Evidence map›Paper›PMID 35209920›Full record

Observational studyJournal of orthopaedic surgery and research2022

Optimal time period for blood glucose level evaluation after total knee arthroplasty in patients without diabetes: a prospective, observational study.

Masaki Nagashima, Kenichiro Takeshima, Ryo Sasaki, Noriyuki Aibara, Shuji Aomatsu, Toshiro Otani, Ken Ishii

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

Observational study in Journal of orthopaedic surgery and research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

7 authors at 2 institutions in 1 country.

Masaki NagashimaDepartment of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, 4-3, Kōzunomori, Narita City, Chiba, 286-8686, Japan. masakin@iuhw.ac.jp.ORCID http://orcid.org/0000-0002-5954-1536
Kenichiro TakeshimaDepartment of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, 4-3, Kōzunomori, Narita City, Chiba, 286-8686, Japan.
Ryo SasakiDepartment of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, 1-4-3, Mita, Minato-ku, Tokyo, 108-8329, Japan.
Noriyuki AibaraDepartment of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, 1-4-3, Mita, Minato-ku, Tokyo, 108-8329, Japan.
Shuji AomatsuDepartment of Orthopaedic Surgery, International University of Health and Welfare Mita Hospital, 1-4-3, Mita, Minato-ku, Tokyo, 108-8329, Japan.
Toshiro OtaniDepartment of Orthopaedic Surgery, International University of Health and Welfare Ichikawa Hospital, 6-1-14, Konodai, Ichikawa City, Chiba, 272-0827, Japan.
Ken IshiiDepartment of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare, 4-3, Kōzunomori, Narita City, Chiba, 286-8686, Japan.
Mita Hospital · JPInternational University of Health and Welfare · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative hyperglycemia has been reported to be a risk factor for postoperative infection even in patients without diabetes mellitus (DM). However, there is no standard for how long blood glucose level (BGL) monitoring should be performed after total knee arthroplasty (TKA). The purpose of this study was to determine the optimal time period for BGL evaluation after TKA in patients without DM.

methodsThis prospective study included 132 knees of 110 patients who underwent TKA between March 2018 and July 2021 in our hospital. Fasting BGLs were measured preoperatively, at 9:00 PM on the day of surgery (DOS), and at 7:00 AM on postoperative days (PODs) 1, 2, and 3. Patients were divided into two groups with a preoperative hemoglobin A1c (HbA1c) cut-off value of 5.9%, and the BGLs on POD 1 were compared between the two groups.

resultsThe BGLs were significantly higher on the DOS, POD 1, and POD 2 than preoperative levels. The BGL was significantly higher on POD 1 than at any other time point. Patients with an HbA1c ≥ 5.9% had significantly higher BGLs than those with an HbA1c < 5.9% on POD 1.

conclusionsThe optimal time period for BGL evaluation after TKA in patients without DM was considered to be from postoperative to POD 2. Patients with an HbA1c ≥ 5.9% may require careful perioperative glycemic control.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, KneeBlood GlucoseFemaleGlycated HemoglobinHumansMalePostoperative PeriodPreoperative PeriodProspective StudiesBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanBlood glucose levelDiabetes mellitusPeriprosthetic infectionTotal knee arthroplasty

Identifiers

PMID35209920
PMCPMC8876530
OpenAlexW4213415076

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.