Evidence map›Paper›PMID 27421770›Full record

ArticleBMC musculoskeletal disorders2016

Few geographic and socioeconomic variations exist in primary total shoulder arthroplasty: a multi-level study of Australian registry data.

Sharon L Brennan-Olsen, Richard S Page, Stephen E Lane, Michelle Lorimer, Rachelle Buchbinder, Richard H Osborne, Julie A Pasco, Anita E Wluka, Kerrie M Sanders, Peter R Ebeling and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

0 citing papers in PubMed, 17 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 5 institutions in 1 country.

Sharon L Brennan-OlsenSchool of Medicine, Deakin University, Geelong, Australia. sharob@barwonhealth.org.au.
Richard S PageSchool of Medicine, Deakin University, Geelong, Australia.
Stephen E LaneSchool of Medicine, Deakin University, Geelong, Australia.
Michelle LorimerAustralian Orthopaedic Association Joint Replacement Registry, Adelaide, Australia.
Rachelle BuchbinderDepartment of Epidemiology and Preventive Medicine, Monash University, Alfred Centre, Melbourne, Australia.
Richard H OsborneSchool of Health and Social Development, Deakin University, Melbourne, Australia.
Julie A PascoSchool of Medicine, Deakin University, Geelong, Australia.
Anita E WlukaDepartment of Epidemiology and Preventive Medicine, Monash University, Alfred Centre, Melbourne, Australia.
Kerrie M SandersAustralian Institute for Musculoskeletal Sciences, The University of Melbourne, St Albans, Australia.
Peter R EbelingAustralian Institute for Musculoskeletal Sciences, The University of Melbourne, St Albans, Australia.
Stephen E GravesAustralian Orthopaedic Association Joint Replacement Registry, Adelaide, Australia.
Deakin University · AUAustralian Orthopaedic Association · AUMonash University · AUUniversity of Melbourne · AUBarwon Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssociations between socioeconomic position (SEP) and the uptake of primary total shoulder arthroplasty (TSA) is not well understood in the Australian population, thus potentially limiting equitable allocation of healthcare resources. We used the Australian Orthopaedic Association National Joint Replacement Registry (AOA NJRR) to examine whether geographic or socioeconomic variations exist in TSA performed for a diagnosis of osteoarthritis 2007-11 for all Australians aged ≥40 years.

methodsPrimary anatomical and reverse TSA data were extracted from the AOA NJRR which captures >99 % of all TSA nationally. Residential addresses were cross-referenced to Australian Bureau of Statistics 2011 Census data to identify SEP measured at the area-level (categorised into deciles), and geographic location defined as Australian State/Territory of residence. We used a Poisson distribution for the number of TSA over the study period, and modelled the effects of age, SEP and geographic location using multilevel modelling.

resultsDuring 2007-11, we observed 6,123 TSA (62.2 % female). For both sexes, TSA showed a proportional increase with advancing age. TSA did not vary by SEP or geographic location, with the exception of greater TSA among men in New South Wales.

conclusionsUsing a national registry approach we provide the first reliable picture of TSA at a national level. The uptake of TSA was equitable across SEP; however, there was some variation between the States/Territories. With an aging population, it is imperative that monitoring of major surgical procedures continues, and be focused toward determining whether TSA uptake correlates with need across different social and area-based groups.

Indexed as

RegistriesSocioeconomic FactorsAdultAgedAged, 80 and overAge FactorsArthroplasty, Replacement, ShoulderAustraliaFemaleHumansMaleMiddle AgedOsteoarthritisSex FactorsShoulder JointArthroplastyAustraliaGeographic localityShoulder jointSocioeconomic factors

Identifiers

PMID27421770
PMCPMC4947280
OpenAlexW2468602605

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.