Evidence map›Paper›PMID 30350747›Full record

Observational studyActa orthopaedica2018

Higher mid-term revision rates of posterior stabilized compared with cruciate retaining total knee arthroplasties: 133,841 cemented arthroplasties for osteoarthritis in the Netherlands in 2007-2016.

Anneke Spekenbrink-Spooren, Liza N Van Steenbergen, Geke A W Denissen, Bart A Swierstra, Rudolf W Poolman, Rob G H H Nelissen

Registry-linked trialOpen access · goldAbstract readComparative StudyObservational StudyVideo-Audio Media
In one paragraph

Observational study in Acta orthopaedica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05105646 (Are Preoperative Perception of Pain and Psychological Distress Before Primary Knee Arthroplasty Associated With Reason for Revision Surgery? Results of an Observational Study From the Dutch Arthroplasty Register.), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT05105646 completednot on this map

Are Preoperative Perception of Pain and Psychological Distress Before Primary Knee Arthroplasty Associated With Reason for Revision Surgery? Results of an Observational Study From the Dutch Arthroplasty Register.

TypeobservationalSponsorLeiden University Medical CenterRan2014 to 2019Enrolled70,754ConditionsOsteo Arthritis Knee, Psychological DistressArmsKnee Arthroplasty, knee revision arthoplasty
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Biomechanics and Outcomes of Modern Tibial Polyethylene Inserts.Current reviews in musculoskeletal medicine · 2022
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

6 authors at 4 institutions in 1 country.

Anneke Spekenbrink-Spoorena Dutch Arthroplasty Register (Landelijke Registratie Orthopedische Implantaten) , 's- Hertogenbosch.
Liza N Van Steenbergena Dutch Arthroplasty Register (Landelijke Registratie Orthopedische Implantaten) , 's- Hertogenbosch.
Geke A W Denissena Dutch Arthroplasty Register (Landelijke Registratie Orthopedische Implantaten) , 's- Hertogenbosch.
Bart A Swierstrab Department of Orthopaedic Surgery, Sint Maartenskliniek , Nijmegen.
Rudolf W Poolmanc Department of Orthopaedic Surgery, Joint Research, OLVG Amsterdam.
Rob G H H Nelissend Department of Orthopaedic Surgery , Leiden University Medical Center , Leiden , The Netherlands.
Dutch Heart Registry · NLJoint Research Centre · NLLeiden University Medical Center · NLSint Maartenskliniek · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - The preference for a cruciate retaining (CR) or posterior stabilized (PS) TKA (total knee arthroplasty) system varies greatly between Dutch hospitals, independent of patient characteristics. We examined mid-term revision rates for men and women of different age categories. Patients and methods - We included all 133,841 cemented fixed-bearing primary CR or PS TKAs for osteoarthritis reported in the Dutch Arthroplasty Register (LROI) in 2007-2016. Revision procedures were defined as minor when only insert and/or patella were revised and as major when fixed components (tibia and femur) were revised or removed. 8-year all-cause revision rates of CR and PS TKAs were calculated using competing-risk analyses. Cox-regression analyses were performed, adjusted for age at surgery, sex, ASA -score, and previous operations. Results - PS TKAs were 1.5 (95% CI 1.4-1.6) times more likely to be revised within 8 years of the primary procedure, compared with CR TKAs. When stratified for sex and age category, 8-year revision rate of PS TKAs in men <60 years was 13% (CI 11-15), compared to 7.2% (CI 6.1-8.5) of CR TKAs. Less prominent differences were found in older men and women. For men <60 years differences were found for minor (CR 1.8% (CI 1.4-2.5); PS 3.7% (CI 3.0-4.7)) and major revisions (CR 4.2% (CI 3.3-5.3); PS 7.0% (CI 5.6-8.7)). Interpretation - Patients who received a cemented fixed-bearing primary PS TKA for osteoarthritis are more likely to undergo either a minor or a major revision within 8 years. This is especially prominent for younger men.

Indexed as

Knee ProsthesisAgedAged, 80 and overAge FactorsAnterior Cruciate LigamentArthroplasty, Replacement, KneeBone CementsFemaleHumansMaleMiddle AgedNetherlandsOrgan Sparing TreatmentsOsteoarthritis, KneeReoperationBone Cements

Identifiers

PMID30350747
PMCPMC6300738
OpenAlexW2898256803

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.