Evidence map›Paper›PMID 32425426›Full record

ArticleJournal of orthopaedics

A decision analysis of treatment strategies for acute periprosthetic joint infection: Early irrigation and debridement versus delayed treatment based on organism.

Hany S Bedair, Akhil Katakam, Yehia H Bedeir, David Yeroushalmi, Ran Schwarzkopf

Open access · bronzeAbstract read
In one paragraph

Article in Journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Periprosthetic Joint Infection (PJI).The archives of bone and joint surgery · 2025
    Review
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  5. Article
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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 3 institutions in 2 countries.

Hany S BedairDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA.
Akhil KatakamDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA.
Yehia H BedeirDepartment of Orthopaedic Surgery, University of Alexandria, Alexandria, Egypt.
David YeroushalmiDepartment of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Ran SchwarzkopfDepartment of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA.
Newton Wellesley Hospital · USNew York University Langone Orthopedic Hospital · USAlexandria University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to investigate whether immediate or delayed tailored DAIR treatment based on microbial species is the optimal treatment for acute post-operative periprosthetic joint infection (PJI).

methodsA multicenter retrospective study was conducted to identify patients who underwent debridement, antibiotics, and implant retention (DAIR) for PJI. Decision analysis modeling was employed to determine the treatment strategy that yielded the greatest patient outcome.

results316 patients who underwent DAIR for PJI were identified.

conclusionThe decision analysis model determined that the optimal treatment strategy is to perform an immediate DAIR to achieve the greatest QALY outcomes in TKA and THA patients with acute PJI.

Indexed as

Decision analysisIrrigation and debridementPeriprosthetic joint infectionTotal joint arthroplasty

Identifiers

PMID32425426
PMCPMC7226644
OpenAlexW3023468085

What OpenQuestion holds

Textmetadata
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.