Evidence map›Paper›PMID 33187535›Full record

ArticleJournal of orthopaedic surgery and research2020

Weight loss before total joint arthroplasty using a remote dietitian and mobile app: study protocol for a multicenter randomized, controlled trial.

Michael W Seward, Brielle J Antonelli, Nancy Giunta, Richard Iorio, Wolfgang Fitz, Jeffrey K Lange, Vivek M Shah, Antonia F Chen

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04330391 (Implementing Weight Loss Before Total Joint Arthroplasty Using A Remote Dietitian and Mobile App), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 11% 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.

NCT04330391 nacompletednot on this map

Implementing Weight Loss Before Total Joint Arthroplasty Using A Remote Dietitian and Mobile App: A Randomized, Control Trial

TypeinterventionalSponsorBrigham and Women's HospitalRan2020 to 2024Enrolled60ConditionsArthroplasties, Replacement, Weight Loss, NutritionArmsRemote dietitian supervised weight loss intervention and mobile app
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. [Prehabilitation before total knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2024
    Pooled it
  2. Mobile Application's Effect on Patient Satisfaction and Compliance in Total Joint Arthroplasty: A Systematic Review and Meta-analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023
    Pooled it
  3. Pooled it
  4. Review
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  12. The Use of mHealth in Orthopedic Surgery: A Scoping Review.International journal of environmental research and public health · 2021
    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.

Michael W SewardDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, USA. mseward@post.harvard.edu.ORCID http://orcid.org/0000-0002-4813-6308
Brielle J AntonelliDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Nancy GiuntaDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Richard IorioDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Wolfgang FitzDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Jeffrey K LangeDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Vivek M ShahDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Antonia F ChenDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Brigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe months prior to elective surgery may present an opportunity for patients to initiate behavior changes that will simultaneously ready them for surgery and improve their overall health status. An upcoming elective total joint arthroplasty (TJA) may serve as motivation for patients with severe obesity (body mass index [BMI]> 40 kg/m

methodsThe purpose of this multicenter randomized, controlled trial is to assess the feasibility and efficacy of a 12-week remote dietitian (RD) supervised dietary and physical activity weight loss intervention and mobile app for 60 patients with severe obesity prior to undergoing TJA. Intervention participants will receive access to a smartphone app and connect with an RD who will contact these participants weekly or bi-weekly via video calls for up to nine video calls. Together, participants and RDs will set goals for lifestyle modifications, and RDs will check on progress towards achieving these goals using in-app tools such as food logs and text messages between video calls. All patients will be encouraged to lose at least 20 pounds with a goal BMI < 40 kg/m DISCUSSION: This will be the first study to assess pre-operative weight loss in patients with severe obesity anticipating orthopaedic surgery using an RD and mobile app intervention aimed at helping patients become eligible for TJA.

trial registrationRegistered on 1 April 2020 at Clincialtrials.gov. Trial number is NCT04330391 .

Indexed as

Arthroplasty, ReplacementElective Surgical ProceduresMobile ApplicationsNutritionistsRemote ConsultationBody Mass IndexDiet, ReducingExerciseFemaleHealthy LifestyleHumansMaleMulticenter Studies as TopicObesityObesity ManagementProspective StudiesArthroplastyDietitianKnee osteoarthritisMobile applicationsMulticenter StudyNutritionistsObesityObesity, MorbidOsteoarthritis, HipPreoperative PeriodRandomized Controlled TrialSmartphoneTelemedicineWeight loss

Identifiers

PMID33187535
PMCPMC7662734
OpenAlexW3104451198

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.