Evidence map›Paper›PMID 33085156›Full record

Observational studyMusculoskeletal care2021

Pilot study: Is a long-term follow-up service beneficial for patients undergoing revision hip replacement surgery?

Lindsay K Smith, Emma Turner, Erik Lenguerrand, Jane Powell, Shea Palmer

Abstract readObservational Study
In one paragraph

Observational study in Musculoskeletal care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Observational
  2. Observational
  3. 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

5 authors.

Lindsay K SmithFaculty of Health and Applied Sciences, University of the West of England, Bristol, UK.ORCID 0000-0002-9979-3180
Emma TurnerSirona Care and Health CIC, Bristol, UK.
Erik LenguerrandMusculoskeletal Research Unit, University of Bristol, Southmead Hospital, Bristol, UK.
Jane PowellFaculty of Health and Applied Sciences, University of the West of England, Bristol, UK.
Shea PalmerFaculty of Health and Applied Sciences, University of the West of England, Bristol, UK.ORCID 0000-0002-5190-3264

Funding

Department of Health CAT CL-2013-04-005
6 · The paper itself

Abstract

purposeTotal hip arthroplasty (THA) is highly successful but some patients will require later revision surgery. This pilot study evaluates the effects of long-term follow-up for patients undergoing revision hip replacement.

methodsConsecutive patients undergoing aseptic revision of THA were recruited from a large orthopaedic unit to a single centre, observational study. Primary outcomes were changes in patient-reported scores from pre-revision to 12 months post-surgery. Secondary outcomes were costs during hospital stay up to 6 months post-revision. Participants were retrospectively allocated to two groups-those with regular orthopaedic review prior to revision (Planned revision) or those without (Unplanned revision).

results52 patients were recruited, 7 were unrevised, one incomplete baseline questionnaires. There were 25 planned and 19 unplanned revisions with no significant differences between groups at baseline. At 12 months, 34 complete data sets were available for analysis, 17 in each group. Change scores were analysed with Mann-Whitney U test; none reached statistical significance. There was a significant difference for length of stay: Planned group 5 days (2-22), Unplanned 11 days (3-86) (Mann-Whitney U test, p = 0.023). No significant differences found for theatre time or component costs. Resource costs post-revision surgery are presented.

conclusionThis pilot study indicates that some change in methods would be required for future work. The results show that there may be some financial benefit from providing long-term follow-up of THA but a larger study is needed to explore these findings and to discuss the impact on recommended guidelines.

Indexed as

Arthroplasty, Replacement, HipFollow-Up StudiesHumansPilot ProjectsReoperationRetrospective StudiesTreatment Outcomearthroplastyfollow-upguidelinesreplacementsurveillancetotal hip

Identifiers

PMID33085156
PMCPMC8518955

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