Evidence map›Paper›PMID 41834045›Full record

Trial reportJournal of orthopaedic surgery and research2026

Efficacy and safety of perioperative intravenous dexamethasone in type 2 diabetes mellitus patients undergoing total hip arthroplasty: a prospective randomized controlled trial.

Wen-Hui Liu, Fu-Lin Li, Wen-Wen Huang, Xiao Huang, Zheng-Liang Li, Dong Yin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of orthopaedic surgery and research, 2026. 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

6 authors.

Wen-Hui LiuJinan University, Guangzhou, 510630, People's Republic of China.
Fu-Lin LiJinan University, Guangzhou, 510630, People's Republic of China.
Wen-Wen HuangJinan University, Guangzhou, 510630, People's Republic of China.
Xiao HuangDepartment of Joint Surgery and Sports Medicine, Guangxi Academy of Medical Sciences, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530021, People's Republic of China.
Zheng-Liang LiDepartment of Joint Surgery and Sports Medicine, Guangxi Academy of Medical Sciences, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530021, People's Republic of China. 974035822@qq.com.
Dong YinDepartment of Joint Surgery and Sports Medicine, Guangxi Academy of Medical Sciences, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530021, People's Republic of China. gjydyxwk@126.com.

Funding

Beijing Medical and Health Public Welfare Foundation Project YWJKJJHKYJJ-B20128DSGuangxi Health Commission Plan Project Z20200911Guangxi Health Commission Plan Project Z-A20220109Guangxi Science and Technology Major Project Grant Nos. AA23023004
6 · The paper itself

Abstract

purposeThis study aimed to evaluate the efficacy and safety of perioperative intravenous dexamethasone (Dexa) in patients with type 2 diabetes mellitus (T2DM) undergoing total hip arthroplasty (THA).

methodsIn this prospective, single-blind randomized trial (Registration No.: MR-45-23-047982; Registration Date: December 7, 2023), 60 T2DM patients undergoing THA were assigned to either the Dexa or control group. Outcomes included white blood cell count (WBC), C-reactive protein (CRP), visual analogue scale (VAS) scores, blood glucose, nausea and vomiting, medication requirements, complications, and hospital stay.

resultsCompared with controls, the Dexa group had lower WBC on postoperative days 2 ~ 3 (day 2: 9.20 ± 1.28 vs.10.56 ± 2.34 × 10

conclusionPerioperative Dexa administration improves early recovery outcomes in patients with T2DM undergoing THA without compromising short-term safety, although it may cause transient hyperglycemia. However, the relatively small sample size, limited follow-up period, and lack of systematic evaluation of potential complications highlight the need for larger, longer-term studies to further strengthen these observations.

Indexed as

Arthroplasty, Replacement, HipDexamethasoneDiabetes Mellitus, Type 2Perioperative CareAdministration, IntravenousAgedBlood GlucoseC-Reactive ProteinFemaleHumansMaleMiddle AgedPostoperative PainProspective StudiesSingle-Blind MethodTreatment OutcomeBlood GlucoseC-Reactive ProteinDexamethasoneDexamethasonePerioperative managementTotal hip arthroplastyType 2 diabetes mellitus

Identifiers

PMID41834045
PMCPMC13063700

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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.