Evidence map›Paper›PMID 34569355›Full record

SynthesisHip international : the journal of clinical and experimental research on hip pathology and therapy2023

Survival of the dysplastic hip after periacetabular osteotomy: a meta-analysis.

Sufian S Ahmad, Gregor M Giebel, Carsten Perka, Sebastian Meller, Matthias Pumberger, Sebastian Hardt, Ulrich Stöckle, Christian Konrads

Open access · hybridAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Hip international : the journal of clinical and experimental research on hip pathology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Sufian S AhmadCentre for Musculoskeletal Surgery, Charité-University Medical Centre Berlin, Berlin, Germany.
Gregor M GiebelCentre for Musculoskeletal Surgery, Charité-University Medical Centre Berlin, Berlin, Germany.
Carsten PerkaCentre for Musculoskeletal Surgery, Charité-University Medical Centre Berlin, Berlin, Germany.
Sebastian MellerCentre for Musculoskeletal Surgery, Charité-University Medical Centre Berlin, Berlin, Germany.
Matthias PumbergerCentre for Musculoskeletal Surgery, Charité-University Medical Centre Berlin, Berlin, Germany.
Sebastian HardtCentre for Musculoskeletal Surgery, Charité-University Medical Centre Berlin, Berlin, Germany.
Ulrich StöckleCentre for Musculoskeletal Surgery, Charité-University Medical Centre Berlin, Berlin, Germany.
Christian KonradsDepartment for Trauma and Reconstructive Surgery, BG Klinik, University of Tübingen, Germany.
Charité - Universitätsmedizin Berlin · DEBG Klinik Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeriacetabular osteotomy (PAO) has become a popular procedure for re-orientation of the acetabulum in patients with a developmental pathomorphology. Since its first description by Reinhold Ganz in 1988, many institutions worldwide have adopted the procedure for the treatment of developmental hip dysplasia (DDH) and have subsequently reported their results. The aim of this study was to provide a meta-analysis of the likelihood of long-term survival of a dysplastic hip after PAO.

methodsA systematic literature review was conducted using Medline, Cochrane and "Web of Science" databases to identify articles reporting survival estimates for PAO in patients with DDH. To be included in the analysis, studies had to include patient cohorts aged <40 years, with Osteoarthritis grade < Tönnis III and no form of neuromuscular dysplasia. Adjustment for cohort overlap was performed. Quality assessment included level of evidence (LOE) according to the oxford center for LOE criteria and the "Methodological index for non-randomized studies (MINORS)". After data extraction, a random-effects meta-analytical model was applied to provide weighted mean estimates of survival at 5 years, 10 years, 15 years and 20 years.

resultsNine relevant articles included 2268 dysplastic hips that underwent PAO in 9 institutions. Of the included studies, 5 presented level III evidence and 4 presented level IV evidence. The MINORS score was 11 for 3 studies, 12 for 4 studies and 13 for 2 studies. The 5-year survival after PAO was 96.1% (95% CI, 94.9-97.3), the 10-year survival was 91.3% (95% CI, 87.7-94.8), 15-year survival 85.0% (95% CI, 78.9-91.1), 20-year survival 67.6% (95% CI, 53.9-81.3).

conclusionsThe results provide a representative survival estimate of a dysplastic hip after PAO based on global evidence. This should provide clinicians and patients with an adequate reflection of prognostic expectations after this kind of surgery.

Indexed as

Arthroplasty, Replacement, HipHip DislocationHip Dislocation, CongenitalOsteoarthritis, HipAcetabulumHip JointHumansOsteotomyRetrospective StudiesTreatment OutcomeDDHdevelopmental dysplasia of the hiphip dysplasiaosteotomyPAOpelvic osteotomyPeriacetabular osteotomy

Identifiers

PMID34569355
PMCPMC9978864
OpenAlexW3201802450

What OpenQuestion holds

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LicenceCC BY-NC
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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.