Evidence map›Paper›PMID 33291401›Full record

ArticleAntibiotics (Basel, Switzerland)2020

Do Prosthetic Joint Infections Worsen the Functional Ambulatory Outcome of Patients with Joint Replacements? A Retrospective Matched Cohort Study.

Isabel Mur, Marcos Jordán, Alba Rivera, Virginia Pomar, José Carlos González, Joaquín López-Contreras, Xavier Crusi, Ferran Navarro, Mercè Gurguí, Natividad Benito

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 2 institutions in 1 country.

Isabel MurInfectious Disease Unit, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, 08025 Barcelona, Spain.
Marcos JordánDepartment of Orthopedic Surgery and Traumatology, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, 08025 Barcelona, Spain.
Alba RiveraDepartment of Microbiology, Hospital Santa Creu i Sant Pau, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, Universitat Autònoma de Barcelona, 08025 Barcelona, Spain.
Virginia PomarInfectious Disease Unit, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, 08025 Barcelona, Spain.ORCID 0000-0002-8473-5834
José Carlos GonzálezDepartment of Orthopedic Surgery and Traumatology, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, 08025 Barcelona, Spain.
Joaquín López-ContrerasInfectious Disease Unit, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, 08025 Barcelona, Spain.ORCID 0000-0002-3166-4016
Xavier CrusiDepartment of Orthopedic Surgery and Traumatology, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, 08025 Barcelona, Spain.
Ferran NavarroDepartment of Microbiology, Hospital Santa Creu i Sant Pau, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, Universitat Autònoma de Barcelona, 08025 Barcelona, Spain.ORCID 0000-0002-4302-2838
Mercè GurguíInfectious Disease Unit, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, 08025 Barcelona, Spain.ORCID 0000-0002-0474-3528
Natividad BenitoInfectious Disease Unit, Hospital de la Santa Creu i Sant Pau-Institut d'Investigació Biomèdica Sant Pau, 08025 Barcelona, Spain.ORCID 0000-0001-6410-013X
Universitat Autònoma de Barcelona · ESHospital de Sant Pau · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the effect on the functional ambulatory outcome of postoperative joint infection (PJI) cured at the first treatment attempt versus not developing PJI in patients with hip and knee prostheses.

methodsIn a single-hospital retrospectively matched cohort study, each patient with PJI between 2007 and 2016 was matched on age, sex, type of prosthesis and year of implantation with two other patients with uninfected arthroplasties. The definition of a PJI cure included infection eradication, no further surgical procedures, no PJI-related mortality and no suppressive antibiotics. Functional ambulatory status evaluated one year after the last surgery was classified into four simple categories: able to walk without assistance, able to walk with one crutch, able to walk with two crutches, and unable to walk. Patients with total hip arthroplasties (THA), total knee arthroplasties (TKA) and partial hip arthroplasty (PHA) were analysed separately.

resultsA total of 109 PJI patients (38 TKA, 41 THA, 30 PHA) and 218 non-PJI patients were included. In a model adjusted for clinically relevant variables, PJI was associated with a higher risk of needing an assistive device for ambulation (vs. walking without aid) among THA (adjusted odds ratio (OR) 3.10, 95% confidence interval (95% CI) 1.26-7.57;

conclusionsAmbulatory outcome in patients with hip and knee prostheses with postoperative PJI is worse than in patients who do not have PJI.

Indexed as

arthroplasty infectionprosthetic joint infectionprosthetic joint infection ambulatory outcomeprosthetic joint infection functional outcome

Identifiers

PMID33291401
PMCPMC7762011
OpenAlexW3112953281

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.