Evidence map›Paper›PMID 37692869›Full record

ReviewShoulder & elbow2023

Management of periprosthetic joint infection of shoulder arthroplasty: Single-stage versus two-stage protocols. A systematic review and meta-analysis of the literature.

Michele Fiore, Lorenzo Ferra, Claudio Giannini, Andrea Sambri, Matteo Filippini, Sara Tedeschi, Eleonora Zamparini, Pierluigi Viale, Massimiliano De Paolis, Enrico Guerra

Abstract readReview
In one paragraph

Review in Shoulder & elbow, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Preventing Infections in Reverse Shoulder Arthroplasty.Current reviews in musculoskeletal medicine · 2024
    Review
  6. Review
  7. Article
  8. 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

10 authors.

Michele FioreAlma Mater Studiorum - University of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0003-0546-670X
Lorenzo FerraAlma Mater Studiorum - University of Bologna, Bologna, Italy.
Claudio GianniniAlma Mater Studiorum - University of Bologna, Bologna, Italy.
Andrea SambriAlma Mater Studiorum - University of Bologna, Bologna, Italy.
Matteo FilippiniAlma Mater Studiorum - University of Bologna, Bologna, Italy.
Sara TedeschiInfectious Disease Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Eleonora ZampariniInfectious Disease Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Pierluigi VialeInfectious Disease Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Massimiliano De PaolisOrthopedics and Traumatology Department, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Enrico GuerraShoulder & Elbow Surgery Department, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The treatment of shoulder prosthetic joint infections (PJIs) requiring removal of the prosthesis is not well defined. This article aims to systematically review and compare the results of the literature in single-stage and two-stage protocols in the treatment of shoulder PJI. Methods: An in-depth search on PubMed/Scopus/Web of Science databases and cross-referencing search was carried out concerning the articles reporting detailed data on the topic. Results: A total of 486 shoulder PJIs were included: 137 treated with single-stage and 349 with two-stage procedure. A similar distribution between early and not-early infections (19.1% vs 80.9%) was found between the two groups. The overall rate of success in terms of PJI eradication was significantly higher in the single-stage group (95.6% vs 85.7%, Discussion: The single-phase protocol showed a higher success rate in eradicating the infection and a lower complication rate. However, the low number of patients included, the low quality of the articles, the lack of data on clinical severity and bacteriological virulence suggest caution in conclusions.

Indexed as

periprosthetic joint infectionshoulder arthroplastysingle-stage protocoltwo-stage protocol

Identifiers

PMID37692869
PMCPMC10492529

What OpenQuestion holds

Textmetadata
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.