Evidence map›Paper›PMID 39267063›Full record

ArticleJournal of orthopaedic surgery and research2024

Genetically predicted effects of 10 sleep phenotypes on revision of knee arthroplasty: a mendelian randomization study.

Zhiguo Bi, Yimeng Cai, Jintian Chen, Xiaotong Shi, Shiyu Liao, Long Jin, Jianguo Liu

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Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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7 authors.

Zhiguo BiDepartment of Orthopaedic Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Yimeng CaiCollege of Basic Medical Sciences, Jilin University, Changchun, Jilin, 130021, China.
Jintian ChenDepartment of Orthopaedic Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, Jilin, 130021, China. chenjintian@foxmail.com.
Xiaotong ShiDepartment of Orthopaedic Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Shiyu LiaoDepartment of Orthopaedic Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Long JinDepartment of Orthopaedic Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, Jilin, 130021, China. jinlong.jlu.edu@outlook.com.
Jianguo LiuDepartment of Orthopaedic Surgery, Orthopaedic Center, The First Hospital of Jilin University, Changchun, Jilin, 130021, China. orthopedicsurgeon@foxmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccumulating evidence has suggested that sleep disturbances and disorders are common in patients who undergo knee arthroplasty. Revision surgery represents one of the most catastrophic outcomes of knee arthroplasty. However, it remains unclear whether sleep traits are the causes or consequences of knee arthroplasty revision. This study aimed to genetically examine the relationships between sleep traits and knee arthroplasty revision.

methodsTo determine the causal relationship between sleep traits and knee arthroplasty revision, we employed two-sample Mendelian randomization (MR) using summary statistics from the largest publicly available genome-wide association studies (GWASs). The MR design uses genetic variants as instrumental variables to help separate causal relationships from non-causal associations. The main analyses included an inverse variance weighted (IVW) meta-analysis to obtain primary effect estimates. Sensitivity analyses involving the weighted median approach and MR-Egger regression were also conducted to check for potential pleiotropic biases. Numerous complementary sensitivity analyses were also performed to identify statistically significant causal correlations when there were horizontal pleiotropy and heterogeneity across variants. Finally, a reverse MR analysis was performed to evaluate the possibility of reverse causation.

resultsIn the absence of heterogeneity and horizontal pleiotropy, the IVW method revealed that genetically-predicted short sleep duration short sleep duration (average sleep duration of 24 h is 6 h or less) was positively correlated with the risk of knee arthroplasty revision (odds ratio = 1.03, 95% confidence interval = 1.01-1.05, and P = 0.003), while the association between genetically-predicted long sleep duration and knee arthroplasty was negative. The reverse MR analysis did not yield evidence supporting reverse causality relation between knee arthroplasty revision and sleep phenotypes.

conclusionThis research indicated that, of the 10 sleep phenotypes we analyzed, only sleep duration was causally associated with knee arthroplasty revision. These discoveries added to the understanding of the role of sleep traits in the etiology of knee arthroplasty revision, which might further expand our insights into the prevention of knee arthroplasty revision.

Indexed as

Arthroplasty, Replacement, KneeGenome-Wide Association StudyMendelian Randomization AnalysisPhenotypeReoperationSleepFemaleHumansMaleSleep Wake DisordersCausalityGenome-wide association studyKnee arthroplasty revisionMendelian randomizationSleep

Identifiers

PMID39267063
PMCPMC11391806

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