Evidence map›Paper›PMID 39100544›Full record

ArticleJournal of orthopaedics2024

Socioeconomic area deprivation index is not associated with postoperative complications following revision total hip and knee joint arthroplasty.

Michelle Riyo Shimizu, Anirudh Buddhiraju, Tony Lin-Wei Chen, Ziwei Huang, Shane Fei Chen, Pengwei Xiao, MohammadAmin RezazadehSaatlou, Young-Min Kwon

Registry-linked trialAbstract read
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In one paragraph

Article in Journal of orthopaedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06968143 (Evaluating the Impact of Remote Therapeutic Monitoring on Knee Arthroplasty Recovery), which is not on this map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

NCT06968143 narecruitingnot on this mapstarted 2025, after this paper: background citation

Evaluating the Impact of Remote Therapeutic Monitoring on Knee Arthroplasty Recovery

TypeinterventionalSponsorUniversity of ChicagoRan2025 to 2027Enrolled150ConditionsTotal Knee Arthroplasty, Knee Replacement, Knee Replacement Arthroplasty, Knee OsteoarthritisArmsSmart Knee Implant
3 · Its place in the literature

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Michelle Riyo ShimizuBioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Anirudh BuddhirajuBioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Tony Lin-Wei ChenBioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Ziwei HuangBioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Shane Fei ChenBioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Pengwei XiaoBioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
MohammadAmin RezazadehSaatlouBioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Young-Min KwonBioengineering Laboratory, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Revision hip and knee total joint arthroplasty (TJA) carries a high burden of postoperative complications, including surgical site infections (SSI), venous thromboembolism (VTE), reoperation, and readmission, which negatively affect postoperative outcomes and patient satisfaction. Socioeconomic area-level composite indices such as the area deprivation index (ADI) are increasingly important measures of social determinants of health (SDoH). This study aims to determine the potential association between ADI and SSI, VTE, reoperation, and readmission occurrence 90 days following revision TJA. Methods: 1047 consecutive revision TJA patients were retrospectively reviewed. Complications, including SSI, VTE, reoperation, and readmission, were combined into one dependent variable. ADI rankings were extracted using residential zip codes and categorized into quartiles. Univariate and multivariate logistic regressions were performed to analyze the association of ADI as an independent factor for complication following revision TJA. Results: Depression (p = 0.034) and high ASA score (p < 0.001) were associated with higher odds of a combined complication postoperatively on univariate logistic regression. ADI was not associated with the occurrence of any of the complications recorded following surgery (p = 0.092). ASA remained an independent risk factor for developing postoperative complications on multivariate analysis. Conclusion: An ASA score of 3 or higher was significantly associated with higher odds of developing postoperative complications. Our findings suggest that ADI alone may not be a sufficient tool for predicting postoperative outcomes following revision TJA, and other area-level indices should be further investigated as potential markers of social determinants of health.

Indexed as

Area deprivationArthroplastyHipKneePostoperative complicationsReplacementSocial determinants of healthSocioeconomic factors

Identifiers

PMID39100544
PMCPMC11295536

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