Observational studyPloS one2019
Risk factors for early revision after total hip and knee arthroplasty: National observational study from a surgeon and population perspective.
Observational study in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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.
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.
Who cites it
21 citing papers in PubMed, 52 citations in OpenAlex.
- Predicting patient outcomes and risk for revision surgery after hip and knee replacement surgery: study protocol for a comparison of modelling approaches using the Swiss National Joint Registry (SIRIS).Diagnostic and prognostic research · 2025Review
- Stay or go? Outcomes of lower limb arthroplasty in patients travelling away from home for surgery: A cross-sectional analysis of the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) comparing patient residence and hospital remoteness.Archives of orthopaedic and trauma surgery · 2025Article
- The risk of revision surgery after trainee-led primary total hip replacement.Annals of the Royal College of Surgeons of England · 2025Article
- Early revision in total joint arthroplasty surgery - a narrative review.Orthopedic reviews · 2025Article
- Does interaction occur between risk factors for revision total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2024Article
- Do modifiable patient factors increase the risk of postoperative complications after total joint arthroplasty?Archives of orthopaedic and trauma surgery · 2024Article
- Does previous total hip arthroplasty affect the outcomes of total knee arthroplasty? A one- and five-year follow-up registry study in a monocentric hospital.Journal of orthopaedic surgery and research · 2024Article
- Over a decade of experience in total knee arthroplasty with a multiradius design and fixed bearing at a single centre: Data from the Catalan Arthroplasty Registry.Journal of experimental orthopaedics · 2024Article
- Can machine learning models predict failure of revision total hip arthroplasty?Archives of orthopaedic and trauma surgery · 2023Article
- Impact of time to revision total knee arthroplasty on outcomes following aseptic failure.Knee surgery & related research · 2023Article
- Higher risk of 2-year cup revision of ceramic-on-ceramic versus ceramic-on-polyethylene bearing: analysis of 33,454 primary press-fit total hip arthroplasties registered in the Dutch Arthroplasty Register (LROI).Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2023Article
- The Impact of Resident Involvement on Patient Outcomes in Revision Total Hip Arthroplasty.Revista brasileira de ortopedia · 2023Article
- Prognostic Factors of Clinical and Economic Outcomes of Hip Arthroplasty in a Developing Country: A Multilevel Analysis with a 4-Year Cohort Study.Indian journal of orthopaedics · 2022Article
- High Reoperation Rate in Mobile-Bearing Total Ankle Arthroplasty in Young Patients.Medicina (Kaunas, Lithuania) · 2022Article
- The Mechanism of Metallosis After Total Hip Arthroplasty.Regenerative engineering and translational medicine · 2021Article
- Analysis of early failure rate and its risk factor with 2157 total ankle replacements.Scientific reports · 2021Article
- Article
- Diagnosis and management of implant debris-associated inflammation.Expert review of medical devices · 2020Review
- Unique Migration of a Septic Loosened Metal-on-metalCementless Total Hip Arthroplasty: A Case Report and Literature Review.Journal of orthopaedic case reports · 2019Article
- Total hip arthroplasty in Parkinson's disease - A systematic review of the current evidence.Journal of orthopaedicsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
aimsTo identify predictors of early revision (within 3 years of the index operation) for hip and knee replacement (HR, KR) from both surgeon and population perspectives. PATIENTS AND
methodsHierarchical logistic regression on national administrative data for England for index procedures between April 2009 and March 2014.
resultsThere were 315,273 index HR procedures and 374,530 index KR procedures for analysis. Three-year revision rates were 2.1% for HR and 2.2% for KR. The highest odds ratios for HR were for 3+ previous emergency admissions, drug abuse, Parkinson's disease, resurfacing and ages under 60; for KR these were patellofemoral or partial joint replacement, 3+ previous emergency admissions, paralysis and ages under 60. Smaller effects were found for other comorbidities such as obesity (HR) and diabetes (KR). From a population perspective, the only population attributable fractions over 5% were for male gender, uncemented total hip replacements and partial knee or patellofemoral replacements.
conclusionsMeeting the rising demand for revision surgery is a challenge for healthcare leaders and policymakers. Our findings suggest optimising patients pre-operatively and improving patient selection for primary arthroplasty may reduce the burden of early revision of arthroplasty. Our study gives useful information on the additional risks of various comorbidities and procedures, which enables a more informed consent process. CLINICAL RELEVANCE: Surgeons should make patients with certain risk factors such as age and procedure type aware of their higher revision risk as part of shared decision-making.
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Registered trials
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.