Evidence map›Paper›PMID 37990164›Full record

ArticleBMC geriatrics2023

The impact of elective total hip and knee arthroplasty on physical performance in orthogeriatric patients: a prospective intervention study.

Tobias Kappenschneider, Philip Bammert, Günther Maderbacher, Felix Greimel, Dominik Emanuel Holzapfel, Timo Schwarz, Julia Götz, Stefano Pagano, Markus Scharf, Katrin Michalk and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Intensive care needs after hip and knee replacement: understanding risk profiles for severe postoperative complications.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
    Article
  7. 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

12 authors at 1 institution in 1 country.

Tobias KappenschneiderDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany. t.kappenschneider@asklepios.com.
Philip BammertDepartment of Health Economics, Technical University of Munich, Munich, Germany.
Günther MaderbacherDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Felix GreimelDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Dominik Emanuel HolzapfelDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Timo SchwarzDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Julia GötzDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Stefano PaganoDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Markus ScharfDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Katrin MichalkDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Joachim GrifkaDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Matthias MeyerDepartment of Orthopaedic Surgery, Regensburg University Medical Center, Bad Abbach, Germany.
Technical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteoarthritis is a prevalent condition in older adults that leads to reduced physical function in many patients and ultimately requires hip or knee replacement. The aim of the study was to determine the impact of hip and knee arthroplasty on the physical performance of orthogeriatric patients with osteoarthritis.

methodsIn this prospective study, we used data from 135 participants of the ongoing Special Orthopaedic Geriatrics (SOG) trial, funded by the German Federal Joint Committee (GBA). Physical function, measured by the Short Physical Performance Battery (SPPB), was assessed preoperatively, 3 and 7 days postoperatively, 4-6 weeks and 3 months after hip and knee arthroplasty. For the statistical analysis, the Friedman test and post-hoc tests were used.

resultsOf the 135 participants with a mean age of 78.5 ± 4.6 years, 81 underwent total hip arthroplasty and 54 total knee arthroplasty. In the total population, SPPB improved by a median of 2 points 3 months after joint replacement (p < 0.001). In the hip replacement group, SPPB increased by a median of 2 points 3 months after surgery (p < 0.001). At 3 months postoperatively, the SPPB increased by a median of 1 point in the knee replacement group (p = 0.003).

conclusionElective total hip and knee arthroplasty leads to a clinically meaningful improvement in physical performance in orthogeriatric patients with osteoarthritis after only a few weeks.

trial registrationThis study is part of the Special Orthopaedic Geriatrics (SOG) trial, German Clinical Trials Register DRKS00024102. Registered on 19 January 2021.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritisAgedAged, 80 and overHumansPhysical Functional PerformanceProspective StudiesTreatment OutcomeHip arthroplastyKnee arthroplastyOlder peopleOrthogeriatricSPPB

Identifiers

PMID37990164
PMCPMC10664286
OpenAlexW4388867497

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.