Evidence map›Paper›PMID 40521299›Full record

ArticleJournal of experimental orthopaedics2025

Tibio-tarsal arthrodesis in Italy: Results from an epidemiological 16-year nationwide study.

Umile Giuseppe Longo, Rocco Papalia, Alessandro Mazzola, Alessandra Corradini, Alessandro De Sire, Pieter D'Hooghe, Ilaria Piergentili, Kristian Samuelsson, Stefano Zaffagnini, Vincenzo Denaro

Abstract read
In one paragraph

Article in Journal of experimental orthopaedics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Umile Giuseppe LongoResearch Unit of Orthopaedic and Trauma Surgery Fondazione Policlinico Universitario Campus Bio-Medico Roma Italy.
Rocco PapaliaResearch Unit of Orthopaedic and Trauma Surgery Fondazione Policlinico Universitario Campus Bio-Medico Roma Italy.
Alessandro MazzolaResearch Unit of Orthopaedic and Trauma Surgery Fondazione Policlinico Universitario Campus Bio-Medico Roma Italy.
Alessandra CorradiniResearch Unit of Orthopaedic and Trauma Surgery Fondazione Policlinico Universitario Campus Bio-Medico Roma Italy.
Alessandro De SireDepartment of Medical and Surgical Sciences University of Catanzaro "Magna Grecia" Catanzaro Italy.
Pieter D'HoogheDepartment of Orthopaedic Surgery and Sportsmedicine, Aspetar Hospital Orthopaedic Surgeon and Assistant Chief of Surgery for Research Doha Qatar.
Ilaria PiergentiliCNR-IASI, Laboratorio di Biomatematica, Consiglio Nazionale delle Ricerche Istituto di Analisi dei Sistemi ed Informatica Rome Italy.
Kristian SamuelssonDepartment of Orthopaedics, Institute of Clinical Sciences, The Sahlgrenska Academy University of Gothenburg Gothenburg Sweden.ORCID https://orcid.org/0000-0001-5383-3370
Stefano ZaffagniniClinica Ortopedica e Traumatologica II IRCCS Istituto Ortopedico Rizzoli Bologna Italy.
Vincenzo DenaroResearch Unit of Orthopaedic and Trauma Surgery Fondazione Policlinico Universitario Campus Bio-Medico Roma Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The goal of this study was to assess the annual incidence of tibiotarsal arthrodesis in Italy and the epidemiological characteristics of patients requiring surgery. A secondary aim was to assess the economic impact of this type of surgery on the healthcare system. Methods: The analysis was conducted by using the National Hospital Discharge Records (NHDR) database provided by the Italian Ministry of Health. Results: 8380 tibiotarsal arthrodeses were performed in Italy. One procedure per 100,000 adult Italians was the cumulative incidence. The age group of 60-64 years required the highest number of procedures. Males represented the majority of patients undergoing surgery (59.6%). The median length of hospital stay was 7.3 ± 10.8 days. On average, older patients had more days of hospitalization. Main primary diagnosis codes according to the ICD-9-CM were: 715.27 (17.5%); 905.4 (15.8%); 715.17 (11.7%); 716.17 (5.1%); 733.82 (3.9%); 718.47 (3.4%). The admission reimbursement in Italy ranges from 1887€ to 4405€ depending on the length of stay. In 16 years, a total expenditure of 36,803,844€ was projected. The procedure in Italy costed an average of 2,300,240 ± 373,514€ per year. Conclusions: The socioeconomic impact of tibiotarsal arthrodesis in Italy is relevant. Between 2001 and 2016, the frequency of this procedure progressively rose. Patients undergoing surgery in Italy are mainly men, still active and part of the working population. Nationwide epidemiologic studies are useful to understand the present and future development of the management of ankle diseases. Level of Evidence: Level III.

Indexed as

anklearthrodesisarthroplastyepidemiologysurgery

Identifiers

PMID40521299
PMCPMC12167626

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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.