Evidence map›Paper›PMID 26156713›Full record

ArticleInternational orthopaedics2015

Surgical site infection in hand surgery.

Mariano E Menendez, Na Lu, Sebastian Unizony, Hyon K Choi, David Ring

Abstract read
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In one paragraph

Article in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
3.2field-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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Article
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  6. Article
  7. Safety and Efficacy of In-Office Hand Procedures.Journal of hand and microsurgery · 2024
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  17. Timing of Complications following Hand Surgery.Journal of hand and microsurgery · 2022
    Article
  18. Review
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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

5 authors at 3 institutions in 1 country.

Mariano E MenendezDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Yawkey Center, Suite 2100, Boston, MA, 02114, USA.
Na LuClinical Epidemiology Unit, Boston University School of Medicine, Boston, MA, USA.
Sebastian UnizonyRheumatology Allergy and Immunology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Hyon K ChoiClinical Epidemiology Unit, Boston University School of Medicine, Boston, MA, USA.
David RingDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Yawkey Center, Suite 2100, Boston, MA, 02114, USA. dring@partners.org.
Harvard University · USMassachusetts General Hospital · USUniversity School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs ambulatory surgery becomes increasingly common, there is growing interest in assessing, monitoring, and tracking complications that occur secondary to outpatient procedures. We sought to determine the rates of 14- and 30-day acute care visits for surgical site infection after outpatient hand surgery, and to identify associated factors.

methodsUsing the California State Ambulatory Surgery database for 2010 and 2011, we identified 44,305 patients undergoing common outpatient hand surgery procedures. Cases were linked to the State Emergency Department and the State Inpatient databases for postoperative acute care visits (e.g. hospitalizations, emergency department or ambulatory surgical visits) related to surgical site infection.

resultsPostoperative acute care visits for surgical site infection occurred in 1.7 per 1,000 hand surgery procedures (0.17 %) at 14 days, and 3.3 per 1,000 (0.33 %) at 30 days. Thirty-day infection rates were lowest after ganglion cyst (0.15 %) and deQuervain surgery (0.25 %), and highest following cubital tunnel release (0.56 %) and trapeziometacarpal arthroplasty (0.49 %). Fifty-three percent of postoperative visits were treated in the emergency department setting, 37 % in the inpatient setting, and 10 % required an additional outpatient surgical procedure. Patients with government-funded insurance-Medicaid in particular-and those residing in rural areas had higher odds of postoperative acute care visits for surgical site infection. Diabetes, obesity, and tobacco use were not associated with increased risk for infection leading to an acute care visit.

conclusionThe rates of postoperative acute care visits for surgical site infection after ambulatory hand procedures are low but not negligible-particularly given how common hand surgery is, and the fact that many of these events entail hospitalizations or additional ambulatory procedures. Reasons for the increased risk of acute care visits for infection among publicly insured and rural patients merit additional research.

Indexed as

AdultAgedAmbulatory Surgical ProceduresCaliforniaDatabases, FactualFemaleHandHumansMaleMiddle AgedRetrospective StudiesSurgical Wound InfectionUpper ExtremityComplicationHand surgeryPatient safetyQuality improvementSurgical site infection

Identifiers

PMID26156713
OpenAlexW840941072

What OpenQuestion holds

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Read underepoch 390

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.