Evidence map›Paper›PMID 29202806›Full record

ArticleBMC musculoskeletal disorders2017

Risk factors for joint replacement in knee osteoarthritis; a 15-year follow-up study.

Flemming K Nielsen, Niels Egund, Anette Jørgensen, Anne Grethe Jurik

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  4. Validation of a new topographic classification of bone marrow lesions in the knee: the six-letter system.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
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  18. Target-based approach for osteoarthritis treatment.World journal of orthopedics · 2020
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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

4 authors at 1 institution in 1 country.

Flemming K NielsenDepartment of Radiology, Aarhus University Hospital, Noerrebrogade 44, 8000, Aarhus, Denmark. flemming.kromann@aarhus.rm.dk.
Niels EgundDepartment of Radiology, Aarhus University Hospital, Noerrebrogade 44, 8000, Aarhus, Denmark.
Anette JørgensenDepartment of Rheumatology, Aarhus University Hospital, Noerrebrogade 44, 8000, Aarhus, Denmark.
Anne Grethe JurikDepartment of Radiology, Aarhus University Hospital, Noerrebrogade 44, 8000, Aarhus, Denmark.
Aarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate whether clinical, radiographic or MRI findings are associated with long term risk for total knee arthroplasty (TKA) in persons with knee osteoarthritis.

methodsWe performed a follow-up analysis of 100 persons with knee osteoarthritis who participated in a clinical trial between 2000 and 2002. Clinical data as well as radiography and MRI of the inclusion knee were obtained in all participants. Data on TKA procedures were extracted from The Danish National Patient Register. Clinical, radiographic and MRI findings were analyzed for associations with subsequent TKA.

resultsDuring a mean follow-up period of 15 years, 66% received a TKA in the included knee (target knee); 37% also received a TKA in the other knee. The degree of joint space narrowing was highly associated with subsequent TKA (adjusted odds ratio (OR) 5.0 (95% confidence interval (95% CI) 2.6 - 9.9)) as was a radiological sum score comprising joint space narrowing, osteophytes, subchondral sclerosis and cysts (adjusted OR 1.7 (95% CI 1.3 - 2.1)). MRI detected bone marrow lesions, synovitis and effusion were similarly associated with subsequent TKA with an adjusted OR of 2.3 (95% CI 1.3 - 4.0), 2.8 (95% CI 1.5 - 5.2) and 1.9 (95% CI 1.2 - 3.1), respectively. Increased body mass index (BMI) was not associated with subsequent TKA in the target knee but was associated with TKA in the other knee (OR 2.3 (95% CI 1.2 - 4.3).

conclusionsRadiographic findings including joint space narrowing and MRI detected bone marrow lesions, synovitis and effusion were all significantly associated with the long term risk of TKA in persons with knee osteoarthritis.

Indexed as

Arthroplasty, Replacement, KneeDenmarkFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMaleMiddle AgedOsteoarthritis, KneePostoperative ComplicationsRegistriesRisk FactorsBone marrow lesionJoint space narrowingKnee osteoarthritisMagnetic resonance imagingRadiographySynovitis

Identifiers

PMID29202806
PMCPMC5715644
OpenAlexW2772686986

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.