Evidence map›Paper›PMID 27085359›Full record

ReviewKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017

Do autologous blood transfusion systems reduce allogeneic blood transfusion in total knee arthroplasty?

Aditya Pawaskar, Abhijeet Ashok Salunke, Aashay Kekatpure, Yongsheng Chen, G I Nambi, Junhao Tan, Dhiraj Sonawane, Subodhkumar Pathak

Abstract readReview
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In one paragraph

Review in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  19. No benefit of autologous transfusion drains in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018
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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

8 authors.

Aditya PawaskarL.T. Medical College, Sion, Mumbai, India.
Abhijeet Ashok SalunkeDepartment of Orthopedics, Pramukswami Medical College, Anand, Gujrat, India. drabhijeetsalunke@gmail.com.
Aashay KekatpureD.Y. Patil Medical College, Mumbai, India.
Yongsheng ChenDepartment of Orthopedics, National University Hospital, Singapore, Singapore.
G I NambiK.M. Nallasamy Hospital, Erode, Tamil Naidu, India.
Junhao TanDepartment of Orthopedics, National University Hospital, Singapore, Singapore.
Dhiraj SonawaneJ.J. Hospital, Mumbai, India.
Subodhkumar PathakDepartment of Orthopedics, Pramukswami Medical College, Anand, Gujrat, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo study whether autologus blood transfusion systems reduce the requirement of allogneic blood transfusion in patients undergoing total knee arthroplasty.

methodsA comprehensive search of the published literature with PubMed, Scopus and Science direct database was performed. The following search terms were used: (total knee replacement) OR (total knee arthroplasty) OR (TKA) AND (blood transfusion) OR (autologous transfusion) OR (autologous transfusion system). Using search syntax, a total of 748 search results were obtained (79 from PubMed, 586 from Science direct and 83 from Scopus). Twenty-one randomized control trials were included for this meta-analysis.

resultsThe allogenic transfusion rate in autologus blood transfusion (study) group was significantly lower than the control group (28.4 and 53.5 %, respectively) (p value 0.0001, Relative risk: 0.5). The median units of allogenic blood transfused in study control group and control group were 0.1 (0.1-3.0) and 1.3 (0.3-2.6), respectively. The median hospital stay in study group was 9 (6.7-15.6) days and control group was 8.7 (6.6-16.7) days. The median cost incurred for blood transfusion per patient in study and control groups was 175 (85.7-260) and 254.7 (235-300) euros, respectively.

conclusionThis meta-analysis demonstrates that the use of auto-transfusion systems is a cost-effective method to reduce the need for and quantity of allogenic transfusion in elective total knee arthroplasty. LEVEL OF EVIDENCE: Level I.

Indexed as

Arthroplasty, Replacement, KneeBlood Transfusion, AutologousBlood TransfusionHumansLength of StayAllogenic blood transfusionAutologous transfusionAutologous transfusion systemMeta-analysisRandomized control trialsTotal knee arthroplasty

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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.