Evidence map›Paper›PMID 31013802›Full record

ArticleInternational journal of environmental research and public health2019

Using Patient-Reported Outcomes to Predict Revision Arthroplasty Following Femoral Neck Fracture: Enhancing the Value of Clinical Registries through Data Linkage.

Christina L Ekegren, Richard de Steiger, Elton R Edwards, Richard S Page, Raphael Hau, Susan Liew, Andrew Oppy, Belinda J Gabbe

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
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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

8 authors.

Christina L EkegrenDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia. christina.ekegren@monash.edu.ORCID 0000-0002-7656-6209
Richard de SteigerEpworth Hospital, Richmond, VIC 3121, Australia. richard.desteiger@epworth.org.au.
Elton R EdwardsDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia. ere@bigpond.net.au.
Richard S PageDepartment of Orthopaedics, University Hospital Geelong, Geelong, VIC 3220, Australia. richard.page@deakin.edu.au.ORCID 0000-0002-2225-7144
Raphael HauDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia. raphaelhau@hotmail.com.
Susan LiewDepartment of Orthopaedic Surgery, Alfred Hospital, Melbourne, VIC 3004, Australia. s.liew@alfred.org.au.
Andrew OppyEpworth Hospital, Richmond, VIC 3121, Australia. andrewoppy@me.com.
Belinda J GabbeDepartment of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia. belinda.gabbe@monash.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to determine the association between patient-reported outcome measures (PROMs) six months following femoral neck fracture after a low fall and future arthroplasty, and the factors associated with this. Six-month post-fracture PROMs were collected from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR) for patients aged >55 years who were admitted for a femoral neck fracture after a low fall between March 2007 and June 2015. These cases were linked with those registered by Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) up to October 2016. Multivariable analysis was performed using a Cox proportional hazards model to determine factors associated with future arthroplasty, including six-month PROMs. Of the 7077 hip fracture patients registered by VOTOR during the study period, 2325 met the inclusion criteria. Internal fixation being used for the initial hip fracture surgery, being younger and having no pre-injury disability were all independently associated with future revision or conversion to arthroplasty. Out of all PROMs, reporting pain and discomfort six months post-fracture was associated with a 9.5-fold increase in the risk of future arthroplasty (95% CI: 3.81, 23.67). The value of clinical registries can be enhanced via data linkage, in this case by using PROMs to predict arthroplasty following femoral neck fracture.

Indexed as

Arthroplasty, Replacement, HipPatient Reported Outcome MeasuresRegistriesReoperationAdultAgedAustraliaFemaleFemoral Neck FracturesFracture Fixation, InternalHip FracturesHumansInformation Storage and RetrievalMaleMiddle AgedProportional Hazards Modelsarthroplastyfemoral neck fracturespainpatient reported outcome measuresregistries

Identifiers

PMID31013802
PMCPMC6517898

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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.