Evidence map›Paper›PMID 30929082›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019

Is patient satisfaction related to patient reported sounds from ceramic on ceramic total hip arthroplasty? A study of 265 hips.

Jonathan A Barrow, Hiren M Divecha, Sunil Panchani, Richard Boden, Amol Chitre, Anil Gambhir, Martyn L Porter, Tim N Board

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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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.

Jonathan A BarrowCentre for Hip Surgery, Wrightington Hospital, Appley Bridge, Wigan, WN4 9EP, UK. jonabarrow@gmail.com.ORCID http://orcid.org/0000-0001-8929-9261
Hiren M DivechaCentre for Hip Surgery, Wrightington Hospital, Appley Bridge, Wigan, WN4 9EP, UK.
Sunil PanchaniCentre for Hip Surgery, Wrightington Hospital, Appley Bridge, Wigan, WN4 9EP, UK.
Richard BodenRoyal Preston Hospital, Sharoe Green Lane North, Fulwood, Preston, PR2 9HT, UK.
Amol ChitreCentre for Hip Surgery, Wrightington Hospital, Appley Bridge, Wigan, WN4 9EP, UK.
Anil GambhirCentre for Hip Surgery, Wrightington Hospital, Appley Bridge, Wigan, WN4 9EP, UK.
Martyn L PorterCentre for Hip Surgery, Wrightington Hospital, Appley Bridge, Wigan, WN4 9EP, UK.
Tim N BoardCentre for Hip Surgery, Wrightington Hospital, Appley Bridge, Wigan, WN4 9EP, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe ideal method and implant to perform total hip arthroplasty (THA) is still a debated topic. Ceramic on ceramic (CoC) bearings have favourable wear properties, but squeaking has been reported as an unwanted side effect. We aimed to determine the rate of noise generation from CoC hips and investigate whether there is a relationship with patient satisfaction.

methodsA total of 246 consecutive CoC bearing uncemented THA were retrospectively identified in a single institution. Post-operatively patients were sent a postal questionnaire to evaluate their reported sounds and satisfaction with their THA. Uni- and multi-variate analyses were performed to identify potential predictor variables for reported post-operative sounds.

resultsQuestionnaires were returned by 172 patients (70% return rate). 24% reported sounds from their hips with 11% reporting a squeak. Median satisfaction levels were minimally, but significantly less for "noisy" (9/10) than "quiet" hips (10/10) (median difference = - 1, 95% CI - 2 to 0, p < 0.001). Compared to those with "noisy" hips, patients with "quiet" hips were 1.7 times (95% CI 1.3-2.5, p = 0.0002) more likely to report a "forgotten" hip. Younger age (p < 0.043) and increased anteversion (p < 0.021) were predictors for reported sounds.

conclusionWe have identified a high rate of "noisy" hips in this series of CoC THA with a significant inverse relationship between "noisy" hips and patient satisfaction levels. In our unit, we are moving towards the use of ceramic on cross-linked polyethylene bearings as a result of these findings and the excellent survivorship of this bearing combination.

Indexed as

Postoperative ComplicationsArthroplasty, Replacement, HipCeramicsFemaleHip ProsthesisHumansMaleMiddle AgedNoisePatient Reported Outcome MeasuresPatient SatisfactionPolyethyleneProsthesis DesignProsthesis FailureRetrospective StudiesSurveys and QuestionnairesPolyethyleneArthroplastyCeramicHipNoiseSqueak

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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.