Evidence map›Paper›PMID 35262776›Full record

ReviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Presepsin as a diagnostic biomarker of peri-prosthetic joint infection: a review of the literature.

Mona Lisa Delva, Linsen T Samuel, Alexander J Acuña, Atul F Kamath

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In one paragraph

Review in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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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

4 authors at 2 institutions in 1 country.

Mona Lisa DelvaSchool of Medicine, Case Western Reserve University, Health Education Campus, 9501 Euclid Avenue, Cleveland, OH, 44106, USA.
Linsen T SamuelDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Mail code A40, Cleveland, OH, 44195, USA.
Alexander J AcuñaSchool of Medicine, Case Western Reserve University, Health Education Campus, 9501 Euclid Avenue, Cleveland, OH, 44106, USA.
Atul F KamathDepartment of Orthopaedic Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Mail code A40, Cleveland, OH, 44195, USA. kamatha@ccf.org.ORCID http://orcid.org/0000-0002-9214-2756
Cleveland Clinic · USCase Western Reserve University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhile presepsin has shown promise as a sepsis biomarker, it has only recently been considered in the field of orthopedic surgery. Therefore, the present review evaluates the role of presepsin in total joint arthroplasty (TJA) as well as its diagnostic and prognostic value in diagnosing PJI.

methodsUtilizing 4 online databases, we thoroughly searched the literature for articles evaluating the role of presepsin in TJA as well as its prognostic and diagnostic value for PJI.

resultsStudies evaluating perioperative presepsin trends in primary TJA demonstrated that its natural course is similar to C-Reactive Protein (CRP). The area under (AUC) the receiver operating characteristic curves values for serum presepsin ranged from 0.86 to 0.926. These values were higher than the AUCs for CRP in each of their respective studies. However, synovial presepsin demonstrated a lower AUC (0.41). Prognostically, presepsin demonstrated potential in terms of infection monitoring following revision TJA for PJI.

conclusionAlthough the data remains limited, presepsin may serve as a potential biomarker to evaluate the natural inflammatory response following TJA as well as to help diagnose PJI. The present review serves to set the foundation for future study into serum presepsin in larger patient cohorts. Further study is needed to evaluate how this biomarker compares to other laboratory values traditionally used for PJI diagnosis.

Indexed as

Arthritis, InfectiousArthroplasty, Replacement, HipProsthesis-Related InfectionsBiomarkersC-Reactive ProteinHumansLipopolysaccharide ReceptorsPeptide FragmentsROC CurveBiomarkersC-Reactive ProteinLipopolysaccharide ReceptorsPeptide Fragmentspresepsin protein, humanOrthopedic surgeryPeri-prosthetic joint infection (PJI)PresepsinRevision total joint arthroplasty (rTJA)

Identifiers

PMID35262776
OpenAlexW4220986399

What OpenQuestion holds

Textmetadata
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.