Evidence map›Paper›PMID 31020034›Full record

ArticleArthroplasty today2019

Payer type does not impact patient-reported outcomes after primary total knee arthroplasty.

James E Feng, Jonathan A Gabor, Afshin A Anoushiravani, William J Long, Jonathan M Vigdorchik, Patrick A Meere, Richard Iorio, Ran Schwarzkopf, William Macaulay

Open access · goldAbstract read
In one paragraph

Article in Arthroplasty today, 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
1.3field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 14 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

James E FengNYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.
Jonathan A GaborNYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.
Afshin A AnoushiravaniAlbany Medical Center, Albany Medical College, Albany, NY, USA.
William J LongNYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.
Jonathan M VigdorchikNYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.
Patrick A MeereNYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.
Richard IorioBrigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Ran SchwarzkopfNYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.
William MacaulayNYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY, USA.
New York University Langone Orthopedic Hospital · USAlbany Medical Center Hospital · USBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a paucity of literature assessing whether payer type has an impact on postoperative patient-reported outcomes (PROs) after total knee arthroplasty (TKA). The aim of this study was to comparatively evaluate TKA PROs among patients with commercial and Medicare insurance.

methodsWe conducted a single-center, retrospective review of patients operated between January 2017 and March 2018. Knee Disability and Osteoarthritis Outcome Score Junior (KOOS-Jr) and Veterans RAND 12 Health Survey (VR-12) Physical Component (VR-12 PCS) and Mental Component (VR-12 MCS) PRO scores were collected prospectively at baseline and 12 weeks postoperatively via an electronic patient rehabilitation application. Univariable and multivariable linear regressions were utilized to assess the effects of patient insurance type on PRO.

resultsIn total, 193 TKA candidates had commercial (n = 91) or Medicare (n = 102) as their primary payer type. Demographic variables including age, gender, body mass index, and race varied significantly between the cohorts (

conclusionsAfter adjusting for patient-specific variables, PROs are similar at baseline and 12 weeks postoperatively between commercial and Medicare cohorts. For TKA candidates with similar baseline demographics, surgeons can expect similar perioperative PROs regardless of insurance type.

Indexed as

InsuranceMedicarePatient-reported outcomesTotal knee arthroplasty

Identifiers

PMID31020034
PMCPMC6470348
OpenAlexW2908117670

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.