Evidence map›Paper›PMID 30973052›Full record

ArticleActa orthopaedica2019

Medial unicompartmental knee arthroplasty: increasingly uniform patient demographics despite differences in surgical volume and usage-a descriptive study of 8,501 cases from the Danish Knee Arthroplasty Registry.

Cecilie Henkel, Mette Mikkelsen, Alma B Pedersen, Lasse E Rasmussen, Kirill Gromov, Andrew Price, Anders Troelsen

Abstract read
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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Medium term results of the cementless Oxford mobile bearing medial unicompartmental knee replacement.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. [Research progress in unicompartmental knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2020
    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

7 authors.

Cecilie Henkela Department of Orthopaedic Surgery, Clinical Orthopaedic Research Hvidovre (CORH) , Copenhagen University Hospital Hvidovre , Denmark ;
Mette Mikkelsena Department of Orthopaedic Surgery, Clinical Orthopaedic Research Hvidovre (CORH) , Copenhagen University Hospital Hvidovre , Denmark ;
Alma B Pedersenb Department of Clinical Epidemiology , Aarhus University Hospital , Denmark.
Lasse E Rasmussenc Department of Orthopaedic Surgery , Vejle Hospital , Denmark.
Kirill Gromova Department of Orthopaedic Surgery, Clinical Orthopaedic Research Hvidovre (CORH) , Copenhagen University Hospital Hvidovre , Denmark ;
Andrew Priced Nuffield Department of Orthopaedic Surgery, Rheumatology and Musculoskeletal Science , Nuffield Orthopaedic Centre, University of Oxford , UK.
Anders Troelsena Department of Orthopaedic Surgery, Clinical Orthopaedic Research Hvidovre (CORH) , Copenhagen University Hospital Hvidovre , Denmark ;

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - Using contemporary indications, up to 50% of patients undergoing knee arthroplasty are eligible for unicompartmental knee arthroplasty (UKA), and lower UKA use likely reflects a restrictive approach to patient selection. Since broader indications have been successfully introduced, and low surgical volume and UKA percentage (usage) are associated with higher revision rates, it is of interest whether the actual use of UKA has changed accordingly. We explored this by assessing time trends in patient demographics and whether these are associated with center UKA volume and usage. Patients and methods - From the Danish Knee Arthroplasty Registry, we included 8,501 medial UKAs performed for primary osteoarthritis during 2002-2016. Using locally weighted regression, we examined changes-both overall and by center volume and usage (low vs high)-in sex distribution, age, weight, and preoperative American Knee Society Score (AKSS-O). Results - Over the last 20 years, UKA use in Denmark has been increasing steadily. Age, weight, and proportion of men all increased regardless of volume and usage. AKSS-O showed an initial increase followed by a decrease. In low-usage and low-volume centers, the proportion of women was higher, patients were younger, weighed less, and had higher AKSS-O scores; however, for age and AKSS-O, the groups were converging during the last part of the period. Interpretation - Characteristics of UKA patients have changed in the last 15 years irrespective of center volume and usage. We found between-group differences for both volume and usage, though with convergence for age and AKSS-O, which suggests an increasingly uniform approach to patient selection.

Indexed as

AgedArthroplasty, Replacement, KneeDenmarkFemaleHumansMaleMiddle AgedRegistriesReoperation

Identifiers

PMID30973052
PMCPMC6718175

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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.