Evidence map›Paper›PMID 27829422›Full record

SynthesisBMC musculoskeletal disorders2016

Indication criteria for total hip or knee arthroplasty in osteoarthritis: a state-of-the-science overview.

Maaike G J Gademan, Stefanie N Hofstede, Thea P M Vliet Vlieland, Rob G H H Nelissen, Perla J Marang-van de Mheen

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

Synthesis in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 134 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
134citing papers in PubMed, 6 pooled it
12.2field-weighted citation impact, top 1% 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

134 citing papers in PubMed, 6 syntheses or guidelines pooled it, 261 citations in OpenAlex.

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  19. The clinical utility of imaging in osteoarthritis and its importance in future prediction of total hip replacement; a nested case-control study within the AGES-Reykjavik cohort.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
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74 more citing papers are in PubMed but not listed here.

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 2 institutions in 1 country.

Maaike G J GademanDepartment of Orthopaedics, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands. m.g.j.gademan@lumc.nl.
Stefanie N HofstedeDepartment of Orthopaedics, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.
Thea P M Vliet VlielandDepartment of Orthopaedics, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.
Rob G H H NelissenDepartment of Orthopaedics, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.
Perla J Marang-van de MheenDepartment of Medical Decision Making, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.
Leiden University Medical Center · NLSophia Revalidatie · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis systematic review gives an overview of guidelines and original publications as well as the evidence on which the currently proposed indication criteria are based. Until now such a state-of-the-science overview was lacking.

methodsWebsites of orthopaedic and arthritis organizations (English/Dutch language) were independently searched by two authors for THA/TKA guidelines for OA. Furthermore, a systematic search strategy in several databases through August 2014 was performed. Quality of the guidelines was assessed with the AGREE II instrument, which consists of 6 domains (maximum summed score of 6 indicating high quality). Also, the level of evidence of all included studies was assessed.

resultsWe found 6 guidelines and 18 papers, out of 3065 references. The quality of the guidelines summed across 6 domains ranged from 0.46 to 4.78. In total, 12 THA, 10 TKA and 2 THA/TKA indication sets were found. Four studies stated that no evidence-based indication criteria are available. Indication criteria concerning THA/TKA consisted of the following domains: pain (in respectively 11 and 10 sets), function (12 and 7 sets), radiological changes (10 and 9 sets), failed conservative therapy (8 and 4 sets) and other indications (6 and 7 sets). Specific cut-off values or ranges were often not stated and the level of evidence was low.

conclusionThe indication criteria for THA/TKA are based on limited evidence. Empirical research is needed, especially regarding domain specific cut-off values or ranges at which the best postoperative outcomes are achieved for patients, taking into account the limited lifespan of a prosthesis.

Indexed as

Practice Guidelines as TopicArthroplasty, Replacement, HipArthroplasty, Replacement, KneeFemaleHip ProsthesisHumansKnee ProsthesisMaleMiddle AgedOsteoarthritis, HipOsteoarthritis, KneePain ManagementPain MeasurementPatient SelectionRadiographyReoperation

Identifiers

PMID27829422
PMCPMC5103467
OpenAlexW2552219167

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.