Evidence map›Paper›PMID 27585441›Full record

Trial reportBMC musculoskeletal disorders2016

Association between activity limitations and pain in patients scheduled for total knee arthroplasty.

Ilana M Usiskin, Heidi Y Yang, Bhushan R Deshpande, Jamie E Collins, Griffin L Michl, Savannah R Smith, Kristina M Klara, Faith Selzer, Jeffrey N Katz, Elena Losina

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01970631 (The Study of Physical Activity Rewards After Knee Surgery), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT01970631 nacompletednot on this map

The Study of Physical Activity Rewards After Knee Surgery

TypeinterventionalSponsorBrigham and Women's HospitalRan2014 to 2016Enrolled202ConditionsOsteoarthritis, Degenerative Joint DiseaseArmsMotivational Interviewing (MI), Financial Incentives
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. 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

10 authors at 1 institution in 1 country.

Ilana M UsiskinOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA.
Heidi Y YangOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA.
Bhushan R DeshpandeOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA.
Jamie E CollinsOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA.
Griffin L MichlOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA.
Savannah R SmithOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA.
Kristina M KlaraOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA.
Faith SelzerOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA.
Jeffrey N KatzOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA.
Elena LosinaOrthopaedic and Arthritis Center for Outcomes Research, Department of Orthopaedic Surgery, Brigham and Women's Hospital, 75 Francis Street, BC-4016, Boston, MA, 02115, USA. elosina@partners.org.
Brigham and Women's Hospital · US

Funding

Trial of risk mangement for prevention of accelerated atherosclerosis in SLEP60AR047782 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI KATZ, JEFFREY NEIL · 2001 to 2016
$18.8M
Patient Oriented Research and Mentoring Program in OrthopedicsK24AR057827 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSINA, ELENA · 2010 to 2019
$1.7M
Study of Physical Activity Rewards after Knee Surgery (SPARKS)R21AR063913 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LOSINA, ELENA · 2013 to 2014
$410k
NIAMS NIH HHS K24 AR057827NIAMS NIH HHS P60 AR047782NIAMS NIH HHS R21 AR063913
6 · The paper itself

Abstract

backgroundHistorically, persons scheduled for total knee arthroplasty (TKA) have reported severe pain with low demand activities such as walking, but recent data suggests that TKA recipients may have less preoperative pain. Little is known about people who elect TKA with low levels of preoperative pain. To better understand current TKA utilization, we evaluated the association between preoperative pain and difficulty performing high demand activities, such as kneeling and squatting, among TKA recipients.

methodsWe used baseline data from a randomized control trial designed to improve physical activity following TKA. Prior to TKA, participants were categorized according to Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Pain scores: Low (0-25), Medium (26-40), and High (41-100). Within each group, limitations in both low demand and high demand activities were assessed.

resultsThe sample consisted of 202 persons with a mean age of 65 (SD 8) years; 21 %, 34 %, and 45 % were categorized in the Low, Medium, and High Pain groups, respectively. Of the Low Pain group, 60 % reported at least one of the following functional limitations: limited flexion, limp, limited walking distance, and limitations in work or housework. While only 12 % of the Low Pain group reported at least moderate pain with walking on a flat surface, nearly all endorsed at least moderate difficulty with squatting and kneeling.

conclusionsA substantial number of persons scheduled for TKA report Low WOMAC Pain (≤25) prior to surgery. Persons with Low WOMAC Pain scheduled for TKA frequently report substantial difficulty with high demand activities such as kneeling and squatting. Studies of TKA appropriateness and effectiveness for patients with low WOMAC Pain should include measures of these activities.

trial registrationIdentifier NCT01970631 ; Registered 23 October 2013.

Indexed as

Activities of Daily LivingArthroplasty, Replacement, KneePainPatient SelectionPreoperative PeriodAgedFemaleHumansMaleMiddle AgedPain MeasurementFunctional limitationsOsteoarthritisPainTotal knee arthroplasty

Identifiers

PMID27585441
PMCPMC5009694
OpenAlexW2518447053

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.