Evidence map›Paper›PMID 32317021›Full record

ArticleArthritis research & therapy2020

Predictors of the use of analgesic drugs 1 year after joint replacement: a single-center analysis of 13,000 hip and knee replacements.

Tuomas Jaakko Rajamäki, Pia A Puolakka, Aki Hietaharju, Teemu Moilanen, Esa Jämsen

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 24 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 4 institutions in 1 country.

Tuomas Jaakko RajamäkiFaculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland. tuomas.rajamaki@tuni.fi.
Pia A PuolakkaDepartment of Anaesthesia, Tampere University Hospital, Tampere, Finland.
Aki HietaharjuFaculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland.
Teemu MoilanenCoxa, Hospital for Joint Replacement, Tampere, Finland.
Esa JämsenFaculty of Medicine and Health Technology, Tampere University, 33014, Tampere, Finland.
Coxa Hospital · FITampere University · FITampere University · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPain persists in a moderate number of patients following hip or knee replacement surgery. Persistent pain may subsequently lead to the prolonged consumption of analgesics after surgery and expose patients to the adverse drug events of opioids and NSAIDs, especially in older patients and patients with comorbidities. This study aimed to identify risk factors for the increased use of opioids and other analgesics 1 year after surgery and focused on comorbidities and surgery-related factors.

methodsAll patients who underwent a primary hip or knee replacement for osteoarthritis from 2002 to 2013 were identified. Redeemed prescriptions for acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), and opioids (mild and strong) were collected from a nationwide Drug Prescription Register. The user rates of analgesics and the adjusted risks ratios for analgesic use 1 year after joint replacement were calculated.

resultsOf the 6238 hip replacement and 7501 knee replacement recipients, 3591 (26.1%) were still using analgesics 1 year after surgery. Significant predictors of overall analgesic use (acetaminophen, NSAID, or opioid) were (risk ratio (95% CI)) age 65-74.9 years (reference < 65), 1.1 (1.03-1.2); age > 75 years, 1.2 (1.1-1.3); female gender, 1.2 (1.1-1.3); BMI 30-34.9 kg/m

conclusionsObesity (especially BMI > 35 kg/m

Indexed as

AgedAge FactorsAnalgesicsArthroplasty, Replacement, HipArthroplasty, Replacement, KneeChronic PainFemaleHumansMaleMiddle AgedObesityOsteoarthritisRisk FactorsAnalgesicsAcetaminophenAnalgesic drugHip replacementKnee replacementNSAIDOpioidRisk factors

Identifiers

PMID32317021
PMCPMC7175525
OpenAlexW3017006706

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.