Evidence map›Paper›PMID 40306699›Full record

ArticleBone & joint open2025

Comparison of PROMIS scores after total hip and total ankle arthroplasty : a propensity score-matched study.

Justin Leal, Christopher T Holland, Mark E Easley, James A Nunley, Sean P Ryan, Michael P Bolognesi, Samuel S Wellman, William A Jiranek

Abstract read
In one paragraph

Article in Bone & joint open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Narrative over numbers: How testimonial medicine erodes safe practice.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Article
  2. 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

8 authors.

Justin LealDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.ORCID 0000-0001-5562-1005
Christopher T HollandCampbell Clinic Orthopaedics, Memphis, Tennessee, USA.ORCID 0000-0003-0242-1549
Mark E EasleyDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.ORCID 0000-0003-2995-3908
James A NunleyDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.ORCID 0000-0002-3825-7536
Sean P RyanDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.ORCID 0000-0003-4079-969X
Michael P BolognesiDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.ORCID 0000-0003-1414-6863
Samuel S WellmanDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.ORCID 0000-0003-3022-2264
William A JiranekDepartment of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA.ORCID 0000-0001-9036-8674

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: This study evaluated joint-specific and generic patient-reported outcome measures (PROMs) after total hip arthroplasty (THA) and total ankle arthroplasty (TAA) in matched cohorts, while evaluating implant survivorship and 90-day hospital use. Methods: Primary THA and TAA patients from 1 January 2015 to 1 January 2023 with minimum one-year follow-up were retrospectively reviewed. After applying exclusion criteria, 2,092 THAs and 478 TAAs were analyzed. Demographics, pre- and postoperative PROMs, revision surgeries, emergency department visits, and readmissions were collected. THA and TAA patients were then propensity score matched at a 2:1 ratio for age, sex, race, BMI, American Society of Anesthesiologists classification, and comorbidities, resulting in a final cohort of 844 THAs and 455 TAAs for comparison. Results: Median preoperative Patient-Reported Outcomes Measurement Information System (PROMIS) pain interference (PI) scores between THA and TAA were calculated (66.0 (IQR 62.0 to 70.0) vs 65.0 (IQR 62.0 to 70.0); p = 0.276), and both showed improvement at six weeks. However, THA patients exhibited lower median PROMIS PI scores at one year (53.0 vs 54.0; p = 0.009), as well as a greater median decrease in PROMIS PI from preoperative to one year (-13.0 (IQR -20.0 to -8.0) vs -12.0 (IQR -18.0 to -7.0); p = 0.023). Median preoperative PROMIS physical function (PF) was worse in THA patients (36.0 (IQR 32.0 to 40.0) vs 37.0 (IQR 33.0 to 40.0); p = 0.031), but showed greater median improvement compared to TAA patients at both six weeks (7.0 (IQR 3.0 to 12.0) vs 3.0 (IQR -2.0 to 9.0); p < 0.001) and one year (11.0 (IQR 6.0 to 17.0) vs 8.0 (IQR 4.5 to 13.0); p < 0.001). Preoperative PROMIS depression scores were similar and improved similarly in both groups. Joint-specific PROMs improved in both cohorts. Conclusion: Patients undergoing THA or TAA experienced improvements in joint-specific PROMs postoperatively which translated to improved generic PROMs across both joints. Generic PROMs can be a useful tool to compare outcomes in THA and TAA. Results suggest that higher functional scores may be achieved sooner in THA.

Identifiers

PMID40306699
PMCPMC12184723

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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.