Evidence map›Paper›PMID 35924005›Full record

ArticleFoot & ankle orthopaedics2022

A Systematic Review and Meta-analysis of Total Ankle Arthroplasty or Ankle Arthrodesis for Treatment of Osteoarthritis in Patients With Diabetes.

Arthur Tarricone, Allen Gee, Simon Chen, Karla De La Mata, Justin Muser, Wayne Axman, Prakash Krishnan, Vinayak Perake

Open access · goldAbstract read
In one paragraph

Article in Foot & ankle orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 26% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. 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

8 authors at 7 institutions in 2 countries.

Arthur TarriconeSUNY Downstate Medical Center University Hospital of Brooklyn, Brooklyn, NY, USA.ORCID https://orcid.org/0000-0001-5311-6283
Allen GeeNova Southeastern University, Dr Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, FL, USA.
Simon ChenFaculty Of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Karla De La MataLenox Hill Hospital at Northwell Health New York, New York, NY, USA.
Justin MuserOur Lady of Lourdes Memorial Hospital, Binghamton, NY, USA.
Wayne AxmanNYC Health, Hospitals/Queens Hospital Center, Jamaica, NY, USA.
Prakash KrishnanIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Vinayak PerakeNYC Health, Hospitals/Queens Hospital Center, Jamaica, NY, USA.
Queens Hospital Center · USIcahn School of Medicine at Mount Sinai · USLourdes Hospital · USNorthwell Health · USNova Southeastern University · USSUNY Downstate Health Sciences University · USUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: End-stage ankle osteoarthritis often requires one of 2 major surgical procedures: total ankle arthroplasty or ankle arthrodesis. Although the gold standard has been arthrodesis, patients with diabetes represent a unique cohort that requires additional considerations because of their decreased mobility and risk factors for cardiovascular complications. The purpose of this study is to review odds of major and minor adverse events for patients with diabetes and patients without diabetes in both total ankle arthroplasty and ankle arthrodesis. Methods: A total of 14 articles published between 2010 and 2020 were included in this review. Databases included PubMed, Scopus, MEDLINE/Embase, and Cochrane Library. Key words included ankle arthroplasty, total ankle arthroplasty, ankle arthrodesis, and diabetes. Results: The total number of procedures was 26 287, comprising 13 830 arthroplasty and 12 457 arthrodesis procedures. There was a significant association between patients with diabetes treated with arthrodesis and major adverse events (odds ratio [OR] 1.880, 95% CI 1.279, 2.762), whereas no significant association was observed between patients with diabetes treated with arthroplasty and major adverse events (OR 1.106, 95% CI 0.871, 1.404). Conclusion: This meta-analysis suggests patients with diabetes to be at significantly higher risk for major and minor adverse events after undergoing ankle arthrodesis. However, it suggests no significant differences in major adverse events between patients with diabetes and patients without diabetes having undergone total ankle arthroplasty. Level of Evidence: Level III, systematic review and meta-analysis.

Indexed as

ankle arthrodesisankle replacementarthrodesisarthroplastydiabetestotal ankle arthroplasty

Identifiers

PMID35924005
PMCPMC9340373
OpenAlexW4287926686

What OpenQuestion holds

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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.