Evidence map›Paper›PMID 37660075›Full record

ArticleArthroplasty (London, England)2023

Standard versus short stem cemented Exeter

Nick D Clement, Liam Z Yapp, Leo D Baxendale-Smith, Deborah MacDonald, Colin R Howie, Paul Gaston

Abstract read
In one paragraph

Article in Arthroplasty (London, England), 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
–field-weighted citation impact
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.

  1. Article
  2. Observational
  3. Review
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.

Nick D ClementEdinburgh Orthopaedics, Royal Infirmary of Edinburgh, Little France, Edinburgh, ED16 4SA, UK.
Liam Z YappEdinburgh Orthopaedics, Royal Infirmary of Edinburgh, Little France, Edinburgh, ED16 4SA, UK.
Leo D Baxendale-SmithEdinburgh Orthopaedics, Royal Infirmary of Edinburgh, Little France, Edinburgh, ED16 4SA, UK. leo-baxendale-smith@hotmail.co.uk.ORCID http://orcid.org/0000-0002-0421-5354
Deborah MacDonaldDepartment of Orthopaedics, University of Edinburgh, Little France, Edinburgh, EH16 4SB, UK.
Colin R HowieDepartment of Orthopaedics, University of Edinburgh, Little France, Edinburgh, EH16 4SB, UK.
Paul GastonEdinburgh Orthopaedics, Royal Infirmary of Edinburgh, Little France, Edinburgh, ED16 4SA, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe aims were to compare the survival of the cemented standard (150 mm) with the short (DDH [35.5 mm offset or less], number 1 short stem [125 mm options of 37.5 mm, 44 mm, 50 mm offset] and revision [44/00/125]) Exeter

methodsPatients were retrospectively identified from an arthroplasty database. A total of 664 short stem Exeter

resultsThe median survival time for the short stems varied according to design: DDH had a survival time of 6.7 years, number 1 stems 4.1 years, and revision stems 7.2 years. Subjects in the short stem group (n = 664) were significantly younger (mean difference 5.1, P < 0.001) and were more likely to be female (odds ratio 1.89, 95% CI 1.50 to 2.39, P < 0.001), compared to the standard group. There were no differences in THA (P = 0.26) or stem (P = 0.35) survival at 5 years (adjusted THA: 98.3% vs. 97.2%; stem 98.7% vs. 97.8%) or 10 years (adjusted THA 97.0% vs. 96.0 %; stem 96.7% vs. 96.2%) between standard and short stem groups, respectively. At 5 years no differences were found in THA (DDH: 96.7%, number 1 97.5%, revision 97.3%, standard 98.6%) or stem (DDH: 97.6%, number 1 99.0%, revision 97.3%, standard 98.2%) survival between/among the different short stems or when compared to the standard group.

conclusionThe Exeter

Indexed as

CementedLengthOutcomeShortStemSurvivalTotal hip arthroplasty

Identifiers

PMID37660075
PMCPMC10475196

What OpenQuestion holds

Textmetadata
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.