Evidence map›Paper›PMID 29530063›Full record

SynthesisJournal of orthopaedic surgery and research2018

The efficacy of synovectomy for total knee arthroplasty: a meta-analysis.

Zi-Qin Zhao, Jin Xu, Rui-Lin Wang, Li-Na Xu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.2field-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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

4 authors at 1 institution in 1 country.

Zi-Qin ZhaoDepartment of Pathology, Tianjin Hospital, No. 406 Jiefang South Road, Hexi District, Tianjin, 300211, People's Republic of China.
Jin XuDepartment of Pathology, Tianjin Hospital, No. 406 Jiefang South Road, Hexi District, Tianjin, 300211, People's Republic of China. xuajin511@163.com.
Rui-Lin WangDepartment of Pathology, Tianjin Hospital, No. 406 Jiefang South Road, Hexi District, Tianjin, 300211, People's Republic of China.
Li-Na XuDepartment of Pathology, Tianjin Hospital, No. 406 Jiefang South Road, Hexi District, Tianjin, 300211, People's Republic of China.
Tianjin Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany studies have proposed synovectomy during total knee arthroplasty (TKA) to reduce pain after TKA. The aim of this study was to assess the outcomes of synovectomy for treating of TKA through a meta-analysis.

methodsRelevant clinical studies on synovectomy and without synovectomy were retrieved through searching the databases PubMed, Embase, Web of Science, and the Cochrane Central Register of Controlled Trials up to January 2018. Studies that investigated the comparison of pain scores, total blood loss, range of motion, functional Knee Society Scores (KSSs), clinical KSSs, and operating time and provided sufficient data of interest were included in this meta-analysis. Stata 12.0 was used for meta-analysis.

resultsTen randomized controlled trials (RCTs) were finally included in this meta-analysis. Final results indicated that there was no significant difference between the pain scores, range of motion, functional Knee Society Scores (KSSs), and clinical KSSs (P > 0.05). However, synovectomy was associated with an increase of the total blood loss compared to patients without synovectomy (weighted mean difference (WMD) = 116.71, 95% confidence interval (CI) 78.63, 154.79, P = 0.000). Pooled results indicated that synovectomy was associated with an increase of the operating time (WMD = 15.44, 95% CI 2.67, 28.21, P = 0.018).

conclusionsCurrent evidence indicates that synovectomy has no effects on the final clinical outcomes for patients undergoing TKA. It will increase the total blood loss and the operating time during TKA.

Indexed as

SynovectomyArthroplasty, Replacement, KneeBlood Loss, SurgicalHumansKnee JointOperative TimeOsteoarthritis, KneePostoperative PainRange of Motion, ArticularMeta-analysisSynovectomyTotal knee arthroplasty

Identifiers

PMID29530063
PMCPMC5848558
OpenAlexW2791321408

What OpenQuestion holds

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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.