Evidence map›Paper›PMID 33023020›Full record

ArticleJournal of clinical medicine2020

Association between Hemiarthroplasty vs Total Hip Arthroplasty and Major Surgical Complications among Patients with Femoral Neck Fracture.

Takahisa Ogawa, Toshitaka Yoshii, Mutsuko Moriwaki, Shingo Morishita, Yoto Oh, Kazumasa Miyatake, Ara Nazarian, Koichiro Shiba, Atsushi Okawa, Kiyohide Fushimi and 1 more

Open access · goldAbstract read
In one paragraph

Article 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 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

11 authors at 3 institutions in 2 countries.

Takahisa OgawaDepartment of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo 113-8519, Japan.
Toshitaka YoshiiDepartment of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo 113-8519, Japan.
Mutsuko MoriwakiDepartment of Tokyo Metropolitan Health Policy Advisement, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo 113-8510, Japan.
Shingo MorishitaDepartment of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo 113-8519, Japan.
Yoto OhDepartment of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo 113-8519, Japan.ORCID 0000-0002-5229-4894
Kazumasa MiyatakeDepartment of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo 113-8519, Japan.
Ara NazarianCenter for Advanced Orthopaedic Studies, Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Koichiro ShibaDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.ORCID 0000-0001-7956-6485
Atsushi OkawaDepartment of Orthopedic Surgery, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo 113-8519, Japan.
Kiyohide FushimiDepartment of Health Policy and Informatics, Graduate School of Medicine, Tokyo Medical and Dental University, Tokyo 113-8510, Japan.
Takeo FujiwaraDepartment of Global Health Promotion, Tokyo Medical and Dental University Graduate School of Medicine, Tokyo 113-8519, Japan.ORCID 0000-0002-1074-3954
Tokyo Medical and Dental University · JPBeth Israel Deaconess Medical Center · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have shown better clinical outcomes after total hip arthroplasty (THA) compared to hemiarthroplasty (HA) for displaced femoral neck fracture. However, few studies have focused on the surgical risks of the two procedures. Therefore, we investigated the perioperative complications of HA and THA in femoral neck fracture, using a large nationwide inpatient database. A total of 286,269 patients (281,140 patients with HA and 5129 with THA) with a mean age of 81.7 were enrolled and HA and THA patients were matched by a propensity score to adjust for patient and hospital characteristics. Patients in a matched cohort were analyzed to compare complications and mortality. The systemic complication rate was not significantly different after a propensity score matching of 4967 pairs of patients. However, the incidence of both hip dislocation and revision surgery was more frequent in the THA group (Risk difference (RD), 2.74; 95%Confidence interval(CI), 2.21-3.27;

Indexed as

complicationsFemoral neck fracturegeriatric fractureshemiarthroplastyhip dislocationnational databaseNational Registration Databasetotal hip arthroplasty

Identifiers

PMID33023020
PMCPMC7601407
OpenAlexW3090904765

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.