Evidence map›Paper›PMID 29185496›Full record

ArticleScientific reports2017

The effect of primary total knee arthroplasty on the incidence of falls and balance-related functions in patients with osteoarthritis.

Hai-Bo Si, Yi Zeng, Jian Zhong, Zong-Ke Zhou, Yan-Rong Lu, Jing-Qiu Cheng, Ning Ning, Bin Shen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05347875 (Exploring the Influence of a Novel Application for Training and Evaluating Walking Implementation of an App-based Walking Aid Skills Training Program Aid Skills in Walking Aid Users), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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.

NCT05347875 narecruitingnot on this mapstarted 2024, after this paper: background citation

Exploring the Influence of a Novel Application for Training and Evaluating Walking Implementation of an App-based Walking Aid Skills Training Program Aid Skills in Walking Aid Users: A Protocol for a Pragmatic Single-blind Randomized Controlled Trial

TypeinterventionalSponsorUniversity of CalgaryRan2024 to 2026Enrolled52ConditionsLower Limb, Sprain (Strain), Lower Limb Fracture, StrokeArmsWalking aid skills app, Breathing skills app
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Guideline
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  7. Review
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  12. Analysis of the Associations between Arthritis and Fall Histories in Korean Adults.International journal of environmental research and public health · 2021
    Article
  13. Mind Health Before and After Total Knee Arthroplasty.Revista brasileira de ortopedia · 2020
    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 2 institutions in 1 country.

Hai-Bo SiDepartment of Orthopaedics, West China Hospital, Sichuan University, Chengdu, 610041, China.
Yi ZengDepartment of Orthopaedics, West China Hospital, Sichuan University, Chengdu, 610041, China.
Jian ZhongDepartment of Orthopaedics, West China Hospital, Sichuan University, Chengdu, 610041, China.
Zong-Ke ZhouDepartment of Orthopaedics, West China Hospital, Sichuan University, Chengdu, 610041, China.
Yan-Rong LuKey Laboratory of Transplant Engineering and Immunology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Jing-Qiu ChengKey Laboratory of Transplant Engineering and Immunology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Ning NingDepartment of Orthopaedics, West China Hospital, Sichuan University, Chengdu, 610041, China. gkningning@126.com.
Bin ShenDepartment of Orthopaedics, West China Hospital, Sichuan University, Chengdu, 610041, China. shenbin_1971@163.com.
West China Hospital of Sichuan University · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Knee osteoarthritis (OA) is an established risk factor for falls and balance impairment. This study investigated the incidence of falls, balance-related outcomes and risk factors for falls before and after primary total knee arthroplasty (TKA). Three hundred seventy-six OA patients scheduled to undergo TKA were included. Falls data within the preoperative, first postoperative and second postoperative years were collected, balance-related functions were assessed using the Assessment of Quality of Life (AQoL), WOMAC, Falls Efficacy Scale International (FES-I), Activities-specific Balance Confidence (ABC), knee extension strength, Berg Balance Scale (BBS) and Timed Up and Go (TUG) before surgery and 1 and 2 years after surgery. Compared with preoperative values, the incidence of falls significantly decreased (14.89%, 6.23% and 3.14% within the preoperative, first postoperative and second postoperative years, respectively) and the AQoL, WOMAC, FES-I, ABC, knee extension strength, BBS and TUG significantly improved after TKA. Logistic regression analysis revealed that Kellgren-Lawrence grade ≥ 3 of the contralateral knee was an independent risk factor for falls before and after TKA. Conclusively, primary TKA is associated with a reduced incidence of falls and improved balance-related functions, and the contralateral knee should be considered in the design of fall-prevention strategies in patients with OA.

Indexed as

Arthroplasty, Replacement, KneeAccidental FallsAdultAgedAged, 80 and overFemaleHumansIncidenceKnee JointLogistic ModelsMaleMiddle AgedOsteoarthritis, KneePostoperative PeriodPostural BalanceQuality of Life

Identifiers

PMID29185496
PMCPMC5707373
OpenAlexW2768603189

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.