Evidence map›Paper›PMID 35097385›Full record

ArticleFoot & ankle orthopaedics2020

Treatment Outcomes in Septic Arthritis of the Foot and Ankle in People Who Inject Drugs.

Margaret V Shields, Alexander Toppo, Mariano E Menendez, David Tybor, Peter Dewire, Alysse Wurcel, Matthew Salzler

Open access · goldAbstract read
In one paragraph

Article in Foot & ankle orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 85% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Margaret V ShieldsDepartment of Orthopedics, Tufts Medical Center, Boston, MA, USA.ORCID https://orcid.org/0000-0003-3996-8716
Alexander ToppoTufts University School of Medicine, Boston, MA, USA.
Mariano E MenendezDepartment of Orthopedics, Tufts Medical Center, Boston, MA, USA.
David TyborTufts University School of Medicine, Boston, MA, USA.
Peter DewireDepartment of Orthopedics, Tufts Medical Center, Boston, MA, USA.
Alysse WurcelDivision of Geographic Medicine and Infectious Diseases, Department of Medicine, Tufts Medical Center, Boston, MA, USA.
Matthew SalzlerDivision of Sports Medicine, Tufts University School of Medicine, Tufts Medical Center, Boston, MA, USA.
Tufts University · USTufts Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough injection drug use (IDU) is a known risk factor for septic arthritis (SA) of the foot and ankle (F&A), disease and hospitalization outcomes are poorly characterized. We evaluated national trends, demographic characteristics, and hospitalization outcomes of SA of the F&A in people who inject drugs vs those who do not.

methodsUsing the Nationwide Inpatient Sample, we identified all patients aged 15-64 with a principal discharge diagnosis of SA of the F&A from 2000 to 2013 and evaluated if they were related or unrelated to IDU. We assessed differences in demographic characteristics and in-hospital outcomes in these groups.

resultsFrom 2000 to 2013, there were an estimated 14,198 hospitalizations for SA of the F&A in the United States, and 11% were associated with IDU (SA-IDU). Compared to SA unrelated to IDU, people with SA-IDU were significantly more likely to be younger, black, and have Medicaid or no insurance. People with SA-IDU were significantly more likely to leave against medical advice (9.7% vs 1.4%,

conclusionPeople with SA-IDU of the F&A had suboptimal hospitalization outcomes with greater costs. Recognizing risk factors and proactively addressing potential complications of substance use disorder in the hospital should be prioritized by the orthopedic community. LEVEL OF EVIDENCE: Level III, retrospective cohort study.

Indexed as

intravenous drug usesepsisseptic arthritissubstance abuse disordertreatment outcomes

Identifiers

PMID35097385
PMCPMC8564943
OpenAlexW3046863493

What OpenQuestion holds

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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.