Evidence map›Paper›PMID 30788580›Full record

ReviewSchmerz (Berlin, Germany)2019

[Predictors for persistent pain and dissatisfaction after total knee arthroplasty].

Franz Reichel, Moritz Innmann, Tobias Gotterbarm, Marcus Schiltenwolf, Christian Merle

Abstract readReview
PubMed Publisher
In one paragraph

Review in Schmerz (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

5 authors.

Franz ReichelKlinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland. franz.reichel@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-6439-8746
Moritz InnmannKlinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland.
Tobias GotterbarmDepartment für Orthopädie, Kepler Universitätsklinikum, Krankenhausstraße 9, 4021, Linz, Österreich.
Marcus SchiltenwolfKlinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland.
Christian MerleKlinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA substantial number of patients patients suffer from persistent pain or are unsatisfied after total knee arthroplasty (TKA).

objectivesThis work aims to present the frequency of postoperative persistent pain and/or dissatisfaction as well as known causes and predictors. MATERIALS AND

methodsThe current literature is studied regarding the subject and is reviewed narratively.

resultsMost postoperative problems did not arise from operation details, but from patient-related criteria, a lack of patient education and selection. The satisfaction correlates most strongly with the reduction of preoperative pain.

conclusionFor a successful TKA, care should be taken that the following aspects are met preoperatively: clinically and radiologically advanced osteoarthritis, a patient age preferably older than 60 years, sufficient psychosocial resources to cope with postoperative stress, no opioid medication and realistic expectations after TKA. Postoperatively, patients with persistent pain or dissatisfaction should be checked for any prosthesis-related problems. If no prosthesis-related problems could be detected, the patients should be referred for interdisciplinary therapies.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeHumansPatient SatisfactionPostoperative PainTreatment OutcomeArthroplastyKneePainPredictorsSatisfaction

Identifiers

What OpenQuestion holds

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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.