Evidence map›Paper›PMID 36316729›Full record

ArticleArthroplasty (London, England)2022

Funding has no effect on clinical outcomes of total joint arthroplasty emerging technologies: a systematic review of bibliometrics and conflicts of interest.

Garrhett G Via, David A Brueggeman, Joseph G Lyons, Isabelle C Ely, Andrew W Froehle, Anil B Krishnamurthy

Abstract read
In one paragraph

Article in Arthroplasty (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

6 authors.

Garrhett G ViaDepartment of Orthopedic Surgery, Wright State University, 30 E. Apple St., Ste 2200, Dayton, OH, 45409, USA. ggvia.md@gmail.com.ORCID http://orcid.org/0000-0003-0414-5795
David A BrueggemanDepartment of Orthopedic Surgery, Wright State University, 30 E. Apple St., Ste 2200, Dayton, OH, 45409, USA.
Joseph G LyonsDepartment of Orthopedic Surgery, Wright State University, 30 E. Apple St., Ste 2200, Dayton, OH, 45409, USA.
Isabelle C ElyDepartment of Orthopedic Surgery, Wright State University, 30 E. Apple St., Ste 2200, Dayton, OH, 45409, USA.
Andrew W FroehleDepartment of Orthopedic Surgery, Wright State University, 30 E. Apple St., Ste 2200, Dayton, OH, 45409, USA.
Anil B KrishnamurthyDepartment of Orthopedic Surgery, Wright State University, 30 E. Apple St., Ste 2200, Dayton, OH, 45409, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of new total joint arthroplasty technologies, including patient-specific implants/instrumentation (PSI), computer-assisted (CA), and robotic-assisted (RA) techniques, is increasing. There is an ongoing debate regarding the value provided and potential concerns about conflicts of interest (COI).

methodsPRISMA guidelines were followed. PubMed, MEDLINE, and Web of Science databases were searched for total hip and knee arthroplasties, unicompartmental knee arthroplasties (UKA), PSI, CA, and RA. Bibliometric data, financial COI, clinical/functional scores, and patient-reported outcomes were assessed.

resultsEighty-seven studies were evaluated, with 35 (40.2%) including at least one author reporting COI, and 13 (14.9%) disclosing industry funding. COI and industry funding had no significant effects on outcomes (P = 0.682, P = 0.447), and there were no significant effects of conflicts or funding on level of evidence (P = 0.508, P = 0.826). Studies in which author(s) disclosed COI had significantly higher relative citation ratio (RCR) and impact factor (IF) than those without (P < 0.001, P = 0.032). Subanalysis demonstrated RA and PSI studies were more likely to report COI or industry funding (P = 0.045). RA (OR = 6.31, 95% CI: 1.61-24.68) and UKA (OR = 9.14, 95% CI: 1.43-58.53) had higher odds of reporting favorable outcomes than PSI.

conclusionsAuthor COIs (about 40%) may be lower than previously reported in orthopedic technologies/techniques reviews. Studies utilizing RA and PSI were more likely to report COI, while RA and UKA studies were more likely to report favorable outcomes than PSI. No statistically significant association between the presence of COIs and/or industry funding and the frequency of favorable outcomes or study level of evidence was found. LEVEL OF EVIDENCE: Level V Systematic Review.

Indexed as

Computer-navigatedConflict of interestFundingPatient-specific implantRobotic-assistedTotal joint arthroplasty

Identifiers

PMID36316729
PMCPMC9623935

What OpenQuestion holds

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Registered trials

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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.