Evidence map›Paper›PMID 26830782›Full record

ArticleInternational orthopaedics2016

Revision total hip arthroplasty in the United States: national trends and in-hospital outcomes.

Brian E Schwartz, Hristo I Piponov, Cory W Helder, William F Mayers, Mark H Gonzalez

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In one paragraph

Article in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 7% 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. The cement-in-cement technique is a reliable option in hip arthroplasty revision surgery: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
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  9. Toughness measures in solid-state composites of ultra-high molecular weight polyethylene.Journal of the mechanical behavior of biomedical materials · 2025
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  12. [Analysis of correlation between Barthel index score and preoperative occurrence of deep vein thrombosis in patients undergoing total hip arthroplasty revision surgery].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
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  20. [Advances in revision surgery after primary total hip arthroplasty for Crowe typeZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023
    Review
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 1 institution in 1 country.

Brian E SchwartzDepartment of Orthopaedics, University of Illinois at Chicago, Chicago, IL, USA.
Hristo I PiponovDepartment of Orthopaedics, University of Illinois at Chicago, Chicago, IL, USA. piponovmd@gmail.com.
Cory W HelderDepartment of Orthopaedics, University of Illinois at Chicago, Chicago, IL, USA.
William F MayersDepartment of Orthopaedics, University of Illinois at Chicago, Chicago, IL, USA.
Mark H GonzalezDepartment of Orthopaedics, University of Illinois at Chicago, Chicago, IL, USA.
University of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith the increasing number of primary total hip arthroplasties (THA) being performed, the frequency of revision surgery is also expected to increase. We analysed the immediate in-hospital complications and epidemiologic data of 3,469 revision and 18,186 primary THA cases.

methodsThe National Hospital Discharge Survey (NHDS) was evaluated between 2001 and 2010 for patients who underwent revision and primary THA. Patients were identified and included in our retrospective study based on ICD-9 procedure codes.

resultsThe number of primary and revision THAs increased steadily from 2001 to 2010. The revision burden decreased for the same studied period (r = -0.92) to reach 13.9 % in 2010. The South region had higher revision burden of 17.4 % (p < 0.001). The primary THA group was more likely to be obese, morbidly obese, and have hypertension (p < 0.001). The revision THA group had an increased rate of blood transfusions (p < 0.001), deep venous thrombosis (p = 0.008), post-operative sepsis (p < 0.001), and wound complications (p < 0.001). The in-hospital mortality rate was also higher for the revision THA group (0.6 % versus 0.2 %, p < 0.001).

conclusionsThe revision burden has undergone a steady decrease over the ten years studied and the reason for this is likely multifactorial. The South region had a significantly higher revision burden when compared to the rest of the United States. Larger hospitals tend to perform relatively more revisions. Revision THA patients are associated with longer hospital stay, higher complications rate, and higher in-hospital mortality rate.

Indexed as

Arthroplasty, Replacement, HipObesity, MorbidReoperationAgedAged, 80 and overFemaleHospital MortalityHumansHypertensionMaleRetrospective StudiesUnited StatesComplicationsRevisionRevision burdenTHATotal hip arthroplastyTrends

Identifiers

PMID26830782
OpenAlexW2264650725

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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.