Evidence map›Paper›PMID 39910611›Full record

SynthesisJournal of orthopaedic surgery and research2025

The prevalence and risk factors for peripheral nerve injury following arthroplasty: a systematic review and meta-analysis.

Jianchun Qiu, Xiaohong Liao, Ruiming Deng

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Jianchun QiuDepartment of Anesthesiology, Ganzhou People's Hospital, Ganzhou, Jiangxi, China. qiujc326@163.com.
Xiaohong LiaoDepartment of Anesthesiology, Ganzhou People's Hospital, Ganzhou, Jiangxi, China. MZK8089062@163.com.
Ruiming DengDepartment of Anesthesiology, Ganzhou People's Hospital, Ganzhou, Jiangxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the prevalence and identify the risk factors for peripheral nerve injury (PNI) following arthroplasty through a systematic review and meta-analysis.

methodsPubMed, Embase, and the Cochrane Library were searched for observational studies investigating the prevalence and risk factors for PNI following arthroplasty. Prevalence data for PNI following arthroplasty were extracted and pooled using a random-effects model, with results presented as pooled prevalence with 95% CI. ORs and 95% CIs for identified risk factors were calculated. Subgroup analyses were conducted based on age, study type, sample size, arthroplasty site, region, and others. Publication bias was assessed using funnel plots and Egger's test, and sensitivity analyses were performed.

resultsAfter screening, a total of 21 studies were included in the meta-analysis. The pooled prevalence of PNI was 0.7% (95% CI: 0.006-0.009) with significant heterogeneity (I² = 99%). The prevalence of PNI following arthroplasty was found to be more likely as a result of several identified factors, including spinal conditions (ORs = 2.269, 95% CI 1.625-3.170), postoperative anemia (ORs = 1.370, 95% CI 1.149-1.633), mechanical complications (ORs = 1.791, 95% CI 1.118-2.868) and hypothyroidism (ORs = 1.189, 95% CI 1.054-1.341).

conclusionsThe pooled prevalence of PNI was approximately 0.7%. Furthermore, we identified potential risk factors for PNI following arthroplasty, including spinal conditions, postoperative anemia, mechanical complications, and hypothyroidism. Our findings emphasize the importance of recognizing these risk factors in the perioperative management of arthroplasty patients.

Indexed as

ArthroplastyPeripheral Nerve InjuriesPostoperative ComplicationsHumansPrevalenceRisk FactorsArthroplastyMeta-analysisPeripheral nerve injuryPrevalenceRisk factors

Identifiers

PMID39910611
PMCPMC11796044

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