Evidence map›Paper›PMID 31878949›Full record

ArticleJournal of orthopaedic surgery and research2019

Rates of periprosthetic infection and surgical revision in Beijing (China) between 2014 and 2016: a retrospective multicenter cross-sectional study.

Hui-Ming Peng, Long-Chao Wang, Ji-Ying Cheng, Yi-Xin Zhou, Hua Tian, Jian-Hao Lin, Wan-Shou Guo, Yuan Lin, Tie-Bing Qu, Ai Guo and 2 more

Open access · goldAbstract readMulticenter Study
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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
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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

12 authors at 9 institutions in 1 country.

Hui-Ming PengDepartment of Orthopedics, Peking Union Medical College Hospital, CAMS & PUMC, No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China.
Long-Chao WangDepartment of Orthopedics, Peking Union Medical College Hospital, CAMS & PUMC, No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China.
Ji-Ying ChengDepartment of Orthopedics, Chinese PLA General Hospital, Beijing, 100853, China.
Yi-Xin ZhouDepartment of Orthopedics, Beijing Jishuitan Hospital, Beijing, 100035, China.
Hua TianDepartment of Orthopedics, Peking University Third Hospital, Beijing, 100083, China.
Jian-Hao LinDepartment of Orthopedics, Peking University People's Hospital, Beijing, 100044, China.
Wan-Shou GuoDepartment of Orthopedics, Sino-Japanese Friendship Hospital, Beijing, 100029, China.
Yuan LinDepartment of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100020, China.
Tie-Bing QuDepartment of Orthopedics, China Rehabilitation Research Center Beijing Boai Hospital, Beijing, 100068, China.
Ai GuoDepartment of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Yong-Ping CaoDepartment of Orthopedics, Peking University First Hospital, Beijing, 100034, China.
Xi-Sheng WengDepartment of Orthopedics, Peking Union Medical College Hospital, CAMS & PUMC, No.1 Shuaifuyuan, Wangfujing, Dongcheng District, Beijing, 100730, China. xshweng_med@126.com.
Peking University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNBeijing Chao-Yang Hospital · CNBeijing Jishuitan Hospital · CNCapital Medical University · CNChina-Japan Friendship Hospital · CNChina Rehabilitation Research Center · CNChinese PLA General Hospital · CNPeking Union Medical College Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriprosthetic joint infection (PJI) is a rare but devastating complication after total joint arthroplasty. There is a paucity of data on the incidence and prevalence of periprosthetic infection in mainland China. This study aimed to analyze the rates of surgical revision after arthroplasty due to PJI and the procedures followed in Beijing, China.

methodsThe study involved a retrospective multicenter cross-sectional survey of patients undergoing revisions for periprosthetic infection after hip/knee arthroplasty at nine hospitals in Beijing from 2014 to 2016. Age, gender, body mass index, primary diagnosis, comorbidity, primary surgery, treatment methods, and post-revision complications were analyzed.

resultsA total of 38,319 hip/knee arthroplasties and 366 (0.96%) revisions for PJI were identified. Of these, 161 (161/14,110; 1.14%) revisions involved hip arthroplasty, whereas 205 (205/24,209; 0.85%) revisions were due to knee arthroplasty. Procedures for revisions of infected hip included 7 (4.3%) cases of open debridement and prosthesis retention, 32 (19.9%) cases of one-stage exchange, 121 (75.2%) cases of two-stage exchange, and 1 (0.007%) case of hip dissection. As for the infected knee, the procedures included 45 (22.0%) cases of open debridement and prosthesis retention, 13 (6.3%) cases of one-stage exchange, 143 (69.8%) cases of two-stage exchange, and 4 (0.02%) cases of knee fusion.

conclusionsThe study found the rates of revision due to PJI to be low. Nonetheless, the incidence of PJI in mainland China could be higher and calls for more elaborate studies in geographically and socioeconomically diverse health institutions.

Indexed as

AdultAgedChinaCross-Sectional StudiesFemaleHip ProsthesisHumansKnee ProsthesisMaleMiddle AgedProsthesis-Related InfectionsReoperationRetrospective StudiesTime FactorsArthroplastyHip and knee replacementInfectionRevision

Identifiers

PMID31878949
PMCPMC6933879
OpenAlexW2998011222

What OpenQuestion holds

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LicenceCC BY
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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.