Evidence map›Paper›PMID 30480545›Full record

ArticleSICOT-J2018

Posterior versus direct anterior approach in total hip arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score-12.

Yu Ozaki, Tomonori Baba, Yasuhiro Homma, Hironori Ochi, Taiji Watari, Sammy Banno, Mikio Matsumoto, Kazuo Kaneko

Registry-linked trialAbstract read
In one paragraph

Article in SICOT-J, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03825029 (Can the Difference Between the Operative and Radiographic Cup Inclination Angle Be Reduced by Applying a Pillow Between the Patient's Legs in Total Hip Arthroplasty Performed In The Lateral Decubitus Position?), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

NCT03825029 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Can the Difference Between the Operative and Radiographic Cup Inclination Angle Be Reduced by Applying a Pillow Between the Patient's Legs in Total Hip Arthroplasty Performed In The Lateral Decubitus Position?

TypeinterventionalSponsorOttawa Hospital Research InstituteRan2019 to 2021Enrolled40ConditionsArthroplasty, Replacement, Hip, Hip Replacement, TotalArmsPillow
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Yu OzakiDepartment of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Tomonori BabaDepartment of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Yasuhiro HommaDepartment of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Hironori OchiDepartment of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Taiji WatariDepartment of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Sammy BannoDepartment of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Mikio MatsumotoDepartment of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Kazuo KanekoDepartment of Orthopedic Surgery, Juntendo University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhen the postoperative outcome of primary total hip arthroplasty (THA) was compared with the direct anterior approach (DAA) and the posterior approach (PA), there was no significant difference of the clinical outcome at 6 months to 1 year after surgery in many studies. This study was performed to compare the medium-term outcome of THA via the DAA or PA and clarify which approach achieves better quality of life (QOL).

methodsWe investigated 61 hips receiving primary THA (30 via DAA and 31 via PA), using hip function scores such as the Harris Hip Score (HHS) and patient-reported outcomes such as the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ), and the Forgotten Joint Score-12 (FJS).

resultsThe mean duration of postoperative follow-up was 36.8 months in the DAA group and 40.5 months in the PA group. There was no difference in preoperative or postoperative HHS between the two groups. Although there was no difference of postoperative WOMAC and JHEQ, the postoperative FJS-12 score was significantly higher in the DAA group than in the PA group (75.2 ± 15.9 versus 60.1 ± 24.4, p = 0.01).

conclusionWhen forgetting the artificial joint in daily life is the target, better QOL can be achieved by performing THA via the DAA.

Identifiers

PMID30480545
PMCPMC6256966

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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.