Evidence map›Paper›PMID 37286057›Full record

ArticleThe Journal of arthroplasty2023

Severity of Chronic Venous Insufficiency on Primary Total Knee Arthroplasty Outcomes.

Kaleb J Robin, Mark A Maier, Lauren J Leslie, Vinod Dasa, Peter C Krause, Deryk G Jones, Andrew G Chapple

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The Journal of arthroplasty, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07577141 (The Impact of Chronic Venous Insufficiency on Postoperative Outcomes and Wound Healing After Total Knee Arthroplasty), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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.

NCT07577141 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

The Impact of Chronic Venous Insufficiency on Postoperative Outcomes and Wound Healing After Total Knee Arthroplasty: A Prospective Observational Study

TypeobservationalSponsorSB Istanbul Education and Research HospitalRan2026 to 2027Enrolled100ConditionsTotal Knee Anthroplasty, Venous Insufficiency (Chronic)(Peripheral), Doppler Ultrasound Diagnosis
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 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

7 authors at 1 institution in 1 country.

Kaleb J RobinSchool of Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
Mark A MaierSchool of Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
Lauren J LeslieOchsner Sports Medicine Institute, Jefferson, Louisiana.
Vinod DasaDepartment of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
Peter C KrauseDepartment of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
Deryk G JonesOchsner Sports Medicine Institute, Jefferson, Louisiana.
Andrew G ChappleDepartment of Orthopaedic Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana.
Louisiana State University Health Sciences Center New Orleans · US

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI JUDD E SHELLITO · 2012 to 2026
$69.1M
NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

backgroundMore than 700,000 people in the United States undergo total knee arthroplasty (TKA) each year. Chronic venous insufficiency (CVI) affects 5% to 30% of adults, sometimes resulting in leg ulceration. These CVI cases in TKAs have been associated with worse outcomes; however, we found no study differentiating CVI severity.

methodsThis retrospective study analyzed TKA outcomes at one institution from 2011 to 2021 using patient-specific codes. Analyses included short-term complications (< 90 days postoperative), long-term complications (< 2 years), and CVI status (yes/no; simple/complex/unclassified). Complex CVI consisted of pain, ulceration, inflammation, and/or other complications. Revisions within 2 years and readmissions within 90 days post-TKA were assessed. Composite complications included short-term and long-term complications, revisions, and readmissions. Multivariable logistic regressions predicted complication (any/long/short) as a function of CVI status (yes/no; simple/complex) and potential confounding variables. Of 7,665 patients, 741 (9.7%) had CVI. Among CVI patients, 247 (33.3%) had simple CVI, 233 (31.4%) had complex CVI, and 261 (35.2%) had unclassified CVI.

resultsThere was no difference in CVI versus control in composite complications (P = .722), short-term complications (P = .786), long-term complications (P = .15), revisions (P = .964), or readmissions (P = .438) postadjustment. Composite complication rates were 14.0% without CVI, 16.7% with complex CVI, and 9.3% with simple CVI. Complication rates differed between simple and complex CVI (P = .035).

conclusionOverall, CVI did not affect postoperative complications versus control. Patients who have complex CVI are at higher risk for post-TKA complications compared to those who have simple CVI.

Indexed as

Arthroplasty, Replacement, KneeVenous InsufficiencyAdultHumansPatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk FactorsUnited Statesarthroplasty complicationsarthroplasty outcomesCVIpostoperative complicationsreadmissionseverityTKA

Identifiers

PMID37286057
PMCPMC11036416
OpenAlexW4379380722

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.