Evidence map›Paper›PMID 38391565›Full record

ArticleAntibiotics (Basel, Switzerland)2024

Soluble Urokinase Plasminogen Activator Receptor (SuPAR) Analysis for Diagnosis of Periprosthetic Joint Infection.

Sebastian M Klim, Jürgen Prattes, Florian Amerstorfer, Tobias Niedrist, Christoph Zurl, Martin Stradner, Barbara Dreo, Gunther Glehr, Andreas Leithner, Mathias Glehr and 3 more

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. 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

13 authors at 2 institutions in 2 countries.

Sebastian M KlimDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Jürgen PrattesDepartment of Internal Medicine, Division of Infectious Diseases, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0001-5751-9311
Florian AmerstorferDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Tobias NiedristClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, 8036 Graz, Austria.
Christoph ZurlDepartment of Internal Medicine, Division of Infectious Diseases, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0003-0623-0360
Martin StradnerDepartment of Internal Medicine, Division of Rheumatology and Immunology, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-7884-6626
Barbara DreoDepartment of Internal Medicine, Division of Rheumatology and Immunology, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0003-3937-9030
Gunther GlehrDepartment of Surgery, University Hospital Regensburg, 93053 Regensburg, Germany.ORCID 0000-0002-1495-9162
Andreas LeithnerDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0002-2598-2325
Mathias GlehrDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Patrick ReinbacherDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0003-0786-8956
Patrick SadoghiDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.ORCID 0000-0003-1767-555X
Georg HauerDepartment of Orthopaedics and Trauma, Medical University of Graz, 8036 Graz, Austria.
Medical University of Graz · ATUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Soluble urokinase plasminogen activator receptors (suPARs) are a biomarker for inflammatory diseases. This study aims to investigate its diagnostic properties regarding periprosthetic joint infections (PJI). This retrospective cohort study included adult patients who underwent joint puncture for suspected PJI. The presence of PJI was determined according to the criteria of the European Bone and Joint Infection Society (EBJIS). Laboratory study analyses included the determination of white blood cells (WBC) in whole blood, C-reactive protein (CRP) in blood plasma, and suPAR in both blood plasma and synovial fluid. Appropriate diagnostic cut-off values were identified utilizing Youden's J, and their diagnostic performance was determined by calculating the positive (PPV) and negative predictive value (NPV) for each marker. Sixty-seven cases were included in the final analysis. Forty-three samples (64%) were identified as periprosthetic joint infection (PJI) and twenty-four specimen (36%) were PJI negative cases. The PPV and NPV were 0.80 and 0.70 for synovial suPAR, 0.86 and 0.55 for CRP, 0.84 and 0.31 for WBC and 1.00 and 0.31 for plasma suPAR. Synovial suPAR showed a solid diagnostic performance in this study and has the potential to be an alternative or complementary biomarker for PJI. Further investigations in larger patient collectives are indicated.

Indexed as

diagnostic biomarkerinflammationjoint infectionsuPARsynovia

Identifiers

PMID38391565
PMCPMC10885937
OpenAlexW4391755561

What OpenQuestion holds

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Registered trials

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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.