Evidence map›Paper›PMID 30712498›Full record

ArticleActa orthopaedica2019

Early postoperative mortality similar between cemented and uncemented hip arthroplasty: a register study based on Finnish national data.

Elina Ekman, Antton Palomäki, Inari Laaksonen, Mikko Peltola, Unto Häkkinen, Keijo Mäkelä

Abstract readComparative Study
In one paragraph

Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. A Comparison of Risks and Benefits Regarding Hip Arthroplasty Fixation.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021
    Article
  4. Article
  5. 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.

Elina Ekmana Department of Orthopaedics and Traumatology , Turku University Hospital , Turku , Finland.ORCID 0000-0003-1330-7418
Antton Palomäkia Department of Orthopaedics and Traumatology , Turku University Hospital , Turku , Finland.
Inari Laaksonena Department of Orthopaedics and Traumatology , Turku University Hospital , Turku , Finland.
Mikko Peltolab National Institute for Health and Welfare , Helsinki , Finland.
Unto Häkkinenb National Institute for Health and Welfare , Helsinki , Finland.
Keijo Mäkeläa Department of Orthopaedics and Traumatology , Turku University Hospital , Turku , Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - Implant survival of cemented total hip arthroplasty (THA) in elderly patients is higher than that of uncemented THA. However, a higher mortality rate in patients undergoing cemented THA compared with uncemented or hybrid THA has been reported. We assessed whether cemented fixation increases peri- or early postoperative mortality compared with uncemented and hybrid THA. Patients and methods - Patients with osteoarthritis who received a primary THA in Finland between 1998 and 2013 were identified from the PERFECT database of the National Institute for Health and Welfare in Finland. Definitive data on fixation method and comorbidities were available for 62,221 THAs. Mortality adjusted for fixation method, sex, age group, and comorbidities among the cemented, uncemented, and hybrid THA was examined using logistic regression analysis. Reasons for cardiovascular death within 90 days since the index procedure were extracted from the national Causes of Death Statistics and assessed separately. Results - 1- to 2-day adjusted mortality after cemented THA was comparable to that of the uncemented THA group (OR 1.2; 95% CI 0.24-6.5). 3- to 10-day mortality in the cemented THA group was comparable to that in the uncemented THA group (OR 0.54; CI 0.26-1.1), and in the hybrid THA group (OR 0.64, CI 0.25-1.6). Pulmonary embolism or cardiovascular reasons as a cause of death were not over-represented in the cemented THA group. Interpretation - Early peri- and postoperative mortality in the cemented THA group was similar compared with that of the hybrid and uncemented groups.

Indexed as

Arthroplasty, Replacement, HipCementationHip ProsthesisOsteoarthritis, HipPostoperative ComplicationsAgedCardiovascular DiseasesComorbidityFemaleFinlandHumansMaleMiddle AgedOutcome and Process Assessment, Health CareProsthesis DesignProsthesis Failure

Identifiers

PMID30712498
PMCPMC6366465

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Registered trials

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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.