Evidence map›Paper›PMID 31126290›Full record

ArticleJournal of orthopaedic surgery and research2019

The 2018 new definition of periprosthetic joint infection improves the diagnostic efficiency in the Chinese population.

Haitao Guan, Jun Fu, Xiang Li, Wei Chai, Libo Hao, Rui Li, Jing Zhao, Jiying Chen

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

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  15. Utility of D-dimer in total joint arthroplasty.World journal of orthopedics · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Haitao GuanDepartment of Orthopaedics, Chinese People's Liberation Army General Hospital (301 Hospital), Beijing, People's Republic of China.
Jun FuDepartment of Orthopaedics, Chinese People's Liberation Army General Hospital (301 Hospital), Beijing, People's Republic of China.
Xiang LiDepartment of Orthopaedics, Chinese People's Liberation Army General Hospital (301 Hospital), Beijing, People's Republic of China. stevelee301@163.com.
Wei ChaiDepartment of Orthopaedics, Chinese People's Liberation Army General Hospital (301 Hospital), Beijing, People's Republic of China.
Libo HaoDepartment of Orthopaedics, Chinese People's Liberation Army General Hospital (301 Hospital), Beijing, People's Republic of China.
Rui LiDepartment of Orthopaedics, Chinese People's Liberation Army General Hospital (301 Hospital), Beijing, People's Republic of China.
Jing ZhaoAnesthesia/Surgery Center, Chinese People's Liberation Army General Hospital (301 Hospital), Beijing, People's Republic of China.
Jiying ChenDepartment of Orthopaedics, Chinese People's Liberation Army General Hospital (301 Hospital), Beijing, People's Republic of China. jiyingchen_301@163.com.
Chinese People's Liberation Army · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriprosthetic joint infection (PJI) is a devastating complication following total joint arthroplasty (TJA). Now, the definition of PJI traditionally used in clinical practice was set out by the International Consensus Meeting (ICM) and Infectious Diseases Society (IDSA). There was a new definition proposed in May 2018 on a paper published in the Journal of Arthroplasty. The new scoring system for PJI demonstrated a higher sensitivity and specificity than Musculoskeletal Infection Society and IDSA criteria. Therefore, we wanted to find further evidence to support the new definition in the Chinese population.

methodsThe patients who were included in our study were divided into PJI group and aseptic group. Medical records of patients (98 in PJI group and 165 in aseptic group) were reviewed, and the score of every patient was aggregated based on the new definition and collected data. The sensitivity and specificity were compared between new definition and classical criteria.

resultsFor patients in our hospital, the overall sensitivity and specificity of the new criteria were respectively 94.9% (95% confidence interval [CI] 87.9-98.1%) and 95.2% (95% CI 90.3-97.7%). The new definition demonstrated a higher sensitivity than traditional criteria in Chinese population, and the specificity was similar to existing criteria.

conclusionWe believe the new scoring system about periprosthetic joint infection could also apply to Chinese population for diagnosing PJI following TJA. It can obviously improve diagnostic efficiency for PJI compared with traditional criteria.

Indexed as

Population SurveillanceAgedArthroplasty, Replacement, HipArthroplasty, Replacement, KneeChinaCohort StudiesFemaleHumansMaleMiddle AgedProsthesis-Related InfectionsRetrospective StudiesTreatment OutcomeChinese populationDiagnosisNew definitionPeriprosthetic joint infection

Identifiers

PMID31126290
PMCPMC6534864
OpenAlexW2946876808

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.