Evidence map›Paper›PMID 27114806›Full record

ArticleOrthopedic reviews2016

Total Elbow Arthroplasty in the United States: Evaluation of Cost, Patient Demographics, and Complication Rates.

Hanbing Zhou, Nathan D Orvets, Gabriel Merlin, Joshua Shaw, Joshua S Dines, Mark D Price, Josef K Eichinger, Xinning Li

Open access · goldAbstract read
In one paragraph

Article in Orthopedic reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.0field-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

18 citing papers in PubMed, 55 citations in OpenAlex.

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  8. New materials and complications of prostheses in humans: situation in Spain.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024
    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

8 authors at 3 institutions in 1 country.

Hanbing ZhouDepartment of Orthopedic Surgery, University of Massachusetts Medical Center , Worcester, MA, USA.
Nathan D OrvetsDepartment of Orthopedic Surgery, Boston University School of Medicine , Boston, MA, USA.
Gabriel MerlinDepartment of Orthopedic Surgery, Boston University School of Medicine , Boston, MA, USA.
Joshua ShawDepartment of Orthopedic Surgery, University of Massachusetts Medical Center , Worcester, MA, USA.
Joshua S DinesDepartment of Orthopedic Surgery, Hospital for Special Surgery , New York, NY, USA.
Mark D PriceDepartment of Orthopedic Surgery, University of Massachusetts Medical Center , Worcester, MA, USA.
Josef K EichingerDepartment of Orthopedic Surgery, University of Massachusetts Medical Center , Worcester, MA, USA.
Xinning LiDepartment of Orthopedic Surgery, Boston University School of Medicine , Boston, MA, USA.
University of Massachusetts Chan Medical School · USBoston University · USHospital for Special Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Total elbow arthroplasty (TEA) is utilized in the treatment of rheumatoid and post-traumatic elbow arthritis. TEA is a relatively low volume surgery in comparison to other types of arthroplasty and therefore little is known about current surgical utilization, patient demographics and complication rates in the United States. The purpose of our study is to evaluate the current practice trends and associated in-patient complications of TEA at academic centers in the United States. We queried the University Health Systems Consortium administrative database from 2007 to 2011 for patients who underwent an elective TEA. A descriptive analysis of demographics was performed which included patient age, sex, race, and insurance status. We also evaluated the following patient clinical benchmarks: hospital length of stay (LOS), hospital direct cost, in-hospital mortality, complications, and 30-day readmission rates. Our cohort consisted of 3146 adult patients (36.5% male and 63.5% female) with an average age of 58 years who underwent a total elbow arthroplasty (159 academic medical centers) in the United States. The racial demographics included 2334 (74%) Caucasian, 285 (9%) black, 236 (7.5%) Hispanic, 16 (0.5%) Asian, and 283 (9%) other patients. The mean LOS was 4.2±5 days and the mean total direct cost for the hospital was 16,300±4000 US Dollars per case. The overall inpatient complication rate was 3.1% and included mortality <1%, DVT (0.8%), re-operation (0.5%), and infection (0.4%). The 30-day readmission rate was 4.4%. TEA is a relatively uncommon surgery in comparison to other forms of arthroplasty but is associated with low in-patient and 30-day perioperative complication rate. Additionally, the 30-day readmission rate and overall hospital costs are comparable to the traditional total hip and knee arthroplasty surgeries.

Indexed as

complicationsin-patient trendinsurancereadmissionTotal elbow arthroplastyUnited States

Identifiers

PMID27114806
PMCPMC4821224
OpenAlexW2322799274

What OpenQuestion holds

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LicenceCC BY-NC
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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.