Evidence map›Paper›PMID 40817254›Full record

ReviewArthroplasty (London, England)2025

We need a new acronym supplementing DAIR: Introducing DECRA.

Edward J McPherson, Rhidian Morgan Jones, Rami M Sorial, Madhav Chowdhry

Abstract readReview
In one paragraph

Review in Arthroplasty (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Edward J McPhersonDepartment of Orthopaedic Surgery, David Geffen School of Medicine, UCLA, Los Angeles, CA, 90404, USA. edmcpherson@gmail.com.
Rhidian Morgan JonesEssex and Suffolk Elective Orthopaedic Centre, Colchester Hospital, Turner Road, Colchester, CO4 5JL, UK.
Rami M SorialDepartment of Orthopaedics, Nepean Hospital, 60 A Derby Street, Penrith, NSW, 2750, Australia.
Madhav ChowdhryDepartment of Orthopaedic Surgery, Jawaharlal Nehru Medical College, AMU, Aligarh, 202001, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment for an acute Periprosthetic Joint Infection (PJI) is historically described using the acronym DAIR (Debridement, Antibiotics, Implant Retention). However, this acronym, by intention, does not imply that the modular parts of an implant system are always exchanged. There are many circumstances where modular exchange is not possible. It is well known that DAIR procedures with modular exchange show improved results. To reduce heterogeneity in the published literature, we introduce the supplementary acronym DECRA (Debridement, Modular Exchange, Component Retention, Antibiotics) for the treatment of acute PJI. The DECRA acronym will identify studies where modular exchange is always performed and will be separate from DAIR, where modular exchange is not performed or is unclarified. This will reduce heterogeneity and provide fidelity in research analysis. Moving forward, we advocate that the orthopaedic community, reviewers, and journal editors mindfully reflect this distinction in publications.

Identifiers

PMID40817254
PMCPMC12355740

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.