Value of long-term systematic follow-up for complication detection after hip and knee arthroplasty: a 17-year retrospective cohort study.

Antoine Arsenault, Nathan Riel, Alex Tardif, Sonia Bédard, Annie Deshaies

Abstract read

In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Antoine ArsenaultFrom the Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Que. (Tardif, Bédard, Deshaies); the Department of Orthopedic Surgery, CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Deshaies); the Research Center of the CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Bédard); the Faculty of Medicine, Université de Montréal, Montréal, Que. (Arsenault, Riel).

Nathan RielFrom the Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Que. (Tardif, Bédard, Deshaies); the Department of Orthopedic Surgery, CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Deshaies); the Research Center of the CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Bédard); the Faculty of Medicine, Université de Montréal, Montréal, Que. (Arsenault, Riel).

Alex TardifFrom the Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Que. (Tardif, Bédard, Deshaies); the Department of Orthopedic Surgery, CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Deshaies); the Research Center of the CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Bédard); the Faculty of Medicine, Université de Montréal, Montréal, Que. (Arsenault, Riel).

Sonia BédardFrom the Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Que. (Tardif, Bédard, Deshaies); the Department of Orthopedic Surgery, CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Deshaies); the Research Center of the CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Bédard); the Faculty of Medicine, Université de Montréal, Montréal, Que. (Arsenault, Riel) sonia.bedard2@usherbrooke.ca.

Annie DeshaiesFrom the Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Que. (Tardif, Bédard, Deshaies); the Department of Orthopedic Surgery, CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Deshaies); the Research Center of the CIUSSS de l'Estrie-CHUS, Sherbrooke, Que. (Bédard); the Faculty of Medicine, Université de Montréal, Montréal, Que. (Arsenault, Riel).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term systematic follow-up after arthroplasty is widely practised; however, little to no evidence shows benefit from long-term surveillance in asymptomatic patients. The objective of this study was to assess the utility of long-term systematic follow-up in detecting arthroplasty complications requiring surgical intervention.

methodsWe conducted a single-centre retrospective cohort study of patients who underwent revision surgery between 2003 and 2020 for complications occurring more than 12 months after primary total hip, total knee, or unicompartmental knee arthroplasty. We identified patients using institutional records. We classified complications based on whether they were first detected during systematic (scheduled) or nonsystematic (unscheduled or symptom-driven) follow-up. The primary outcome was the number of complications detected in each group. Secondary outcomes included time to complication detection and the number of symptomatic versus asymptomatic complications. We compared groups using Student

resultsAmong 633 revision surgeries, 74 met inclusion criteria. Of these, 52 (70.3%) complications were detected during nonsystematic follow-up. Since 2003, only 2 (2.7%) complications presented as asymptomatic. Median time to detection was slightly shorter with systematic follow-up (39.0 v. 53.5 mo,

conclusionLong-term systematic follow-up has limited effectiveness in detecting complications requiring revision surgery. In light of these findings, and consistent with recent studies reporting similar results, there is a pressing need to develop alternative follow-up strategies that will both improve quality of care and reduce the burden of current follow-up strategies.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneePostoperative ComplicationsAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedReoperationRetrospective StudiesTime Factors

Identifiers

PMID42810740

DOI10.1503/cjs.021725

PMCPMC13632768

What OpenQuestion holds

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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.