Evidence map›Paper›PMID 35380534›Full record

ArticleSICOT-J2022

Total hip arthroplasty in geriatric patients - a single-center experience.

Philip Mark Anderson, Peter Vollmann, Manuel Weißenberger, Maximilian Rudert

Open access · goldAbstract read
In one paragraph

Article in SICOT-J, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 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

4 authors at 1 institution in 1 country.

Philip Mark AndersonUniversity of Wuerzburg, Department of Orthopedics, Orthopädische Klinik König-Ludwig-Haus, Brettreichstraße 11, 97074 Würzburg, Germany.ORCID 0000-0003-2356-547X
Peter VollmannUniversity of Wuerzburg, Department of Orthopedics, Orthopädische Klinik König-Ludwig-Haus, Brettreichstraße 11, 97074 Würzburg, Germany.
Manuel WeißenbergerUniversity of Wuerzburg, Department of Orthopedics, Orthopädische Klinik König-Ludwig-Haus, Brettreichstraße 11, 97074 Würzburg, Germany.
Maximilian RudertUniversity of Wuerzburg, Department of Orthopedics, Orthopädische Klinik König-Ludwig-Haus, Brettreichstraße 11, 97074 Würzburg, Germany.
Klinik König-Ludwig Haus · DE

Funding

Julius-Maximilians-Universität Würzburg DE 134187690
6 · The paper itself

Abstract

backgroundAs advanced age often leads to accumulating comorbidities, geriatric patients are endangered by serious events during total hip arthroplasty. This study was conducted to explore whether or not the benefit in terms of health-related quality of life (HRQoL) was comparable to younger patients.

methodsAt a single academic center, 100 patients meeting the following inclusion criteria were retrospectively recruited: (1) primary arthritis of the hip leading to THA; (2) age 80 years or older at the time of surgery; (3) follow up of at least 12 months. For comparison, two further groups were recruited in the same manner, differing only in the age criterion: 100 patients aged 60-69 and 100 patients aged 70-79 at the time of hip replacement. The primary outcome was compared using the WOMAC and the EQ-5D score. The secondary outcome was determined by rates of orthopedic and non-orthopedic complications. Intragroup comparisons of the PROMS were performed by the non-parametric Wilcoxon test for paired samples. For intergroup comparisons of the PROMS, the Kruskal-Wallis-test was performed. Concerning categorial data, intergroup comparisons were performed by the Chi-Square test. The level of significance was set at 0.05.

resultsConcerning the WOMAC score, neither the absolute values at 12 months after THA (p = 0.176) nor the amount of change relative to the values before surgery (p = 0.308) differed significantly between the 3 groups. Concerning the EQ-5D index the absolute values at 12 months after THA differed significantly (p = 0.008). Rates of orthopedic complications did not differ significantly (p = 0.631). Rates of non-orthopedic complications increased significantly with rising age (p = 0.033).

conclusionsCompared to younger patients, geriatric patients after THA have an equal improvement in hip-specific and general HRQoL. While rates of orthopedic complications are comparable too, non-orthopedic complications occur more frequently.

Indexed as

Adverse eventsGeriatricsHealth related quality of lifeTotal hip arthroplasty

Identifiers

PMID35380534
PMCPMC8982179
OpenAlexW4226206852

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.