Evidence map›Paper›PMID 36054270›Full record

ArticleANZ journal of surgery2022

Total joint replacement may be a valuable treatment for Aboriginal and Torres Strait Islander people with osteoarthritis, but uptake is low.

Penny O'Brien, Sharmala Thuraisingam, Samantha Bunzli, Ivan Lin, Dawn Bessarab, Juli Coffin, Peter F M Choong, Michelle M Dowsey

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in ANZ journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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 3 institutions in 1 country.

Penny O'BrienThe University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.ORCID 0000-0002-0334-5288
Sharmala ThuraisingamThe University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Samantha BunzliThe University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Ivan LinThe University of Western Australia, Western Australian Centre for Rural Health, Geraldton, Western Australia, Australia.
Dawn BessarabThe University of Western Australia, Centre for Aboriginal Medical and Dental Health, Perth, Western Australia, Australia.
Juli CoffinTelethon Kids Institute, Broome, Western Australia, Australia.
Peter F M ChoongThe University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
Michelle M DowseyThe University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.
The University of Melbourne · AUThe University of Western Australia · AUThe Kids Research Institute Australia · AU

Funding

Australian Government Research Training Program ScholarshipNational Health and Medical Research Council Career Development Fellowship APP1122526National Health and Medical Research Council Practitioner Fellowship APP1154203PhD scholarship offered through the Australian National Health and Medical Research Council Centre for Research Excellence in Total Joint Replacement APP1116235
6 · The paper itself

Abstract

backgroundDespite bearing a higher burden of osteoarthritis, little research has examined disparities in the access, utilisation and surgical outcomes associated with total joint replacement (TJR) among Aboriginal and Torres Strait Islander people.

methodsWe conducted a retrospective cohort study to compare the sociodemographic and clinical characteristics of all Aboriginal and Torres Strait Islander and non-Aboriginal patients who underwent primary hip and knee replacement at St Vincent's Hospital Melbourne between 1996 and 2019.

resultsA total of 10 277 primary total knee or hip replacements were performed in the 1996-2019 study period, of which 49 (0.5%) patients identified as either Aboriginal and/or Torres Strait Islander. Aboriginal and Torres Strait Islander patients were younger (61.7 ± 11.8 vs. 68.3 ± 10.3 years; P < 0.001), recorded higher Body Mass Index scores (median (IQR), 36.0 (29.5-41.4) vs. 30.8 (27.0-35.3); P < 0.001) and were more likely to experience multiple co-morbidities at the time of surgery. Despite these findings, Aboriginal and Torres Strait Islander patients did not experience higher complication rates and experienced comparable, clinically meaningful quality of life improvements 12-months post-surgery.

conclusionsTJR appears to be a valuable treatment option for Aboriginal and Torres Strait Islander people with end-stage osteoarthritis. Our study was limited by the small number of procedures conducted in patients who identify as Aboriginal and Torres Strait Islander. Further research is needed to understand why uptake of TJR by Aboriginal and Torres Strait Islander people is low.

Indexed as

Arthroplasty, ReplacementHealth Services, IndigenousOsteoarthritisAgedAustralian Aboriginal and Torres Strait Islander PeoplesHumansMiddle AgedQuality of LifeRetrospective StudiesAboriginal healtharthroplastyhealth servicestotal joint replacement

Identifiers

PMID36054270
PMCPMC9804414
OpenAlexW4291190802

What OpenQuestion holds

Textmetadata
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.