Evidence map›Paper›PMID 29096686›Full record

Trial reportTrials2017

VASO (Vitamin D and Arthroplasty Surgery Outcomes) study - supplementation of vitamin D deficiency to improve outcomes after total hip or knee replacement: study protocol for a randomised controlled feasibility trial.

Rory J M Morrison, Deborah Bunn, William K Gray, Paul N Baker, Craig White, Amar Rangan, Kenneth S Rankin, Mike R Reed

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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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

8 authors at 4 institutions in 1 country.

Rory J M MorrisonDepartment of Orthopaedics, Northumbria Healthcare NHS Foundation Trust, Woodhorn Lane, Ashington, Northumberland, NE63 9JJ, UK. rorymorrison@nhs.net.
Deborah BunnResearch and Development, Northumbria Healthcare NHS Foundation Trust, Rake Lane, North Shields, NE29 8NH, UK.
William K GrayResearch and Development, Northumbria Healthcare NHS Foundation Trust, Rake Lane, North Shields, NE29 8NH, UK.
Paul N BakerDepartment of Orthopaedics, South Tees Hospitals NHS Foundation Trust, Marton Lane, Middlesbrough, TS4 3BW, UK.
Craig WhiteDepartment of Orthopaedics, South Tees Hospitals NHS Foundation Trust, Marton Lane, Middlesbrough, TS4 3BW, UK.
Amar RanganDepartment of Orthopaedics, South Tees Hospitals NHS Foundation Trust, Marton Lane, Middlesbrough, TS4 3BW, UK.
Kenneth S RankinUniversity of Newcastle, Newcastle upon Tyne, NE1 7RU, UK.
Mike R ReedDepartment of Orthopaedics, Northumbria Healthcare NHS Foundation Trust, Woodhorn Lane, Ashington, Northumberland, NE63 9JJ, UK.
Northumbria Healthcare NHS Foundation Trust · GBNewcastle University · GBSouth Tees Hospitals NHS Foundation Trust · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D deficiency has been linked to poor outcomes after total hip replacement (THR) or total knee replacement (TKR), including lower patient-reported outcome measures (PROMs), peri-prosthetic infection and longer hospital stay. We present a randomised feasibility trial protocol designed to prospectively investigate the influence of vitamin D testing, and subsequent supplementation for deficiency, prior to THR/TKR. METHODS/

designOne hundred adult patients undergoing primary THR/TKR for osteoarthritis at two NHS hospital trusts in North East England will be recruited. Exclusion criteria include lack of mental capacity, revision surgery, participants already taking vitamin D/calcium supplements, or a known contraindication to vitamin D treatment. Participants will be ineligible for the trial if they have an estimated glomerular filtration rate < 30 ml/minute. We will measure patients' vitamin D levels at baseline, and those identified as deficient (vitamin D < 50 nmol/L) will be randomised to receive either vitamin D supplementation or no supplementation prior to, and for 6 months following, surgery. Patients with a normal vitamin D level (≥50 nmol/L) will receive no supplementation. Vitamin D levels will be rechecked on the day of surgery and again at 6 months. Patients will also complete a lifestyle questionnaire, as well as the Oxford hip or knee and EQ-5D-3 L PROM questionnaires, at baseline and at 6 months following surgery. The aims are to determine the feasibility of the methodology and to gather data to inform the conduct of a future, larger trial to investigate if supplementation with vitamin D, in those who are deficient, prior to THR/TKR improves outcomes as measured by PROM scores. DISCUSSION: Previous reports have measured vitamin D levels and correlated this to outcome, but we can find no randomised trial in which researchers investigated the effect of supplementation. The aim of this trial is to determine if vitamin D deficiency is a modifiable risk factor for poor outcome after THR/TKR.

trial registrationISRCTN Registry, ISRCTN14533082 . Registered on 3 April 2017.

Indexed as

Dietary SupplementsArthroplasty, Replacement, HipArthroplasty, Replacement, KneeCholecalciferolClinical ProtocolsEnglandFeasibility StudiesHumansOsteoarthritis, HipOsteoarthritis, KneePatient Reported Outcome MeasuresPostoperative ComplicationsProspective StudiesResearch DesignRisk FactorsTime Factors25-hydroxyvitamin DCholecalciferolVitamin DArthroplastyCholecalciferolDeficiencyHipKneePROMsReplacementTHRTKRVitamin D

Identifiers

PMID29096686
PMCPMC5669000
OpenAlexW2766936277

What OpenQuestion holds

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LicenceCC BY
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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.