Evidence map›Paper›PMID 32720352›Full record

Observational studyJournal of orthopaedic research : official publication of the Orthopaedic Research Society2021

The AO trauma CPP bone infection registry: Epidemiology and outcomes of Staphylococcus aureus bone infection.

Mario Morgenstern, Christoph Erichsen, Matthias Militz, Zhao Xie, Jiachen Peng, James Stannard, Willem-Jan Metsemakers, Dirk Schaefer, Volker Alt, Kjeld Søballe and 9 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of orthopaedic research : official publication of the Orthopaedic Research Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04455217 (Long--term Outcome Analysis of Fracture--related Infections), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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.

NCT04455217 completednot on this map

Long--term Outcome Analysis of Fracture--related Infections (Re_FRI)

TypeobservationalSponsorUniversity Hospital, Basel, SwitzerlandRan2020 to 2021Enrolled350ConditionsFracture-associated Infection (FAI)Armsdata collection from patients with FAI (occuring January 2000 until December 2019)
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 38 citations in OpenAlex.

  1. Review
  2. Article
  3. Low Percent Copper Doping Limits Bacterial Adhesion on Fluorapatite-Based Bone Scaffolds.Journal of biomedical materials research. Part B, Applied biomaterials · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Immune Checkpoint Molecules as Biomarkers ofbioRxiv : the preprint server for biology · 2024
    Article
  9. Article
  10. Article
  11. Longitudinal intravital imaging of the bone marrow for analysis of the race for the surface in a murine osteomyelitis model.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2024
    Article
  12. Article
  13. Article
  14. Biofilms-What Should the Orthopedic Surgeon know?Indian journal of orthopaedics · 2023
    Review
  15. Low albumin level is more strongly associated with adverse outcomes and Staphylococcus aureus infection than hemoglobin A1C or smoking tobacco.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  16. Fracture-related infection.Nature reviews. Disease primers · 2022
    Review
  17. The Medium Composition ImpactsInternational journal of molecular sciences · 2022
    Article
  18. Article
  19. Review
  20. Efficacy of Bisphosphonate-Conjugated Sitafloxacin in a Murine Model ofFrontiers in cellular and infection microbiology · 2022
    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

19 authors at 16 institutions in 10 countries.

Mario MorgensternDepartment of Orthopaedic and Trauma Surgery, University Hospital Basel, Basel, Switzerland.
Christoph ErichsenDepartment of Trauma Surgery, BG Unfallklinik Murnau, Murnau, Germany.
Matthias MilitzDepartment of Trauma Surgery, BG Unfallklinik Murnau, Murnau, Germany.
Zhao XieDepartment of Orthopaedics, Southwest Hospital, Third Military Medical University, Chongqing, China.
Jiachen PengDepartment of Orthopedics, Affiliated Hospital of Zunyi Medical University, Zunyi, China; Joint Orthopaedic Research Center of Zunyi Medical University & University of Rochester Medical Center, Zunyi, China.
James StannardDepartment of Orthopaedic Surgery, University of Missouri, Missouri Orthopaedic Institute, Columbia, Missouri.
Willem-Jan MetsemakersDepartment of Trauma Surgery, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0002-4114-9093
Dirk SchaeferDepartment of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.
Volker AltDepartment of Trauma Surgery, University Hospital Giessen, Justus-Liebig University Giessen, Giessen, Germany.
Kjeld SøballeDepartment of Orthopaedics, Aarhus University Hospital, Aarhus, Denmark.
Michael NerlichDepartment of Trauma Surgery, Orthopaedic Surgery, Sportsmedicine, University Hospital Regensburg, Regensburg, Germany.
Richard E BuckleyDepartment of Surgery, Foothills Medical Centre, University of Calgary, Calgary, Alberta, Canada.
Michael BlauthDepartment of Trauma Surgery, Medical University Innsbruck, Innsbruck, Austria.
Michael SukDepartment of Orthopaedic Surgery, Geisinger Medical Center, Danville, Pennsylvania.
Frankie LeungDepartment of Orthopaedics and Traumatology, Queen Mary Hospital, The University of Hong Kong, Pokfulam Road, Hong Kong.ORCID 0000-0002-5215-1615
Jorge D BarlaDepartment of Orthopedic Trauma, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Kiminori YukataDepartment of Orthopaedics, Hamawaki Orthopaedic Hospital, Nakaku, Hiroshima, Japan.
Bi QingDepartment of Orthopaedic Surgery, Zhejiang Provincial People's Hospital, Zhejiang, Hangzhou, China.
Stephen L KatesDepartment of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, Virginia.ORCID 0000-0003-0005-8694
Berufsgenossenschaftliche Unfallklinik Murnau · DEUniversity Hospital of Basel · CHAarhus University Hospital · DKArmy Medical University · CNColumbia Orthopaedic Group · USGeisinger Medical Center · USHospital Italiano de Buenos Aires · ARInnsbruck Medical University · ATJustus-Liebig-Universität Gießen · DEKU Leuven · BEQueen Mary Hospital · CNUniversity Hospital Regensburg · DEUniversity of Calgary · CAVirginia Commonwealth University · USZhejiang Provincial People's Hospital · CNZunyi Medical University · CN

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Project 2: Defining the Protective vs. Susceptible Immune Proteome of S. aureus OsteomyelitisP50AR072000 · NIAMS · UNIVERSITY OF ROCHESTER · PI Edward M. Schwarz · 2017 to 2026
$13.6M
NCATS NIH HHS 1UL1TR002649NCATS NIH HHS UL1 TR002649NIAMS NIH HHS P50 AR072000
6 · The paper itself

Abstract

Bone infection represents a serious complication of orthopedic surgery and Staphylococcus aureus is the most common pathogen. To improve the understanding of host-pathogen interaction, we developed a biospecimen registry (AO Trauma CPP Bone Infection Registry) to collect clinical data, bacterial isolates, and serum from patients with S. aureus bone infection. A prospective multinational registry with a 12-month follow-up was created to include adult patients (18 years or older) with culture-confirmed S. aureus infection in long bones after fracture fixation or arthroplasty. Baseline patient attributes and details on infections and treatments were recorded. Blood and serum samples were obtained at baseline, 6, and 12 months. Patient-reported outcomes were collected at 1, 6, and 12 months. Clinical outcomes were recorded. Two hundred and ninety-two patients with fracture-related infection (n = 157, 53.8%), prosthetic joint infection (n = 86, 29.5%), and osteomyelitis (n = 49, 16.8%) were enrolled. Methicillin-resistant S. aureus was detected in 82 patients (28.4%), with the highest proportion found among patients from North American sites (n = 39, 48.8%) and the lowest from Central European sites (n = 18, 12.2%). Patient outcomes improved at 6 and 12 months in comparison to baseline. The SF-36 physical component summary mean (95% confidence interval) score, however, did not reach 50 at 12 months. The cure rate at the end of the study period was 62.1%. Although patients improved with treatment, less than two-thirds were cured in 1 year. At 12-month follow-up, patient-reported outcome scores were worse for patients with methicillin-resistant S. aureus infections.

Indexed as

RegistriesStaphylococcus aureusAdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsFemaleHumansLength of StayMaleMiddle AgedOsteomyelitisProspective StudiesStaphylococcal InfectionsTreatment OutcomeAnti-Bacterial Agentsbone infection registryfracture-related infectionimplant-related infectionMRSAStaphylococcus aureus

Identifiers

PMID32720352
PMCPMC7749080
OpenAlexW3046196685

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.