Evidence map›Paper›PMID 32163456›Full record

ArticlePloS one2020

Timing of hip hemiarthroplasty and the influence on prosthetic joint infection.

Nolan S Horner, Kirsten M Grønhaug Larsen, Eleonor Svantesson, Kristian Samuelsson, Olufemi R Ayeni, Jan-Erik Gjertsen, Bengt Östman

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Accuracy and agreement of national spine register data for 474 patients compared to corresponding electronic patient records.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
  6. Modes of failure of hip hemiarthroplasty for femoral neck fracture.Canadian journal of surgery. Journal canadien de chirurgie
    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

7 authors at 4 institutions in 3 countries.

Nolan S HornerDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-7249-2030
Kirsten M Grønhaug LarsenDepartment of Orthopaedic Surgery, Østfold Hospital Trust, Kalnes, Norway.
Eleonor SvantessonDepartment of Orthopaedics, The Sahlgrenska Academy, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Kristian SamuelssonDepartment of Orthopaedics, The Sahlgrenska Academy, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Olufemi R AyeniDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
Jan-Erik GjertsenDepartment of Clinical Medicine (K1), Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.
Bengt ÖstmanDepartment of Orthopaedic Surgery, Østfold Hospital Trust, Kalnes, Norway.ORCID 0000-0002-7297-0423
McMaster University · CAØstfold Hospital Trust · NOUniversity of Gothenburg · SEHaukeland University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrevious research suggested that patients have increased risk of infection with increased time from presentation with a femoral neck fracture to treatment with a hip hemiarthroplasty (HHA). The purpose of this study was to determine if rates of prosthetic joint infections within 3 months of surgery was affected by the time from patient presentation with a femoral neck fracture to the time of treatment with HHA. MATERIALS AND

methodsAcute hip fractures treated with HHA between 2005 and 2017 at three centres in Norway were enrolled in the study. Multi-trauma patients were excluded. Univariable analysis was performed to determine any significant effect of pre-operative waiting time on infection rate. Two pre-planned analyses dichotomizing pre-operative waiting time cut-offs were performed.

resultsThere were 2300 patients with an average age of 82 (range, 48-100) years included of which 3.4% experienced a prosthetic joint infection within 3 months. The primary analysis found no significant difference in infection rate depending on time to surgery (OR = 1.06 (95% CI 0.94-1.20, p = 0.33)). The secondary analyses showed no significant differences in infection rates when comparing pre-operative waiting time of <24 hours vs ≥24 hours (OR = 0.92 (95% CI 0.58-1.46, p = 0.73)) and <48 hours vs ≥48 hours (OR = 1.39 (95% CI 0.81-2.38, p = 0.23)).

conclusionBased off of a large retrospective Norwegian database of hip fractures there did not appear to be a significant difference in infection rate based on pre-operative wait time to surgery.

Indexed as

Time-to-TreatmentAgedAged, 80 and overArthritis, InfectiousEmergency Service, HospitalFemaleFemoral Neck FracturesFollow-Up StudiesHemiarthroplastyHip ProsthesisHumansMaleMiddle AgedNorwayProsthesis-Related InfectionsRetrospective Studies

Identifiers

PMID32163456
PMCPMC7067410
OpenAlexW3012166070

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.