have greatly enhanced patients' quality of life. QUESTIONS/PURPOSES: The purpose of this study is to compare preoperative expectations of RA to those of matched osteoarthritis (OA) patients undergoing TKA, and examine the subset of RA on biologic DMARD therapy.

methodsFor a cross-sectional study, RA and OA identified from an institutional TKA registry were matched on age, sex, prior TKA, and preoperative function. Expectations were measured using the Hospital for Special Surgery (HSS) Knee Expectations Survey. Expectations and quality of life measures were assessed preoperatively and scores were compared between RA and OA.

resultsOne hundred fourteen RA cases, 46.5% on biologics, were matched to 228 OA cases. The average expectations score was not significantly lower for RA compared to OA (72.9 ± 20.7 vs. 77.2 ± 18.3, p = 0.040. RA on biologics had expectations similar to OA (total expectation score 76.3 ± 18.1 vs. 77.4 ± 17.4, p = 0.71), while RA not on biologics had expectations that were significantly lower (69.9 ± 22.4 vs. 77.1 ± 19.0, p = 0.03).

conclusionUse of biologics in RA patients was associated with higher expectations, similar to those of OA patients, but the effect on outcomes is not known. Further studies should assess the effect of higher expectations in RA patients on outcomes.

Indexed as

arthroplastyexpectationsosteoarthritisrheumatoid arthritis

Identifiers

PMID25050094
PMCPMC4071470

What OpenQuestion holds

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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.