Evidence map›Paper›PMID 32151524›Full record

ArticleThe Journal of arthroplasty2020

Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030.

Andrew M Schwartz, Kevin X Farley, George N Guild, Thomas L Bradbury

3 registry-linked trialsAbstract read
In one paragraph

Article in The Journal of arthroplasty, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 344 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
344citing papers in PubMed, 9 pooled it
–field-weighted citation impact
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.

NCT06936709 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Colchicine in the Perioperative Period on Reducing Post-Operative Pain in Total Knee Arthroplasty

TypeinterventionalSponsorGeisinger ClinicRan2025 to 2026Enrolled75ConditionsOsteoarthritis of Knee, Recovery Following Primary Total Knee Arthroplasty, Perioperative Pain ControlArmsColchicine 1.8 mg (loading dose) + Dextrose Oral Placebo, Colchicine 1.8 mg + 0.6 mg, Dextrose Oral Placebo
NCT07041528 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

How Do Patients and Health Care Professionals Perceive De-implementation of Routine Follow-ups After Total Hip and Knee Arthroplasty? Protocol for a Nested Qualitative Study Within a Hybrid De-implementation Trial

TypeobservationalSponsorTergooi Medical CenterRan2026 to 2028Enrolled90ConditionsHip Arthroplasty, Total, Knee Arthroplasty, Total
NCT07109388 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of Pericapsular Nerve Group (PENG) Block With a Combined Femoral, Sciatic, Lateral Femoral Cutaneous Nerve Block for Postoperative Analgesia in Secondary Total Hip Arthroplasty.

TypeinterventionalSponsorCentre Hospitalier Universitaire VaudoisRan2025 to 2027Enrolled50ConditionsHip Arthroplasty Replacement, Post Operative Analgesia, Post Operative Pain, AcuteArmsPericapsular nerve group (PENG) block with 0.75% ropivacaine guided by ultrasound, Femoral, sciatic and lateral femoral cutaneous nerve block with 0.375% ropivacaine
3 · Its place in the literature

Who cites it

344 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  7. Total femur replacement in revision arthroplasty for non-oncologic patients: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
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284 more citing papers are in PubMed but not listed here.

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

4 authors.

Andrew M SchwartzDepartment of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA; Department of Orthopaedic Surgery, Emory University Orthopaedics & Spine Hospital, Tucker, GA.
Kevin X FarleyDepartment of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA.
George N GuildDepartment of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA; Department of Orthopaedic Surgery, Emory University Orthopaedics & Spine Hospital, Tucker, GA.
Thomas L BradburyDepartment of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA; Department of Orthopaedic Surgery, Emory University Orthopaedics & Spine Hospital, Tucker, GA.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
J: NRSA Training CoreTL1TR002382 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Vasiliki Michopoulos · 2017 to 2026
$8.5M
NCATS NIH HHS TL1 TR002382NCATS NIH HHS UL1 TR002378
6 · The paper itself

Abstract

backgroundAs the incidence of primary total joint arthroplasty rises in the United States, it is important to investigate how this will impact rates of revision arthroplasty. The purpose of this study was to analyze the incidence and future projections of revision total hip arthroplasty (rTHA) and revision total knee arthroplasty (rTKA) to 2030. Anticipating surgical volume will aid surgeons in designing protocols to efficiently and effectively perform rTHA/rTKA.

methodsThe national inpatient sample was queried from 2002 to 2014 for all rTHA/rTKA. Using previously validated measures, Poisson and linear regression analyses were performed to project annual incidence of rTHA/rTKA to 2030, with subgroup analyses on modes of failure and age.

resultsIn 2014, there were 50,220 rTHAs and 72,100 rTKAs. From 2014 to 2030, rTHA incidence is projected to increase by between 43% and 70%, whereas rTKA incidence is projected to increase by between 78% and 182%. The 55-64 and 65-74 age groups increased in revision incidence during the study period, whereas 75-84 age group decreased in incidence. For rTKA, infection and aseptic loosening are the 2 most common modes of failure, whereas periprosthetic fracture and infection are most common for rTHA.

conclusionThe incidence of rTHA/rTKA is projected to increase, particularly in young patients and for infection. Given the known risk factor profiles and advanced costs associated with revision arthroplasty, our projections should encourage institutions to generate revision-specific protocols to promote safe pathways for cost-effective care that is commensurate with current value-based health care trends. LEVEL OF EVIDENCE: IV.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneePeriprosthetic FracturesHumansKnee JointReoperationUnited Statesincidenceinfectionprojectionsrevision hip arthroplastyrevision knee arthroplasty

Identifiers

PMID32151524
PMCPMC7239745

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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.