Evidence map›Paper›PMID 33003394›Full record

ReviewJournal of clinical medicine2020

Patient-Reported Outcomes Following Total Knee Replacement in Patients <65 Years of Age-A Systematic Review and Meta-Analysis.

Jason Trieu, Daniel J Gould, Chris Schilling, Tim Spelman, Michelle M Dowsey, Peter F Choong

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Dissatisfaction and Residual Symptoms in Younger and Older Adult Patients after Total Knee Arthroplasty.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. The German version of the High-Activity Arthroplasty Score is valid and reliable for patients after total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Article
  11. Article
  12. 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

6 authors at 1 institution in 1 country.

Jason TrieuDepartment of Surgery, University of Melbourne, Level 2, Clinical Sciences Building, 29 Regent Street, Fitzroy 3065, Australia.ORCID 0000-0003-0146-3085
Daniel J GouldDepartment of Surgery, University of Melbourne, Level 2, Clinical Sciences Building, 29 Regent Street, Fitzroy 3065, Australia.ORCID 0000-0002-0423-5822
Chris SchillingDepartment of Surgery, University of Melbourne, Level 2, Clinical Sciences Building, 29 Regent Street, Fitzroy 3065, Australia.
Tim SpelmanDepartment of Surgery, University of Melbourne, Level 2, Clinical Sciences Building, 29 Regent Street, Fitzroy 3065, Australia.
Michelle M DowseyDepartment of Surgery, University of Melbourne, Level 2, Clinical Sciences Building, 29 Regent Street, Fitzroy 3065, Australia.ORCID 0000-0002-9708-5308
Peter F ChoongDepartment of Surgery, University of Melbourne, Level 2, Clinical Sciences Building, 29 Regent Street, Fitzroy 3065, Australia.
The University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An increasing number of total knee replacements (TKRs) are being performed in response to the growing burden of osteoarthritis. Patients <65 years of age represent the fastest growing group of TKR recipients and are expected to account for an increasing number of primary and revision procedures. Concerns have been raised about the outcomes that can be expected by this age demographic who are more active, physically demanding, and have longer life expectancies compared to older TKR recipients. This systematic review and meta-analysis evaluated the effectiveness of TKR for osteoarthritis in patients <65 years of age, compared to older individuals. A systematic search of Embase and Medline was conducted to identify studies which examined patient-reported outcomes measured using disease-specific and generic health-related quality of life instruments. Ten studies met our inclusion criteria and were included in this review. These studies comprised 1747 TKRs performed between 1977 and 2014. In the meta-analysis of two prospective studies (288 TKRs), patients <65 years of age were able to attain large and clinically meaningful improvements in pain, function, and quality of life. One of these studies (61 TKRs) suggested that patients <55 years of age attained a larger degree of improvement compared to older individuals. Results into the second postoperative decade were less certain, with some data suggesting a high prevalence of pain and patterns of functional decline. Further research is required to investigate longer-term outcomes following TKR for osteoarthritis in younger patients.

Indexed as

middle-agedosteoarthritispatient-reported outcomestotal knee arthroplastytotal knee replacement

Identifiers

PMID33003394
PMCPMC7600907
OpenAlexW3091399269

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.