Evidence map›Paper›PMID 29468091›Full record

ReviewGeriatric orthopaedic surgery & rehabilitation2018

Surgical Technical Evidence Review for Elective Total Joint Replacement Conducted for the AHRQ Safety Program for Improving Surgical Care and Recovery.

Christopher P Childers, Anaar E Siletz, Emily S Singer, Claire Faltermeier, Q Lina Hu, Clifford Y Ko, Gregory J Golladay, Stephen L Kates, Elizabeth C Wick, Melinda Maggard-Gibbons

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Geriatric orthopaedic surgery & rehabilitation, 2018. 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
–field-weighted citation impact
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.

  1. Utility of prophylactic closed suction drainage in open reduction and internal fixation for tibial plateau fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  2. Article
  3. Article
  4. Review
  5. 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

10 authors.

Christopher P ChildersDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.ORCID 0000-0002-6489-8222
Anaar E SiletzDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Emily S SingerDavid Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Claire FaltermeierDavid Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Q Lina HuDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Clifford Y KoDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Gregory J GolladayDepartment of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Stephen L KatesDepartment of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Elizabeth C WickArmstrong Institute for Patient Safety and Quality, Johns Hopkins University, Baltimore, MD, USA.
Melinda Maggard-GibbonsDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Funding

Variation in Surgeon-Level Intraoperative Costs: An Intervention StudyF32HS025079 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHILDERS, CHRISTOPHER · 2016 to 2018
$203k
Subantimicrobial Doxycycline Targeting Matrix Metalloproteinase Activity to Improve Outcome in Septic ShockF32HL134269 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SILETZ, ANAAR EASTOAK · 2017 to 2017
$57k
AHRQ HHS F32 HS025079AHRQ HHS HHSP233201500020INHLBI NIH HHS F32 HL134269
6 · The paper itself

Abstract

backgroundUse of enhanced recovery pathways (ERPs) can improve patient outcomes, yet national implementation of these pathways remains low. The Agency for Healthcare Research and Quality (AHRQ; funder), the American College of Surgeons, and the Johns Hopkins Medicine Armstrong Institute for Patent Safety and Quality have developed the Safety Program for Improving Surgical Care and Recovery-a national effort to catalyze implementation of practices to improve perioperative care and enhance recovery of surgical patients. This review synthesizes evidence that can be used to develop a protocol for elective total knee arthroplasty (TKA) and total hip arthroplasty (THA). STUDY

designThis review focuses on potential components of the protocol relevant to surgeons; anesthesia components are reported separately. Components were identified through review of existing pathways and from consultation with technical experts. For each, a structured review of MEDLINE identified systematic reviews, randomized trials, and observational studies that reported on these components in patients undergoing elective TKA/THA. This primary evidence review was combined with existing clinical guidelines in a narrative format.

resultsSixteen components were reviewed. Of the 10 preoperative components, most were focused on risk factor assessment including anemia, diabetes mellitus, tobacco use, obesity, nutrition, immune-modulating therapy, and opiates. Preoperative education, venous thromboembolism (VTE) prophylaxis, and bathing/

conclusionThis review synthesizes the evidence supporting potential surgical components of an ERP for elective TKA/THA. The AHRQ Safety Program for Improving Surgical Care and Recovery aims to guide hospitals and surgeons in identifying the best practices to implement in the surgical care of TKA and THA patients.

Indexed as

enhanced recoverypatient safetyquality improvementtotal hip replacementtotal joint replacementtotal knee replacement

Identifiers

PMID29468091
PMCPMC5813847

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.