Evidence map›Paper›PMID 28438451›Full record

ArticleThe Journal of arthroplasty2017

Common Medical Comorbidities Correlated With Poor Outcomes in Hip Periprosthetic Infection.

Daniel J Cunningham, Joseph J Kavolus, Michael P Bolognesi, Samuel S Wellman, Thorsten M Seyler

Open access · greenAbstract read
In one paragraph

Article in The Journal of arthroplasty, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

Daniel J CunninghamDepartment of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina.
Joseph J KavolusDepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.
Michael P BolognesiDepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.
Samuel S WellmanDepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.
Thorsten M SeylerDepartment of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina.
Duke Medical Center · USDuke University · US

Funding

Duke CTSA (Composite)UL1TR001117 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, LI, JENNIFER S · 2013 to 2017
$41.3M
Duke CTSA (Composite)TL1TR001116 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, KRAFT, MONICA · 2013 to 2017
$1.2M
NCATS NIH HHS TL1 TR001116NCATS NIH HHS UL1 TR001117
6 · The paper itself

Abstract

backgroundPeriprosthetic infection has been linked to risk factors such as diabetes, obesity, and smoking among others. This study examined the relationship between common patient comorbidities and hip periprosthetic infection outcomes.

methodsWe retrospectively reviewed the records of 149 culture-positive periprosthetic hip infections at our tertiary care center that underwent treatment between 2005 and 2015. Baseline characteristics and common comorbidities were analyzed with relation to rates of successfully treated infection, total surgeries for infection, and cumulative length of hospitalization using multivariate analysis.

resultsPatients with coronary artery disease or anemia had significantly lower rate of successfully treated infection. Patients with anemia or chronic pulmonary disease underwent significantly more surgery, and patients with chronic pulmonary disease, psychiatric disease, anemia, or diabetes spent significantly longer time in hospital.

conclusionPotentially modifiable cardiovascular, respiratory, and psychiatric diseases were associated with a decreased rate of successfully treated infection, more surgery, and longer hospitalization in treatment for hip periprosthetic infection in multivariate analysis.

Indexed as

ComorbidityAdultAgedAnemiaArthroplasty, Replacement, HipCoronary Artery DiseaseDiabetes ComplicationsDiabetes MellitusFemaleHipHospitalizationHumansLength of StayMaleMiddle AgedMultivariate Analysiscomorbidityhip arthroplastylength of staymodifiable risk factorsperiprosthetic infection

Identifiers

PMID28438451
PMCPMC5572102
OpenAlexW2599849409

What OpenQuestion holds

Textmetadata
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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.