Evidence map›Paper›PMID 29435594›Full record

ArticleDer Orthopade2018

[Periacetabular osteotomy-what influence does age have on patient-relevant results? : A prospective 5‑year investigation].

L Franken, F Thielemann, A Postler, S Blum, A Hartmann, K-P Günther, J Goronzy

Abstract read
PubMed Publisher
In one paragraph

Article in Der Orthopade, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
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

7 authors at 3 institutions in 1 country.

L FrankenUniversitätsCentrum für Orthopädie & Unfallchirurgie am Universitätsklinikum Carl Gustav Carus Dresden, Medizinische Fakultät, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
F ThielemannUniversitätsCentrum für Orthopädie & Unfallchirurgie am Universitätsklinikum Carl Gustav Carus Dresden, Medizinische Fakultät, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
A PostlerUniversitätsCentrum für Orthopädie & Unfallchirurgie am Universitätsklinikum Carl Gustav Carus Dresden, Medizinische Fakultät, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
S BlumInstitut und Poliklinik für Radiologische Diagnostik am Universitätsklinikum Carl Gustav Carus Dresden, Medizinische Fakultät, Technische Universität Dresden, Dresden, Deutschland.
A HartmannUniversitätsCentrum für Orthopädie & Unfallchirurgie am Universitätsklinikum Carl Gustav Carus Dresden, Medizinische Fakultät, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
K-P GüntherUniversitätsCentrum für Orthopädie & Unfallchirurgie am Universitätsklinikum Carl Gustav Carus Dresden, Medizinische Fakultät, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
J GoronzyUniversitätsCentrum für Orthopädie & Unfallchirurgie am Universitätsklinikum Carl Gustav Carus Dresden, Medizinische Fakultät, Technische Universität Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. Jens.Goronzy@uniklinikum-dresden.de.
Klinik und Poliklinik für Psychotherapie und Psychosomatik · DETU Dresden · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeriacetabular osteotomy (PAO) is an effective procedure in treatment of symptomatic hip dysplasia. To achieve a good outcome a strict patient selection has to be applied. The aim of this study was to evaluate the influence of patient age at surgery on clinical outcome.

methodsIn a prospective study 86 patients (106 hips) underwent clinical and radiographic follow-up at a mean time of 5 years (2.5-8.5 years) after PAO. Patient-related outcome measurements (PROMs: EQ-5D, WOMAC, OHS, GTO) were applied preoperatively as well as postoperatively and the deformity correction as well as development of osteoarthritis were evaluated. In order to analyze the influence of patient age at surgery on clinical outcome, we subdivided the patient cohort into four different age groups (<20 years, 20-29 years, 30-39 years, >40 years).

resultsOf the patients 90% were very satisfied or satisfied with the results 5 years after surgery, and in all age groups PROMs significantly increased. Even though preoperative as well as postoperative algofunction declined in cohorts with increasing age, the overall benefit as measured in WOMAC and EQ-5D scores was equal in all age groups. Increasing age is associated with a progression in osteoarthritis as well as a higher conversion rate to total arthroplasty. DISCUSSION: Age is an important influencing factor on the long-term outcome after PAO. A certain age as cut off for indications could not be identified in this study. Even patients in the age groups 30-39 years and > 40 years showed PROM improvement and satisfaction with outcome at medium-term follow-up. The expected success rate has to be discussed preoperatively with the patient; however, as a higher conversion rate to hip arthroplasty as well as progressive osteoarthritis is associated with higher age, not only patient age alone but also morphological characteristics of the hip joint have to be taken into consideration.

Indexed as

AcetabulumAdolescentAdultAge FactorsCohort StudiesFemaleFollow-Up StudiesHip DislocationHumansMaleMiddle AgedOsteoarthritis, SpineOsteotomyPostoperative ComplicationsProspective StudiesTreatment OutcomeArthrosisHip dysplasiaPatient selectionPelvic osteotomyQuality of life

Identifiers

PMID29435594
OpenAlexW2789601390

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.