Evidence map›Paper›PMID 28451752›Full record

ArticleInternational orthopaedics2017

Patient sexual function and hip replacement surgery: A survey of surgeon attitudes.

Rita Th E Harmsen, Melianthe P J Nicolai, Brenda L Den Oudsten, Hein Putter, Tsjitske M Haanstra, Peter A Nolte, Barend J Van Royen, Henk Elzevier

Open access · hybridAbstract read
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In one paragraph

Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Sexual activity at 1 year after total hip arthroplasty in Indian patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  4. Article
  5. Article
  6. Sexual Dissatisfaction after Hand Surgery.Plastic and reconstructive surgery. Global open · 2022
    Article
  7. Article
  8. Article
  9. Article
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 4 institutions in 1 country.

Rita Th E HarmsenDepartment of Orthopaedic Surgery, VU University Medical Center, De Boelelaan 1117, 1081 BT, Amsterdam, The Netherlands. Orthofit1@icloud.com.
Melianthe P J NicolaiDepartment of Urology, University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, Netherlands.
Brenda L Den OudstenDepartment of Medical and Clinical Psychology, University Center of Research on Psychological and Somatic Disorders (CoRPS), Warandelaan 2, 5037 AB, Tilburg, The Netherlands.
Hein PutterDepartment of Medical Statistics, University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Tsjitske M HaanstraDepartment of Orthopaedic Surgery, VU University Medical Center, De Boelelaan 1117, 1081 BT, Amsterdam, The Netherlands.
Peter A NolteDepartment of Orthopaedic Surgery, Spaarne Gasthuis, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands.
Barend J Van RoyenDepartment of Orthopaedic Surgery, VU University Medical Center, De Boelelaan 1117, 1081 BT, Amsterdam, The Netherlands.
Henk ElzevierDepartment of Urology, University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, Netherlands.
Amsterdam UMC Location VUmc · NLLeiden University Medical Center · NLSpaarne Ziekenhuis · NLTilburg University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore practises of orthopaedic surgeons (and residents) in addressing sexual function (SF) in patients before and after total hip arthroplasty (THA).

methodsA 26-item questionnaire was sent to health professionals (n = 849); 526 (62.0%) responses were included in the analyses.

resultsAbout 78% of the respondents (77.5%) almost never addressed SF. The most mentioned reason was that "patients do not ask" (47.4%) followed by "I am not aware of possible needs" (38.6%). SF was even less discussed (25.9%) in elderly patients (>60 years). The beneficial effect of THA on SF was rated the highest in retired surgeons (p ≤ 0.001), in which male surgeons scored higher than female surgeons (p = 0.002). The importance of sexual dificulties (SD) in the decision to undergo surgery was rated lowest by residents (p = 0.020). Rating the risk for dislocation varied between occupations (p = 0.008) and gender (p = 0.016), female surgeons rated highest (median 5); 54.1% indicated the orthopaedic surgeon is responsible for providing information about the safe resumption of sexual activity.

conclusionsSurgeons show little attention to SF related issues in THA patients, which seems not in accordance to patients' needs. Addressing SF increases throughout a surgeon's career. There were divergent views and there is no "common advice" about the safe resumption of sexual activity. The results emphasize the need for guidelines and training in order to encourage addressing SF both, before and after THA.

Indexed as

Attitude of Health PersonnelPhysician-Patient RelationsAdultAgedArthroplasty, Replacement, HipCross-Sectional StudiesFemaleHumansMaleMiddle AgedOrthopedic SurgeonsOsteoarthritis, HipPatientsPractice Patterns, Physicians'Sexual BehaviorSurveys and QuestionnairesArthroplastyCommunicationOsteoarthritis hipPhysician-patient relationsReplacement hipSexual (Dys)function

Identifiers

PMID28451752
OpenAlexW2608327518

What OpenQuestion holds

Textmetadata
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.