Evidence map›Paper›PMID 32938290›Full record

SynthesisThe Journal of hand surgery, European volume2021

A systematic review of outcomes of wrist arthrodesis and wrist arthroplasty in patients with rheumatoid arthritis.

Xi Ming Zhu, Edward Perera, Chetan Gohal, Brittany Dennis, Moin Khan, Bashar Alolabi

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in The Journal of hand surgery, European volume, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 32 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 3 institutions in 2 countries.

Xi Ming ZhuSt. George's University Hospitals NHS Foundation Trust, University of London, London, UK.
Edward PereraSt. George's University Hospitals NHS Foundation Trust, University of London, London, UK.
Chetan GohalDivision of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada.
Brittany DennisSt. George's University Hospitals NHS Foundation Trust, University of London, London, UK.
Moin KhanDivision of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada.
Bashar AlolabiDivision of Orthopaedic Surgery, McMaster University, Hamilton, Ontario, Canada.
McMaster University · CAUniversity of London · GBSt George’s University Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical management of end-stage rheumatoid wrists is a contentious topic. The standard surgical treatment has traditionally been wrist arthrodesis. Wrist arthroplasty, however, offers an alternative that preserves some wrist motion. A systematic review of MEDLINE, EMBASE and CENTRAL databases was conducted. Data from 23 studies representing 343 cases of wrist arthrodesis and 618 cases of wrist arthroplasty were included. Complication rates were 17% for arthrodesis and 19% for arthroplasty, and both procedures were effective at alleviating pain and improving grip strength. Functional assessment by Disabilities of the Arm, Shoulder, and Hand and Patient-Related Wrist Evaluation of arthroplasty patients revealed clinically meaningful functional improvement compared with preoperative measurements. In contrast to previously published findings both procedures demonstrated comparable complication rates. While this can be speculated to be from advancements in prosthetics, robust long-term follow-up data on wrist arthroplasty are not available yet.

Indexed as

Arthritis, RheumatoidWristArthrodesisArthroplastyFollow-Up StudiesHumansTreatment OutcomeWrist JointarthritisArthrodesisarthroplastyrheumatoid arthritiswristwrist fusionwrist replacement

Identifiers

PMID32938290
PMCPMC7897788
OpenAlexW3087307855

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.