Evidence map›Paper›PMID 36882774›Full record

ArticleBMC surgery2023

Does design change in total knee arthroplasty implants affect patient-reported outcomes?

Nader Toossi, Brandon Bucklen, Lindsey K Meding, John B Meding

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 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
1.6field-weighted citation impact, top 18% 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, 5 citations in OpenAlex.

  1. Trial
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

4 authors at 2 institutions in 1 country.

Nader ToossiMusculoskeletal Education and Research Center (MERC) Audubon, 2560 General Armistead Ave, Audubon, PA, 19403, USA. ntoossi@globusmedical.com.
Brandon BucklenMusculoskeletal Education and Research Center (MERC) Audubon, 2560 General Armistead Ave, Audubon, PA, 19403, USA.
Lindsey K MedingThe Center for Hip and Knee Surgery, St. Francis Hospital Mooresville Mooresville, 46158, Mooresville, IN, USA.
John B MedingThe Center for Hip and Knee Surgery, St. Francis Hospital Mooresville Mooresville, 46158, Mooresville, IN, USA.
National Audubon Society · USSt. Francis Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study is to compare the early results of patient-reported outcomes between two generations of a total knee system.

methodsBetween June 2018 and April 2020, 121 first-generation, cemented TKAs (89 patients) and 123 s-generation, cemented TKAs (98 patients) were performed by a single surgeon. Demographic and surgical data were collected from all patients. Starting at the 6-month follow-up, patient-reported outcome measures Knee Injury and Osteoarthritis Outcome Score, Joint Reconstruction (KOOS-JR) and Knee Society (KS) clinical and radiographic scores were prospectively recorded. This study represents a retrospective review of these prospectively collected data.

resultsThere were no statistically significant differences between the two groups in terms of demographic variables such as age, body mass index, gender and race. KOOS-JR and Knee Society (KS) scores improved significantly (p < 0.001) from their preoperative values in both device generations. There were no differences, pre-operatively, between the two groups in terms of KOOS-JR, KS functional, KS objective, patient satisfaction, and expectation scores; however, there were statistically significant (p < 0.001) lower values of KOOS-JR and KS functional scores for first versus second generation at 6 months (81 vs. 89 and 69 vs. 74, respectively).

conclusionWhile significant improvement in KS objective, subjective, and patient satisfaction scores were noted with both knee systems, KOOS-JR and KS function scores were significantly higher at the early (6-month) follow-up in the second-generation group. Patients responded acutely to the design change as evidenced by significantly improved patient-reported outcome scores for the second generation.

Indexed as

Arthroplasty, Replacement, KneeKnee InjuriesOsteoarthritis, KneeBody Mass IndexHumansKnee JointPatient Reported Outcome MeasuresKnee society scoreKOOS-JRPatient-reported outcomeTotal knee arthroplasty

Identifiers

PMID36882774
PMCPMC9993584
OpenAlexW4323533323

What OpenQuestion holds

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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.