Evidence map›Paper›PMID 33106002›Full record

ArticleCartilage2021

Comparison of Autologous Chondrocyte Implantation and Osteochondral Allograft Transplantation of the Knee in a Large Insurance Database: Reoperation Rate, Complications, and Cost Analysis.

Kyle R Sochacki, Kunal Varshneya, Jacob G Calcei, Marc R Safran, Geoffrey D Abrams, Joseph Donahue, Constance Chu, Seth L Sherman

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Cartilage, 2021. 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
1.9field-weighted citation impact, top 13% 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, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. [Advances in clinical repair techniques for localized knee cartilage lesions].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
  9. Article
  10. 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

8 authors at 1 institution in 1 country.

Kyle R SochackiDepartment of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA, USA.ORCID 0000-0003-3096-9755
Kunal VarshneyaDepartment of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA, USA.
Jacob G CalceiDepartment of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA, USA.
Marc R SafranDepartment of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA, USA.
Geoffrey D AbramsDepartment of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA, USA.
Joseph DonahueDepartment of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA, USA.
Constance ChuDepartment of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA, USA.
Seth L ShermanDepartment of Orthopaedic Surgery, Stanford University Medical Center, Palo Alto, CA, USA.
Stanford Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare (1) the reoperation rates, (2) risk factors for reoperation, (3) 30-day complication rates, and (4) cost differences between autologous chondrocyte implantation (ACI) and osteochondral allograft transplantation (OCA) of the knee in a large insurance database.

designSubjects who underwent knee ACI (Current Procedural Terminology [CPT] code 27412) or OCA (CPT code 27415) with minimum 2-year follow-up were queried from a national insurance database. Reoperation was defined by ipsilateral knee procedure after index surgery. Multivariate logistic regression models were built to determine the effect of independent variables (age, sex, tobacco use, obesity, diabetes, and concomitant osteotomy) on reoperation rates. The 30-day complication rates were assessed using ICD-9-CM codes. The cost of the procedures per patient was calculated. Statistical comparisons were made. All

resultsA total of 909 subjects (315 ACI and 594 OCA) were included (mean follow-up 39.2 months). There was a significantly higher reoperation rate after index ACI compared with OCA (67.6% vs. 40.4%,

conclusionsAutologous chondrocyte implantation had significantly higher reoperation rates and cost with similar complication rates compared with OCA. Concomitant osteotomy significantly reduced the risk for reoperation in both groups.

Indexed as

Cartilage, ArticularOsteotomyAdultAllograftsChondrocytesCosts and Cost AnalysisFemaleHumansInsuranceKnee JointMaleReoperationTransplantation, AutologousTreatment Outcomeautologous chondrocyte implantationosteochondral allograftosteotomyreoperations

Identifiers

PMID33106002
PMCPMC8808885
OpenAlexW3093521383

What OpenQuestion holds

Textmetadata
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.