Evidence map›Paper›PMID 39872120›Full record

ArticleArthroplasty today2025

Simultaneous vs Staged Procedures for Bilateral Total Knee Arthroplasty: Reduced Infection, Cost, and Readmission Rates Associated With Simultaneous Procedures.

Aaron Singh, Travis M Kotzur, Kathleen Lundquist, Blaire C Peterson, William H Young, Chance C Moore, Frank Buttacavoli

Abstract read
In one paragraph

Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. 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

7 authors.

Aaron SinghDepartment of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.
Travis M KotzurDepartment of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.
Kathleen LundquistDepartment of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.
Blaire C PetersonDepartment of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.
William H YoungDepartment of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.
Chance C MooreDepartment of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.
Frank ButtacavoliDepartment of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Many patients require total knee arthroplasty (TKA) bilaterally; however, there is limited data on bilateral procedures. This study aims to compare medical and surgical complications and hospital-related outcomes between simultaneous and staged bilateral TKA. We hypothesize that staged procedures will have superior outcomes. Methods: This retrospective cohort study queried the National Readmissions Database, years 2016-2020, for patients undergoing bilateral TKA via Results: A total of 210,682 patients, 89,568 (42.51%) undergoing simultaneous bilateral and 121,115 (57.49%) undergoing staged bilateral TKA, were included. The staged cohort had higher odds of medical complications (odds ratio (OR), 1.14; Conclusions: Our results demonstrate that, for some patients, simultaneous procedures may be a viable option. While staged operations were associated with reduced surgical complications and resulted in better discharge dispositions, they were also associated with greater medical complications, readmissions, reoperations, and total cost. Surgeons should consider individual patient risks and preferences when planning bilateral TKA.

Indexed as

ArthroplastyBilateral knee replacementComplicationsCostKnee surgeryTotal knee arthroplasty

Identifiers

PMID39872120
PMCPMC11770484

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.