Evidence map›Paper›PMID 33908239›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2021

Wait times, resource use and health-related quality of life across the continuum of care for patients referred for total knee replacement surgery.

Yekaterina Lebedeva, Laura Churchill, Jacquelyn Marsh, Steven J MacDonald, J Robert Giffin, Dianne Bryant

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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  5. Article
  6. Review
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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

6 authors.

Yekaterina LebedevaHealth and Rehabilitation Sciences Program, Western University, London, Ont. (Lebedeva); School of Physical Therapy, Western University, London, Ont. (Churchill, Marsh, Bryant); Fowler Kennedy Sport Medicine Clinic, London, Ont. (Churchill, Giffin); Division of Orthopaedic Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ont. (MacDonald, Giffin); University Hospital, London Health Sciences Centre, London, Ont. (MacDonald); Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Bryant).
Laura ChurchillHealth and Rehabilitation Sciences Program, Western University, London, Ont. (Lebedeva); School of Physical Therapy, Western University, London, Ont. (Churchill, Marsh, Bryant); Fowler Kennedy Sport Medicine Clinic, London, Ont. (Churchill, Giffin); Division of Orthopaedic Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ont. (MacDonald, Giffin); University Hospital, London Health Sciences Centre, London, Ont. (MacDonald); Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Bryant).
Jacquelyn MarshHealth and Rehabilitation Sciences Program, Western University, London, Ont. (Lebedeva); School of Physical Therapy, Western University, London, Ont. (Churchill, Marsh, Bryant); Fowler Kennedy Sport Medicine Clinic, London, Ont. (Churchill, Giffin); Division of Orthopaedic Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ont. (MacDonald, Giffin); University Hospital, London Health Sciences Centre, London, Ont. (MacDonald); Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Bryant).
Steven J MacDonaldHealth and Rehabilitation Sciences Program, Western University, London, Ont. (Lebedeva); School of Physical Therapy, Western University, London, Ont. (Churchill, Marsh, Bryant); Fowler Kennedy Sport Medicine Clinic, London, Ont. (Churchill, Giffin); Division of Orthopaedic Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ont. (MacDonald, Giffin); University Hospital, London Health Sciences Centre, London, Ont. (MacDonald); Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Bryant).
J Robert GiffinHealth and Rehabilitation Sciences Program, Western University, London, Ont. (Lebedeva); School of Physical Therapy, Western University, London, Ont. (Churchill, Marsh, Bryant); Fowler Kennedy Sport Medicine Clinic, London, Ont. (Churchill, Giffin); Division of Orthopaedic Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ont. (MacDonald, Giffin); University Hospital, London Health Sciences Centre, London, Ont. (MacDonald); Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Bryant).
Dianne BryantHealth and Rehabilitation Sciences Program, Western University, London, Ont. (Lebedeva); School of Physical Therapy, Western University, London, Ont. (Churchill, Marsh, Bryant); Fowler Kennedy Sport Medicine Clinic, London, Ont. (Churchill, Giffin); Division of Orthopaedic Surgery, Schulich School of Medicine and Dentistry, Western University, London, Ont. (MacDonald, Giffin); University Hospital, London Health Sciences Centre, London, Ont. (MacDonald); Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Bryant).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The escalating socioeconomic burden of knee osteoarthritis (OA) underscores the need for innovative strategies to reduce wait times for total knee arthroplasty (TKA). The purpose of this study was to evaluate resource use, costs and health-related quality of life (HRQoL) across the continuum of care for patients with knee OA. Methods: This was a prospective study of 383 patients recruited from a high-volume teaching hospital at different stages of care (referral, consultation and presurgery). Outcomes included health care resource use; costs captured from the health care payer, private sector and societal perspectives; HRQoL measured using the Western Ontario and McMaster Universities Osteoarthritis Index, the 12-Item Short Form Health Survey, and EuroQoL 5-Dimension 5-Level tool; wait times; and the proportion of referrals deemed suitable candidates for surgery. Results: The most commonly used conservative treatments were pharmacotherapy, exercise and lifestyle modification. Forty percent of patients referred for TKA were deemed not to be suitable candidates for surgery. The greatest proportion of costs was borne by the patient or private insurer; a small proportion was borne by the public payer. Across all stages of care, more than 60% of the total costs was attributed to productivity losses. HRQoL remained relatively stable throughout the waiting period (mean wait time from referral to TKA 13.2 mo) but improved postoperatively. Conclusion: The suboptimal primary care management of knee OA calls for the development of innovative models of care. This study may provide valuable guidance on the design and implementation of a new online educational platform to improve referral efficiency and expedite wait times for TKA.

Indexed as

Quality of LifeTime-to-TreatmentAgedArthroplasty, Replacement, KneeCanadaCosts and Cost AnalysisFemaleHumansMaleOsteoarthritis, KneePatient SelectionProspective Studies

Identifiers

PMID33908239
PMCPMC8327991

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.