Evidence map›Paper›PMID 37240906›Full record

ArticleJournal of personalized medicine2023

The Sinus Tract in Bone and Joint Infection: Minimally Invasive Salvation or Prolonged Suffering? A Multicenter Study.

Sebastian Martin Klim, Florian Amerstorfer, Martin A McNally, Rihard Trebse, Urban Slokar, Irene Katharina Sigmund, Andrzej Hecker, Patrick Reinbacher, Lukas Leitner, Gerwin Alexander Bernhardt and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2023. 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
2.2field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  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

13 authors at 3 institutions in 3 countries.

Sebastian Martin KlimDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Florian AmerstorferDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Martin A McNallyThe Bone Infection Unit, Oxford University Hospitals, Oxford OX3 7HE, UK.ORCID 0000-0003-2003-9044
Rihard TrebseOrthopaedic Hospital Valdoltra, 6280 Ankaran, Slovenia.ORCID 0000-0002-1075-3351
Urban SlokarOrthopaedic Hospital Valdoltra, 6280 Ankaran, Slovenia.
Irene Katharina SigmundThe Bone Infection Unit, Oxford University Hospitals, Oxford OX3 7HE, UK.ORCID 0000-0002-5068-2738
Andrzej HeckerDivision of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-4493-9891
Patrick ReinbacherDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0003-0786-8956
Lukas LeitnerDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-5534-7605
Gerwin Alexander BernhardtDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Andreas LeithnerDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-2598-2325
Sophie WankoDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Mathias GlehrDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Medical University of Graz · ATOrthopaedic Hospital Valdoltra · SIOxford University Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study assessed the quality of life (QOL) and the functional outcome in daily living in patients with a chronic, treatment-resistant periprosthetic joint infection (PJI) or osteomyelitis, living with a natural or iatrogenic sinus tract.

methodsA follow-up examination in three national reference centers for septic bone and joint surgery was performed utilizing the Hospital Anxiety and Depression Scale (HADS-D/A), the Visual Analogue Scale (VAS), and the Short Form-36 (SF-36) score, including patients with a chronic sinus tract due to treatment-resistant PJI or osteomyelitis.

resultsIn total, 48 patients were included, with a mean follow-up time of 43.1 ± 23.9 months. The mean SF-36 Mental Component Summary (MCS) was 50.2 (±12.3) and the Physical Component Summary (PCS) was 33.9 (±11.3). The mean HADS-D was 6.6 (±4.4) and HADS-A was 6.2 (±4.6), and the VAS was 3.4 (±2.6). The SF-36 MCS showed no significant differences between the study group and the standard population (47.0,

conclusionsA sinus tract represents a treatment option in selected cases with an acceptable QOL. The treatment should be considered for multimorbid patients with a high perioperative risk or if the bone or soft tissue quality prevents surgery.

Indexed as

osteomyelitisperiprosthetic joint infectionquality of lifesalvage proceduresinus tract

Identifiers

PMID37240906
PMCPMC10220717
OpenAlexW4367292607

What OpenQuestion holds

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LicenceCC BY
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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.