Evidence map›Paper›PMID 31969360›Full record

Trial reportBMJ open2020

What are patients' preferences for revision surgery after periprosthetic joint infection? A discrete choice experiment.

Fran E Carroll, Rachael Gooberman-Hill, Simon Strange, Ashley W Blom, Andrew J Moore

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 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

5 authors at 1 institution in 1 country.

Fran E CarrollPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Rachael Gooberman-HillTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Simon StrangeTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Ashley W BlomTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Andrew J MooreTranslational Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK a.j.moore@bristol.ac.uk.ORCID 0000-0003-3185-1599
University of Bristol · GB

Funding

Department of Health RP-PG-1210-12005
6 · The paper itself

Abstract

objectivesUnderstanding patients' preferences for treatment is crucial to provision of good care and shared decisions, especially when more than one treatment option exists for a given condition. One such condition is infection of the area around the prosthesis after hip replacement, which affects between 0.4% and 3% of patients. There is more than one treatment option for this major complication, and our study aimed to assess the value that patients place on aspects of revision surgery for periprosthetic hip infection.

designWe identified four attributes of revision surgery for periprosthetic hip infection. Using a discrete choice experiment (DCE), we measured the value placed on each attribute by 57 people who had undergone either one-stage or two-stage revision surgery for infection.

settingThe DCE was conducted with participants from nine National Health Service hospitals in the UK.

participantsAdults who had undergone revision surgery for periprosthetic hip infection (N=57).

resultsOverall, the strongest preference was for a surgical option that resulted in no restrictions on engaging in valued activities after a new hip is fitted (β=0.7). Less valued but still important attributes included a shorter time taken from the start of treatment to return to normal activities (6 months; β=0.3), few or no side effects from antibiotics (β=0.2), and having only one operation (β=0.2).

conclusionsThe results highlight that people who have had revision surgery for periprosthetic hip infection most value aspects of care that affect their ability to engage in normal everyday activities. These were the most important characteristics in decisions about revision surgery.

Indexed as

Decision MakingPatient PreferenceAnti-Bacterial AgentsArthroplasty, Replacement, HipFemaleHumansMaleProsthesis-Related InfectionsReoperationAnti-Bacterial Agentsdiscrete choice experimenthiporthopaedic & trauma surgeryperiprosthetic infection

Identifiers

PMID31969360
PMCPMC7044986
OpenAlexW3002764789

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.