Evidence map›Paper›PMID 31881878›Full record

ArticleBMC musculoskeletal disorders2019

The effects of cement fixation on survival in elderly patients with hip hemiarthroplasty: a nationwide cohort study.

Ming-Che Tsai, Yee-Yung Ng, Wei-Ming Chen, Shang-Wen Tsai, Shiao-Chi Wu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06369948 (Quality Of Recovery After Pericapsular Nerve Group), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

NCT06369948 nacompletednot on this mapstarted 2024, after this paper: background citation

Quality Of Recovery After Pericapsular Nerve Group (PENG) Block For Hip Hemiarthroplasty Under Spinal Anesthesia: A Prospective, Double-Blinded, Randomized Controlled Trial

TypeinterventionalSponsorFayoum University HospitalRan2024 to 2024Enrolled60ConditionsHip HemiarthroplastyArmsPericapsular Nerve Group (PENG) Block, elective hip hemiarthroplasty without receiving a PENG block., bupivacaine 0.5% injection
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. [Research progress in etiology and prevention of bone cement implantation syndrome].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Review
  3. Article
  4. Article
  5. Recent advances in geriatric anaesthesia.Indian journal of anaesthesia · 2023
    Article
  6. Article
  7. Article
  8. 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

5 authors at 3 institutions in 1 country.

Ming-Che TsaiInstitute of Health and Welfare Policy, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Yee-Yung NgDepartment of Medicine, Fu Jen Catholic University Hospital, Fu Jen Catholic University, New Taipei City, Taiwan.
Wei-Ming ChenDepartment of Orthopaedics, Taipei Veterans General Hospital, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Shang-Wen TsaiDepartment of Orthopaedics, Taipei Veterans General Hospital, Taipei, Taiwan.
Shiao-Chi WuInstitute of Health and Welfare Policy, College of Medicine, National Yang-Ming University, No.155, Sec.2, Linong Street, Taipei, 11221, Taiwan, Republic of China. scwu@ym.edu.tw.ORCID http://orcid.org/0000-0002-8051-0769
National Yang Ming Chiao Tung University · TWFu Jen Catholic University · TWTaipei Veterans General Hospital · TW

Funding

Ministry of Science and Technology, Taiwan MOST 107-2410-H-010-20 010-MY3
6 · The paper itself

Abstract

backgroundHip hemiarthroplasty (HHA) is a common treatment for hip fractures in the elderly population. Because of the fatal effects of bone cement implantation syndrome, the safety of cement utilization to enhance implant firmness in the femur is controversial. The aim of this study was to investigate the postoperative survival of elderly patients receiving HHA with and without cement fixation.

methodsClaim data from the National Health Insurance Database and the National Register of Deaths Database were used for analysis in this retrospective cohort study. From 2008 to 2014, 25,862 patients aged 80 years or older treated with hip hemiarthroplasty were included in the analysis. A Cox proportional risk model was used to analyse the effects of cement utilization on postoperative mortality.

resultsThe cemented group had a significantly higher mortality risk than the non-cemented group within 7, 30, 180 days and 1 year after the operation. The effect of bone cement on postoperative mortality was significantly stronger within 7 days than within 30, 180 days and 1 year. In addition, the male gender, age > 85 years and higher score on the Charlson Comorbidity Index were also risk factors for mortality (p < 0.05). Patients who received HHA in lower-volume hospitals had higher mortality rates within 180 days and 1 year than those in higher-volume hospitals. Compared with patients who were operated on by high-volume surgeons, those who received surgery performed by lower-volume surgeons were more likely to die within 30 days (aHR = 1.22), 180 days (aHR = 1.16) and 1 year (aHR = 1.19), respectively.

conclusionsThe postoperative mortality rate of elderly patients undergoing HHA was significantly higher in the cemented group than in the non-cemented group.

Indexed as

Aged, 80 and overAge FactorsBone CementsFemaleFemoral Neck FracturesHemiarthroplastyHip ProsthesisHumansMalePostoperative ComplicationsReoperationRetrospective StudiesRisk FactorsSex FactorsSyndromeTaiwanBone CementsCementElderly patientHip hemiarthroplastyPostoperative survival

Identifiers

PMID31881878
PMCPMC6935190
OpenAlexW2998585155

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.