Evidence map›Paper›PMID 30791929›Full record

Observational studyJournal of orthopaedic surgery and research2019

Evaluation of the effectiveness of hip and knee implant models used in Catalonia: a protocol for a prospective registry-based study.

Jorge Arias-de la Torre, Laia Domingo, Olga Martínez, Laura Muñoz, Noemí Robles, Elisa Puigdomenech, Miquel Pons-Cabrafiga, Francesc Pallisó, Xavier Mora, Mireia Espallargues

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Global mapping of institutional and hospital-based (Level II-IV) arthroplasty registries: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    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

10 authors at 5 institutions in 1 country.

Jorge Arias-de la TorreAgency for Health Quality and Assessment of Catalonia (AQuAS), Barcelona, Spain. jariasdelatorre@gencat.cat.ORCID http://orcid.org/0000-0001-6908-9611
Laia DomingoResearch Network into Health Services for Chronic Illnesses (REDISSEC), Madrid, Spain.
Olga MartínezAgency for Health Quality and Assessment of Catalonia (AQuAS), Barcelona, Spain.
Laura MuñozAgency for Health Quality and Assessment of Catalonia (AQuAS), Barcelona, Spain.
Noemí RoblesResearch Network into Health Services for Chronic Illnesses (REDISSEC), Madrid, Spain.
Elisa PuigdomenechAgency for Health Quality and Assessment of Catalonia (AQuAS), Barcelona, Spain.
Miquel Pons-CabrafigaOrthopaedic Surgery Service, Hospital Sant Rafael, Barcelona, Spain.
Francesc PallisóOrthopaedic Surgery Service, University Hospital Santa María, Lleida, Spain.
Xavier MoraExternal advisory Catalan Arthroplasty Register (RACat), Barcelona, Spain.
Mireia EspallarguesAgency for Health Quality and Assessment of Catalonia (AQuAS), Barcelona, Spain.
Spanish Clinical Research Network · ESAgència de Qualitat i Avaluació Sanitàries de Catalunya · ESHospital Universitari de Santa Maria · ESHospital Universitario San Rafael · ESUniversitat Oberta de Catalunya · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMonitoring results regarding the effectiveness of knee and hip arthroplasties may be useful at the clinical, economic and patient level and help reduce the number of prosthesis revisions. In Spain, and specifically in Catalonia, there is currently no systematic monitoring of the different prosthesis models available on the market. Within this context, the aim of the project presented in this protocol is to evaluate the short- and medium-term effectiveness of knee and hip models implanted in Catalonia and to identify where the results could be better or worse than expected.

methodsA prospective observational design will be drawn up based on data from a population-based arthroplasty register for hip and knee replacements that includes data from 53 of the 61 public hospitals in Catalonia. The knee and hip prosthesis models used will be identified and classified according to the type of prosthesis, fixation and, in total hip replacements, the bearing surface. For the data analysis, two methodological approaches will be used sequentially: first, an approach based on a survival analysis, followed by an approach based on standardised revision ratios and funnel plots. Following the analyses, a panel of experts will evaluate the results to identify possible sources of bias. Lastly, those models with results better or worse than expected compared to those from the comparison group will be valued, and strengths and difficulties for routine implementation of this methodology within the Catalan Arthroplasty Register will be identified. DISCUSSION: The study presented in this protocol will allow us to identify the hip and knee prosthesis models whose results might be better or worse than expected. This information could have a potential impact at the patient, orthopaedic surgeon, healthcare manager, decision-making and industry levels, both in the short term and in the medium and long term.

Indexed as

Models, AnatomicRegistriesArthroplasty, Replacement, HipArthroplasty, Replacement, KneeHumansProspective StudiesProsthesis DesignSpainArthroplastyFunnel plotOutlier detectionRegister studiesSurvival analysis

Identifiers

PMID30791929
PMCPMC6385421
OpenAlexW2924634895

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.