Evidence map›Paper›PMID 36618882›Full record

ArticleArthroplasty today2023

The Effect of Intra-articular Hyaluronic Acid Injections and Payer Coverage on Total Knee Arthroplasty Procedures: Evidence From Large US Claims Database.

Ilda B Molloy, Andrew J Holte, Yong Zhao, Dylan J Parker, Paul M Werth, David S Jevsevar

Open access · goldAbstract read
In one paragraph

Article in Arthroplasty today, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 at 3 institutions in 1 country.

Ilda B MolloyDepartment of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Andrew J HolteDepartment of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Yong ZhaoDepartment of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Dylan J ParkerDepartment of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Paul M WerthDepartment of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
David S JevsevarOrthoVirginia, North Chesterfield, VA, USA.
Dartmouth–Hitchcock Medical Center · USDartmouth College · USOrthoVirginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is debate regarding the efficacy of intra-articular (IA) hyaluronic acid (HA) injections for the management of knee osteoarthritis (OA). This study aimed to determine if IA HA utilization and payer coverage of viscosupplementation affected the prevalence of total knee arthroplasty (TKA) procedures and the age of TKA patients. Methods: We performed a retrospective analysis from 2014 to 2020 using a large national commercial claims data set. We analyzed the number of TKA procedures and the age of the patients in states that covered IA HA vs those with limited coverage. Mixed random effects and slopes models were used to identify the impact of the IA HA injections. Results: Of 7,335,301 patients with knee OA, 440,606 (6.0%) received a TKA procedure at an average age of 59 years. The rate of TKA procedures increased by 0.56% per year (95% confidence interval [CI] 0.46-0.66; Conclusions: Additional clinical trials should be employed to identify the role of HA injections in the treatment armamentarium for knee OA.

Indexed as

Intra-articular hyaluronic acid injectionsKnee osteoarthritisTotal knee arthroplasty

Identifiers

PMID36618882
PMCPMC9816901
OpenAlexW4313357567

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.