Evidence map›Paper›PMID 36453119›Full record

ArticleOrthopaedic surgery2023

A Retrospective Study of the Perioperative Period Management of Joint Arthroplasty in Patients with Chronic Kidney Disease.

Hongfu Jin, Miao He, Guang Yang, Wenqing Xie, Dengjie Yu, Hengzhen Li, Wenfeng Xiao, Yusheng Li

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 42% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
  3. 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 1 institution in 1 country.

Hongfu JinDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID https://orcid.org/0000-0002-7207-9147
Miao HeDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Guang YangDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Wenqing XieDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID https://orcid.org/0000-0001-9810-7372
Dengjie YuDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID https://orcid.org/0000-0002-0185-7271
Hengzhen LiDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Wenfeng XiaoDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yusheng LiDepartment of Orthopedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Central South University · CN

Funding

Exploration and Innovation Project for Undergraduate Students of Central South University XCX2021046Hunan Young Talents of Science and Technology 2021RC3025Innovation-Driven Project of Central South University 2020CX045National Clinical Research Center for Geriatric Disorders 2021KFJJ02National Clinical Research Center for Orthopedics, Sports Medicine and Rehabilitation 2021-NCRC-CXJJ-PY-40National Natural Science Foundation of China 81874030National Natural Science Foundation of China 82072506National Natural Science Foundation of China 82272611Provincial Clinical Medical Technology Innovation Project of Hunan 2020SK53709Wu Jieping Medical Foundation 320.6750.2020-03-14
6 · The paper itself

Abstract

objectiveWith the rising prevalence of chronic kidney disease (CKD) and the increasing demand for joint arthroplasty, the management of CKD patients in the perioperative period of joint arthroplasty has become an issue worthy of attention for orthopedic surgeons. This study aimed to explore comprehensive perioperative period management strategies for CKD patients.

methodsFrom March 2017 to August 2022, 62 patients who underwent joint arthroplasty in our hospital were included in a retrospective study, including 31 CKD patients (mean age 69.8 ± 13.4 years old) and 31 non-CKD patients (mean age 69.4 ± 14.2 years old). The outcome indicators were analyzed, including serum urea, serum creatinine, blood uric acid, hematocrit, and hemoglobin.

resultsAll patients included in the retrospective study had an average preoperative preparation time of 4.3 ± 2.6 days and an average hospitalization time of 11.0 ± 7.3 days. There were no significant differences in the changes in the serum urea values between the preoperative and postoperative measurements in the CKD patients or in the serum creatinine values and blood uric acid values (P > 0.05). The hemoglobin value in postoperative measurements was lower than in preoperative measurements in the CKD patients (P < 0.05). The hematocrit value in postoperative measurements was lower than in preoperative measurements in the CKD patients (P < 0.001).

conclusionPatients with CKD have distinct characteristics compared to non-CKD patients, and they generally have a higher risk for postoperative complications and adverse events. Recognition of risk factors, suitable timing of surgery, the undertaking of protective strategies, and proper management of complications are vital for managing CKD patients in the perioperative period of joint arthroplasty.

Indexed as

Arthroplasty, Replacement, HipRenal Insufficiency, ChronicAgedAged, 80 and overCreatinineHemoglobinsHumansMiddle AgedPerioperative PeriodRetrospective StudiesRisk FactorsUreaUric AcidCreatinineHemoglobinsUreaUric AcidChronic kidney diseaseJoint arthroplastyPerioperative periodRenal function

Identifiers

PMID36453119
PMCPMC9891927
OpenAlexW4310535988

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.