Evidence map›Paper›PMID 34307809›Full record

ArticleArthroplasty today2021

Patient-Reported Outcomes After Total Hip Arthroplasty in a Low-Resource Country by a Visiting Surgical Team.

Daniel A Hu, Ryan E Harold, Emanuelle de Cândida Soares Pereira, Erika Trindade Cavalcante, Maria Paula Mariz da Silveira Barros, Synara Nunes Medeiros de Souza, Julio Souza, Victoria A Brander, S David Stulberg

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arthroplasty today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

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

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

9 authors at 3 institutions in 2 countries.

Daniel A HuDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Ryan E HaroldDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Emanuelle de Cândida Soares PereiraFederal University of Pernambuco, Recife, PE, Brazil.
Erika Trindade CavalcanteFederal University of Pernambuco, Recife, PE, Brazil.
Maria Paula Mariz da Silveira BarrosFederal University of Pernambuco, Recife, PE, Brazil.
Synara Nunes Medeiros de SouzaFederal University of Pernambuco, Recife, PE, Brazil.
Julio SouzaHospital Dom Helder Câmara, Cabo de Santo Agostinho, PE, Brazil.
Victoria A BranderDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
S David StulbergDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Northwestern University · USUniversidade Federal de Pernambuco · BREscola Superior Dom Helder Câmara · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTotal hip arthroplasty (THA) is a highly successful procedure but limited in many low-resource nations. In response, organizations globally have conducted service trips to provide arthroplasty care to underserved populations. Few outcomes data are currently available related to these trips. Our study aims to demonstrate the feasibility of tracking patient-reported outcomes and complications after THA in a low-resource setting and that outcomes are comparable to those in developed countries.

methodsWe completed an arthroplasty service trip to Brazil in 2017 where we performed 46 THAs on 38 patients. The mean patient age was 48.8 years. Forty-seven percent were female. Patient-reported outcome scores were collected preoperatively and postoperatively at 2, 6, and 12 weeks and 1 year. A multivariate regression analysis was performed to identify associations between patient factors and 12-week outcomes.

resultsThe mean modified Harris Hip Score, Hip Disability and Osteoarthritis Outcome Score, Patient-Reported Outcome Measurement Information System Short Form (PROMIS-SF) Pain Interference, and PROMIS-SF Physical Function all improved significantly compared to baseline at 2, 6, and 12 weeks and 1 year postoperatively. At 1 year, only 29% of patients (11 of 38) were reachable by phone for follow-up.Multivariate regression analysis at 12 weeks found that females had more improvement in Hip Disability and Osteoarthritis Outcome Score for Joint Replacement scores (

conclusionPatients in low-resource countries benefitted significantly from THA performed by a visiting surgical team. However, following up patients is difficult in low-resource countries once they leave the hospital.

Indexed as

Clinical outcomesInternational mission tripLow-resource communityPrimary total hip arthroplasty

Identifiers

PMID34307809
PMCPMC8283035
OpenAlexW3181472804

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.