Evidence map›Paper›PMID 30479973›Full record

ArticleWorld journal of orthopedics2018

Should antibiotics be administered before arthroscopic knee surgery? A systematic review of the literature.

John Carney, Nathanael Heckmann, Erik N Mayer, Ram K Alluri, Carleton Thomas Vangsness, George F Hatch Iii, Alexander E Weber

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of orthopedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 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

7 authors at 2 institutions in 1 country.

John CarneyDepartment of Orthopaedic Surgery, University of Southern California, Los Angeles, CA 90033, United States.
Nathanael HeckmannDepartment of Orthopaedic Surgery, University of Southern California, Los Angeles, CA 90033, United States.
Erik N MayerDepartment of Orthopaedic Surgery, University of Southern California, Los Angeles, CA 90033, United States.
Ram K AlluriDepartment of Orthopaedic Surgery, University of Southern California, Los Angeles, CA 90033, United States.
Carleton Thomas VangsnessDepartment of Orthopaedic Surgery, University of Southern California, Los Angeles, CA 90033, United States.
George F Hatch IiiDepartment of Orthopaedic Surgery, University of Southern California, Los Angeles, CA 90033, United States.
Alexander E WeberDepartment of Orthopaedic Surgery, University of Southern California, Los Angeles, CA 90033, United States. weberae@usc.edu.
University of Southern California · USCreative Research Enterprises (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo explore the current evidence surrounding the administration of prophylactic antibiotics for arthroscopic knee surgery.

methodsDatabases were searched from inception through May of 2018 for studies examining prophylactic antibiotic use and efficacy in knee arthroscopy. Studies with patient data were further assessed for types of arthroscopic procedures performed, number of patients in the study, use of antibiotics, and outcomes with the intention of performing a pooled analysis. Data pertaining to "deep tissue infection" or "septic arthritis" were included in our analysis. Reported data on superficial infection were not included in our data analysis. For the pooled analysis, a relative risk ratio was calculated and χ

resultsA total of 49682 patients who underwent knee arthroscopy for a diverse set of procedures across 19 studies met inclusion critera for pooled analysis. For those not undergoing graft procedures, there were 27 cases of post-operative septic arthritis in 34487 patients (0.08%) who received prophylactic antibiotics and 16 cases in 10911 (0.15%) who received none [risk ratio (RR) = 0.53, 95% confidence interval (CI): 0.29-0.99,

conclusionProphylactic antibiotics are effective in preventing septic arthritis following simple knee arthroscopy. In procedures involving graft implantation, graft soaking reduces the rate of infection.

Indexed as

Anterior cruciate ligamentAntibioticsKnee arthroscopySystematic reviewVancomycin

Identifiers

PMID30479973
PMCPMC6242731
OpenAlexW2900469055

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.