Evidence map›Paper›PMID 30078897›Full record

ArticleIndian journal of orthopaedics

Does the Surgeon-reported Outcome Correlate with Patient-reported Outcome after Total Knee Arthroplasty? A Cohort Study.

Sivashanmugam Raju, Karthikeyan Chinnakkannu, Ashok Selvaraj, Balasubramanian Balakumar, Mohan K Puttaswamy, P V Jayasankar

Abstract read
In one paragraph

Article in Indian journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Sivashanmugam RajuWake Forest University Baptist Medical Center, Department of Orthopedics and Sports Medicine, Medical Center Boulevard, Winston Salem, NC, USA.
Karthikeyan ChinnakkannuDepartment of Orthopaedics, Shri Sathya Sai Medical Medical College and Research Institute, Kanchipuram, Tamil Nadu, India.
Ashok SelvarajDepartment of Orthopaedics, MIOT Hospitals, Chennai, India.
Balasubramanian BalakumarFellow in Paediatric Orthopaedics, Sheffield Children's Hospital, Western Bank, UK.
Mohan K PuttaswamyConsultant Orthopaedic Surgeon, IORI Clinic, Bengaluru, Karnataka, India.
P V JayasankarDepartment of Orthopaedics Sundaram Medical Foundation Dr. Rangarajan Memorial Hospital, Kanchipuram, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal knee arthroplasty (TKA) has been proved to be a successful and cost-effective treatment for improving pain and function in patients with knee arthritis. Total knee arthroplasty (TKA) is one of the most common orthopaedic surgeries performed worldwide and advancement in surgical techniques and prosthetic designs have improved the patient outcomes. However, concerns and priorities of patients and surgeons relating to joint replacement may differ. MATERIALS AND

methods306 TKAs in 223 patients were evaluated for functional outcome using surgeon reported American Knee Society Knee Score (KS)/Functional Score (FS) and patient-reported Oxford Knee Score (OKS). We have also assessed the correlation between FS and OKS at midterm follow up.

resultsThe mean preoperative KS, FS, and OKS in 223 patients were 42.76, 42.4, and 38.84 and the midterm mean KS, FS, and OKS were 84.29, 73.40, and 30.26, respectively. There was a statistically significant improvement in the KS, FS, and OKS at midterm follow up in Category A (CAT A) (bilateral TKA or unilateral with asymptomatic contralateral knee), CAT B (unilateral TKA with symptomatic other knee) and CAT C (inflammatory arthritis). Overall, the correlation between the midterm FS and OKS was fair. However, in CAT A and CAT B, there was no significant correlation between FS and OKS, but CAT C had a strong correlation. There was a statistically significant improvement in the KS, FS, and OKS when midterm follow up scores were compared with preoperative scores. However, no significant correlation between the American knee society FS and OKS in osteoarthritic patients at midterm follow up signifies acceptable outcome may vary between patients and physicians.

conclusionAll patients should be counseled preoperatively to assess their expectations and sensitize them to information regarding the expected functional outcome following TKA in their cultural context.

Indexed as

Americal knee society knee scorearthroplastyfunctional scoreIndiankneeosteoarthritisoutcome and process assessment (health care)Oxford knee scoreProsthesis implantationreplacement

Identifiers

PMID30078897
PMCPMC6055453

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