Evidence map›Paper›PMID 29538083›Full record

ArticleJournal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases2018

Risk Factors for Transfusions Following Total Joint Arthroplasty in Patients With Rheumatoid Arthritis.

Elizabeth Salt, Amanda T Wiggins, Mary Kay Rayens, Katelyn Brown, Kate Eckmann, Andrew Johannemann, Raymond D Wright, Leslie J Crofford

Abstract read
In one paragraph

Article in Journal of clinical rheumatology : practical reports on rheumatic & musculoskeletal diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
1.0field-weighted citation impact, top 32% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Elizabeth SaltFrom the College of Nursing and.
Amanda T WigginsFrom the College of Nursing and.
Mary Kay RayensFrom the College of Nursing and.
Katelyn BrownFrom the College of Nursing and.
Kate EckmannFrom the College of Nursing and.
Andrew JohannemannInternal Medicine, College of Medicine, and.
Raymond D WrightOrthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY.
Leslie J CroffordDivision of Rheumatology and Immunology, Vanderbilt University, Nashville, TN.
Okinawa Prefectural College of Nursing · JPUniversity of Kentucky · USVanderbilt University · US

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Kentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3M
NCATS NIH HHS UL1 TR000117NCATS NIH HHS UL1 TR001998
6 · The paper itself

Abstract

BACKGROUND/

objectiveDespite effective therapies, rheumatoid arthritis (RA) can result in joint destruction requiring total joint arthroplasty to maintain patient function. An estimated 16% to 70% of those undergoing total joint arthroplasty of the hip or knee will receive a blood transfusion. Few studies have described risk factors for blood transfusion following total joint arthroplasty in patients with RA. The aim of this study was to identify demographic and clinical risk factors associated with receiving a blood transfusion following total joint arthroplasty among patients with RA.

methodsA retrospective study (n = 3270) was conducted using deidentified patient health claims information from a commercially insured, US data set (2007-2009). Data analysis included descriptive statistics and multivariate logistic regression.

resultsFemales were more likely to receive a blood transfusion (odds ratio [OR], 1.48; 95% confidence interval [CI], 1.16-1.87; p = 0.001). When compared with those in the South, patients residing the Midwest were less likely to receive a blood transfusion following total joint arthroplasty (OR, 0.56; 95% CI, 0.44-0.71). Relative to those receiving total knee arthroplasty, patients who underwent total hip arthroplasty were more likely to receive a blood transfusion (OR, 1.39; 95% CI, 1.14-1.70), and patients who underwent a total shoulder arthroplasty were less likely to receive a blood transfusion (OR, 0.14; 95% CI, 0.05-0.38; p < 0.001). Patients with a history of anemia were more likely to receive a blood transfusion compared with those who did not have this diagnosis (OR, 3.30; 95% CI, 2.62-4.14; p < 0.001).

conclusionsRisk factors for the receipt of blood transfusions among RA patients who have undergone total joint arthroplasty were identified.

Indexed as

AdultAgedArthritis, RheumatoidArthroplasty, Replacement, HipArthroplasty, Replacement, KneeBlood Loss, SurgicalBlood TransfusionCohort StudiesDatabases, FactualFemaleFollow-Up StudiesHumansLogistic ModelsMaleMiddle AgedOdds Ratio

Identifiers

PMID29538083
PMCPMC6136987
OpenAlexW2792954404

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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.