Evidence map›Paper›PMID 30228609›Full record

ReviewMissouri medicine

Adverse Effects of Smoking on Musculoskeletal Health.

Belal Tarakji, Akin Cil, Richard E Butin, Mark Bernhardt

Abstract readReview
In one paragraph

Review in Missouri medicine. 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
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Do smokers achieve the same clinically meaningful improvement after total hip arthroplasty?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. 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.

Belal TarakjiBelal Tarakji, BA, in the Department of Orthopaedic Surgery, University of Missouri-Kansas City School of Medicine, and Truman Medical Center.
Akin CilAkin Cil, MD, in the Department of Orthopaedic Surgery, University of Missouri-Kansas City School of Medicine, and Truman Medical Center.
Richard E ButinRichard E. Butin, MD, MSMA member since 1987, is in the Department of Internal Medicine, UMKC, and Truman Medical Center.
Mark BernhardtMark Bernhardt, MD, in the Department of Orthopaedic Surgery, University of Missouri-Kansas City School of Medicine, and Truman Medical Center.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Smoking remains a prevalent part of present day society, with over 42 million Americans who continue to use cigarettes. Smoking is strongly associated with a variety of conditions that result in increased morbidity and mortality. Research also indicates that smoking has an adverse effect on surgical outcomes. Its effect on the musculoskeletal system is evident and results in postoperative complications such as infection, nonunion, and malunion. These complications also come with a price, as there are severe economic implications of smoking. Patients who smoke may benefit from a period of perioperative cessation to help diminish some of these negative outcomes. It is the physician's duty to educate patients preoperatively about these outcomes and the potential benefit of smoking cessation.

Indexed as

Bone and BonesFracture HealingFractures, MalunitedHumansMusculoskeletal SystemPerioperative PeriodPostoperative ComplicationsPrevalenceSmokingSmoking Cessation

Identifiers

PMID30228609
PMCPMC6140077

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.