Evidence map›Paper›PMID 32444993›Full record

ReviewCurrent reviews in musculoskeletal medicine2020

Triaging Total Hip Arthroplasty During the COVID-19 Pandemic.

James M Rizkalla, Brian P Gladnick, Aamir A Bhimani, Dorian S Wood, Kurt J Kitziger, Paul C Peters

Open access · bronzeAbstract readReview
In one paragraph

Review in Current reviews in musculoskeletal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.3field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 27 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

6 authors at 1 institution in 1 country.

James M RizkallaDepartment of Orthopaedic Surgery, Baylor University Medical Center, 3500 Gaston Ave., Dallas, TX, 75246, USA.
Brian P GladnickAdult Hip and Knee Reconstruction, W.B. Carrell Memorial Clinic, 9301 N. Central Expressway, Suite 500, Dallas, TX, 75231, USA. bgladnick@carrellclinic.com.
Aamir A BhimaniDepartment of Orthopaedic Surgery, Baylor University Medical Center, 3500 Gaston Ave., Dallas, TX, 75246, USA.
Dorian S WoodDepartment of Orthopaedic Surgery, Baylor University Medical Center, 3500 Gaston Ave., Dallas, TX, 75246, USA.
Kurt J KitzigerAdult Hip and Knee Reconstruction, W.B. Carrell Memorial Clinic, 9301 N. Central Expressway, Suite 500, Dallas, TX, 75231, USA.
Paul C PetersAdult Hip and Knee Reconstruction, W.B. Carrell Memorial Clinic, 9301 N. Central Expressway, Suite 500, Dallas, TX, 75231, USA.
Baylor University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe purpose of this review was to evaluate the available literature to determine what may be considered urgent indications for total hip arthroplasty, in the unprecedented setting of the worldwide COVID-19 pandemic. RECENT

findingsSARS-CoV-2 is a novel coronavirus currently presenting in the form of a global pandemic, referred to as COVID-19. In this setting, multiple states have issued executive orders prohibiting "elective" surgery, including arthroplasty, in order to preserve healthcare resources. However, during this unprecedented reduction in elective surgery, there is likely to be some controversy as to what constitutes a purely "elective" procedure, versus an "urgent" procedure, particularly regarding hip arthroplasty. We reviewed the available literature for articles discussing the most commonly encountered indications for primary, conversion, and revision hip arthroplasty. Based upon the indications discussed in these articles, we further stratified these indications into "elective" versus "urgent" categories. In patients presenting with hip arthroplasty indications, the decision to proceed urgently with surgery should be based upon (a) the potential harm incurred by the patient if the surgery was delayed and (b) the potential risk incurred by the patient in the context of COVID-19 if surgery was performed. The authors present a decision-making algorithm for determining surgical urgency in three patients who underwent surgery in this context. Urgent total hip arthroplasty in the setting of the COVID-19 pandemic is a complex decision-making process, involving clinical and epidemiological factors. These decisions are best made in coordination with a multidisciplinary committee of one's peers. Region-specific issues such as hospital resources and availability of PPE may also inform the decision-making process.

Indexed as

CoronavirusCOVID-19ElectiveHip arthroplastyPandemicUrgent

Identifiers

PMID32444993
PMCPMC7242608
OpenAlexW3028101375

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.