Evidence map›Paper›PMID 38936902›Full record

ArticleIn vivo (Athens, Greece)

New-onset Fibromyalgia After Total Knee Replacement in Patients With Osteoarthritis: A Propensity-score-matched Cohort Study in the United States.

Shuo-Yan Gau, Shao-Wei Lo, Shiu-Jau Chen, Wen-Chieh Liao, Ru-Yin Tsai, Yu-Jung Su, Hui-Chin Chang, Chen-Pi Li

Abstract readMulticenter Study
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

8 authors.

Shuo-Yan Gau *School of Medicine, Chung Shan Medical University, Taichung, Taiwan, R.O.C.
Shao-Wei LoEducation Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan, R.O.C.
Shiu-Jau ChenDepartment of Neurosurgery, Mackay Memorial Hospital, Taipei, Taiwan, R.O.C.
Wen-Chieh LiaoDepartment of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taichung, Taiwan, R.O.C.
Ru-Yin TsaiDepartment of Anatomy, School of Medicine, Chung Shan Medical University, Taichung, Taiwan, R.O.C.
Yu-Jung SuOrthopedics Department, Chi-Mei Medical Center, Tainan, Taiwan, R.O.C.
Hui-Chin Chang *School of Medicine, Chung Shan Medical University, Taichung, Taiwan, R.O.C.
Chen-Pi LiDepartment of Nursing & Tungs' Taichung MetroHarbor Hospital, Taichung, Taiwan, R.O.C. t8369@ms3.sltung.com.tw g971107@yahoo.com.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe risk of new-onset fibromyalgia after total knee replacement (TKR) in osteoarthritis patients is not well-established. This study aimed to assess the risk of developing fibromyalgia post-TKR, considering potential variations across age and sex. PATIENTS AND

methodsUtilizing a multicenter retrospective cohort design and data from the TriNetX research network, electronic health records of osteoarthritis patients who underwent TKR and the same number of matched controls were analyzed. Propensity-score matching was performed by matching critical confounders. Hazard ratios were evaluated to assess fibromyalgia risk in the TKR cohort compared to non-TKR controls.

resultsThe hazard ratio of future fibromyalgia for the TKR cohort was 2.08 (95% confidence interval=1.74-2.49) for 1 year after the index date, 1.81 (95% confidence interval=1.62-2.02) for 3 years, and 1.69 (95% confidence interval=1.54-1.86) for 5 years compared with non-TKR controls. The significant association remained in sensitivity models and stratification analyses in different age and sex subgroups.

conclusionClinicians should be vigilant about the potential for fibromyalgia development post-TKR and consider tailored interventions; our findings emphasize the need for further research to elucidate underlying mechanisms and identify modifiable risk factors.

Indexed as

Arthroplasty, Replacement, KneeFibromyalgiaOsteoarthritis, KneePropensity ScoreAgedFemaleHumansMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk FactorsUnited Statescohortelectronic medical recordsepidemiologyfibromyalgiaosteoarthritisTotal knee replacement

Identifiers

PMID38936902
PMCPMC11215629

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.