Evidence map›Paper›PMID 31392239›Full record

ArticleOrthopaedic journal of sports medicine2019

A 15-Minute Incremental Increase in Operative Duration Is Associated With an Additional Risk of Complications Within 30 Days After Arthroscopic Rotator Cuff Repair.

Avinesh Agarwalla, Anirudh K Gowd, Kaisen Yao, Daniel D Bohl, Nirav H Amin, Nikhil N Verma, Brian Forsythe, Joseph N Liu

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Bleeding disorder increases the risks of complications following arthroscopic rotator cuff repair.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Article
  5. Review
  6. Article
  7. Review
  8. Open Biceps Tenodesis and Tenotomy Have Low 30-Day Postoperative Complication Rates.Arthroscopy, sports medicine, and rehabilitation · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Anesthesia Type and Postoperative Outcomes for Patients Receiving Arthroscopic Rotator Cuff Repairs.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2022
    Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. 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

8 authors at 4 institutions in 1 country.

Avinesh AgarwallaDepartment of Orthopedic Surgery, Westchester Medical Center, Valhalla, New York, USA.
Anirudh K GowdDepartment of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA.
Kaisen YaoSchool of Medicine, New York Medical College, Valhalla, New York, USA.
Daniel D BohlMidwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Nirav H AminDepartment of Orthopedic Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
Nikhil N VermaMidwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Brian ForsytheMidwest Orthopaedics at Rush, Rush University Medical Center, Chicago, Illinois, USA.
Joseph N LiuDepartment of Orthopedic Surgery, Loma Linda University Medical Center, Loma Linda, California, USA.
Rush University Medical Center · USLoma Linda University Medical Center · USAtrium Health Wake Forest Baptist · USNew York Medical College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOperative time is a risk factor for short-term complications after orthopaedic procedures; however, it has yet to be investigated as an independent risk factor for postoperative complications after arthroscopic rotator cuff repair. PURPOSE: To determine whether operative time is an independent risk factor for complications, readmissions, and extended hospital stays within 30 days after arthroscopic rotator cuff repair. STUDY

designDescriptive epidemiology study.

methodsThe American College of Surgeons National Surgical Quality Improvement Program was queried for all hospital-based inpatient and outpatient arthroscopic rotator cuff repairs (Current Procedural Terminology code 29827) from 2005 to 2016. Concomitant procedures such as subacromial decompression, biceps tenodesis, superior labrum anterior and posterior (SLAP) repair, labral repair, and distal clavicle excision were also included, whereas patients undergoing arthroplasty were excluded from the study. Operative time was correlated with patient demographics, comorbidities, and concomitant procedures. All adverse events were correlated with operative time, while controlling for the above preoperative variables, using multivariate Poisson regression with a robust error variance.

resultsA total of 27,524 procedures met inclusion and exclusion criteria. The mean age of patients was 58.4 ± 10.9 years, the mean operative time was 86.9 ± 37.4 minutes, and the mean body mass index was 30.4 ± 7.0 kg/m

conclusionAlthough the rate of short-term complications after arthroscopic rotator cuff repair is low, incremental increases in operative time are associated with an increased risk of adverse events such as surgical site infection, pulmonary embolism, transfusion, and extended length of hospital stay. Efforts should be made to maximize surgical efficiency in the operating room through optimal coordination of the staff or increased preoperative planning.

Indexed as

arthroscopic rotator cuff repaircomplicationsoperative timesurgical site infectionvenous thromboembolism

Identifiers

PMID31392239
PMCPMC6669850
OpenAlexW2966781578

What OpenQuestion holds

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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.