ArticleEClinicalMedicine2021
The Joint-Specific BACH classification: A predictor of outcome in prosthetic joint infection.
Article in EClinicalMedicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 29 citations in OpenAlex.
- A bone histological approach to distinguish periprosthetic joint infection from aseptic osteolysis in revision joint replacement.Bone & joint research · 2026Article
- The Innate and Adaptive Immune Functions of Osteoblast-Lineage Cells.Current osteoporosis reports · 2026Review
- High and strikingly early failure-rate following gram-negative periprosthetic joint infection - a retrospective cohort study on 72 cases.Archives of orthopaedic and trauma surgery · 2026Article
- A Comparison of Health-Related Quality of Life in Patients with Periprosthetic Joint Infection, Patients with Fracture-Related Infections and the General Population-A Multicenter Analysis of 384 Patients from the Section "Musculoskeletal Infections" of the German Society for Orthopaedics and Traumatology.Journal of clinical medicine · 2025Article
- Rapid Nanopore Sequencing to Identify Bacteria Causing Prosthetic Joint Infections.Antibiotics (Basel, Switzerland) · 2025Article
- Periprosthetic joint infection of megaprostheses for oncologic and non-oncologic indications-IMPLANT retention or removal? A retrospective cohort study of 50 cases.Arthroplasty (London, England) · 2025Article
- Assessing the TNM Classification for Periprosthetic Joint Infections of the Knee: Predictive Validity for Functional and Subjective Outcomes.Journal of personalized medicine · 2025Article
- The application value and challenges of metagenomic next-generation sequencing in the diagnosis of periprosthetic joint infection after arthroplasty.Frontiers in medicine · 2025Review
- External validation of the joint-specific bone involvement, antimicrobial options, coverage of the soft tissues, and host status (JS-BACH) classification for predicting the outcome in periprosthetic joint infections following total hip and knee arthroplasties: a promising tool for clinical practice.Journal of bone and joint infection · 2025Article
- The use of antibiotic-loaded calcium sulphate beads in debridement, antibiotics, and implant retention (DAIR) for periprosthetic infections: a retrospective comparative cohort on outcome.Acta orthopaedica · 2024Article
- A Comparison of Causative Pathogens in Bone and Prosthetic Joint Infections: Implications for Antimicrobial Therapy.Antibiotics (Basel, Switzerland) · 2024Article
- Management of periprosthetic joint infection of the shoulder: A narrative review.Journal of clinical orthopaedics and trauma · 2024Article
- Local Antimicrobial Therapy with Combined Aminoglycoside and Vancomycin Compared to Aminoglycoside Monotherapy in the Surgical Management of Osteomyelitis and Fracture-Related Infection.Antibiotics (Basel, Switzerland) · 2024Article
- A combined debridement, antibiotics, and implant retention (DAIR) procedure with flap coverage for acute soft tissue defects following total knee arthroplasty: a retrospective study.Journal of bone and joint infection · 2024Article
- Mortality, patient-reported outcome measures, and the health economic burden of prosthetic joint infection.EFORT open reviews · 2023Review
- Making the diagnosis in prosthetic joint infection: a European view.EFORT open reviews · 2023Review
- The Impact of Antimicrobial Therapy Duration in the Treatment of Prosthetic Joint Infections Depending on Surgical Strategies: A Systematic Review and Meta-analysis.Open forum infectious diseases · 2023Review
- Microbial Persistence, Replacement and Local Antimicrobial Therapy in Recurrent Bone and Joint Infection.Antibiotics (Basel, Switzerland) · 2023Article
- Pre-Referral Microbiology in Long Bone Infection: What Can It Tell Us?Antibiotics (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundThere is currently no commonly accepted method of stratifying complexity of prosthetic joint infection (PJI). This study assesses a new classification, the Joint-Specific, Bone involvement, Anti-microbial options, Coverage of the soft tissues, Host status (JS-BACH) classification, for predicting clinical and patient reported outcomes in PJI.
methodsPatients who received surgery for PJI at two centres in the UK between 2010 and 2015 were classified using JS-BACH as 'uncomplicated', 'complex' or 'limited treatment options'. Patient reported outcomes were recorded at 365-days following the index operation and included the EuroQol EQ-5D-3L index score and the EQ-visual analogue score (VAS). Clinical outcome data were obtained from the most recent follow-up appointment.
findings220 patients met the inclusion criteria. At 365-days following the index operation, patients with 'uncomplicated' PJI reported similar EQ-index scores (0.730, SD:0.326) and EQ-VAS (79.4, SD:20.9) compared to the age-matched population. Scores for 'uncomplicated' PJI were significantly higher than patients classified as having 'complex' (EQ-index:0.515 SD:0.323,
interpretationThe JS-BACH classification can help predict likelihood of recurrence and quality of life following surgery for PJI. This will aid clinicians in sharing prognostic information with patients and help guide referral for specialist management of PJI.
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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.