Evidence map›Paper›PMID 37847287›Full record

ArticleArchives of orthopaedic and trauma surgery2024

The relationship between spino-pelvic-hip mobility and quality of life before and after total hip arthroplasty.

Claudio Vergari, Youngwoo Kim, Mitsuru Takemoto, Hiroyuki Tokuyasu, Yu Shimizu, Chiaki Tanaka, Shunya Fukae, Shunsuke Fujibayashi, Shuichi Matsuda

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In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Hip-spine relationship: clinical evidence and biomechanical issues.Archives of orthopaedic and trauma surgery · 2024
    Review
  6. 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

9 authors.

Claudio VergariInstitut de Biomécanique Humaine Georges Charpak, Arts et Métiers Institute of Technology, Université Sorbonne Paris Nord, 151 Bd de L'Hôpital, 75013, Paris, France. c.vergari@gmail.com.ORCID http://orcid.org/0000-0002-7049-2405
Youngwoo KimDepartment of Orthopaedic Surgery, Kyoto City Hospital, Kyoto, Japan.
Mitsuru TakemotoDepartment of Orthopaedic Surgery, Kyoto City Hospital, Kyoto, Japan.
Hiroyuki TokuyasuDepartment of Rehabilitation, Kyoto City Hospital, Kyoto, Japan.
Yu ShimizuDepartment of Orthopaedic Surgery, Kyoto City Hospital, Kyoto, Japan.
Chiaki TanakaDepartment of Orthopaedic Surgery, Gakkentoshi Hospital, Kyoto, Japan.
Shunya FukaeDepartment of Orthopaedic Surgery, Kyoto City Hospital, Kyoto, Japan.
Shunsuke FujibayashiDepartment of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-Ku, Kyoto, 606-8507, Japan.
Shuichi MatsudaDepartment of Orthopaedic Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-Ku, Kyoto, 606-8507, Japan.

Funding

Japan Society for the Promotion of Science London S21026
6 · The paper itself

Abstract

introductionTotal hip arthroplasty (THA) can significantly improve quality of life (QOL) in patients with hip osteoarthritis. A relationship exists between activity levels and postoperative QOL, but its determinants are not well known. The aim of this work was to investigate the relationship between hip, pelvis and lumbar spine mobility and alignment before and after THA with QOL. MATERIAL AND

methodsConsecutive patients with hip arthrosis and an indication for THA were included prospectively between July 2019 and December 2020, and they underwent lateral radiographs in free-standing, extension, relaxed- and flexed-seated position. Spinopelvic and hip parameters were measured, as well as their changes between positions to assess hip, pelvis and lumbar spine mobility. Patients were also administered QOL questionnaires. Data were collected preoperatively and 6 and 12 months postoperatively.

resultsSeventy patients were included; QOL significantly increased 6 months after THA (from 18 [10; 27] to 61 [48; 72], p < 0.001). QOL further increased by 10 points or more after 6 months in 18% of patients, while it decreased in 16%. The latter showed higher pelvic range of motion (between flexion and extension) than the former.

conclusionsThis study confirmed that QOL is significantly improved by THA, and that spinopelvic alignment and function can play a role. Future work should elucidate how to better predict postoperative QOL from preoperative patient characteristics to improve patient treatment and establish early postoperative physical therapy for patients who could benefit from postoperative improvement of activity-related QOL.

Indexed as

Arthroplasty, Replacement, HipOsteoarthritis, HipHip JointHumansLumbar VertebraePelvisQuality of LifeAlignmentJHEQMobilityQOLSurgeryTHA

Identifiers

PMID37847287

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.