Trial reportThe bone & joint journal2019
'Worse than death' and waiting for a joint arthroplasty.
Trial report in The bone & joint journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06483178 (A Randomised Controlled Trial Comparing Gait in Fixed or Rotating Cementless Total Knee Arthroplasties), which is not on this map. Cited by 91 papers.
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.
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.
A Randomised Controlled Trial Comparing Gait in Fixed or Rotating Cementless Total Knee Arthroplasties
Who cites it
91 citing papers in PubMed, 169 citations in OpenAlex.
- Higher rate of complications with uncemented compared to cemented total hip arthroplasty for displaced intracapsular hip fractures: A randomised controlled trial of 50 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Trial
- The silver tsunami and the elective arthroplasty crisis: How geriatric trauma overruns public surgical capacity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Defining clinically meaningful values in the oxford hip score and factors associated with their achievement following aseptic revision total hip arthroplasty.International orthopaedics · 2026Article
- Quality of life before and during the COVID-19 pandemic for people undergoing hip, knee and shoulder arthroplasty-nationwide results from the Australian Orthopaedic Association National Joint Replacement Registry.International orthopaedics · 2026Article
- Replacement and Revision Hip and Knee Surgery Projections up to the Year 2060: An Analysis Based on Data from the Romanian Arthroplasty Register.Medicina (Kaunas, Lithuania) · 2026Article
- Smart scheduling of arthroplasty surgery with machine learning and optimisation improves operating room utilisation.BMJ health & care informatics · 2026Article
- Total hip arthroplasty restores population health-related quality of life norms : a propensity-matched study with mediation analysis of BMI.Bone & joint open · 2026Article
- Patient perceptions of physiotherapy and prehabilitation before hip and knee arthroplasty in South Africa.African journal of disability · 2026Article
- "Pain Prehabilitation" in Major Joint Surgery: The Way Forward to Improve Outcomes and Prevent Pain Chronicity.Journal of clinical medicine · 2025Review
- Plasma Glycated and Oxidized Amino Acid-Based Screening Test for Clinical Early-Stage Osteoarthritis.Antioxidants (Basel, Switzerland) · 2025Article
- Using Machine Learning to Predict-Then-Optimize Elective Orthopedic Surgery Scheduling to Improve Operating Room Utilization: Retrospective Study.JMIR medical informatics · 2025Article
- Article
- Preoperative chronic opiate use associated with a worse joint-specific function and quality of life before and after total hip and knee arthroplasty.Bone & joint open · 2025Article
- Addressing "cognageism" in geriatric surgery: ethical dilemmas and collaborative innovations for an aging world.European geriatric medicine · 2025Article
- Not the Last Word: Joint Replacement for Patients With Obesity is About Opinions and Incentives.Clinical orthopaedics and related research · 2025Article
- A protocol for delivery of prehabilitation in lower limb arthroplasty in South Africa.The South African journal of physiotherapy · 2025Article
- Patient-Reported Experiences of Musculoskeletal Virtual Care Delivered by Advanced Practice Physiotherapists.Physiotherapy Canada. Physiotherapie Canada · 2024Article
- Postponement of total knee arthroplasties due to pandemic causes significant deterioration on patients' preoperative knee and quality of life scores.Journal of orthopaedics · 2024Article
- Golfers are physically more active and have greater health associated quality of life than non-golfers following lower limb arthroplasty.Journal of orthopaedics · 2024Article
- Total hip arthroplasty for fractured neck of femur does not restore preoperative hip-specific function, health-related quality of life, or level of fitness.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
31 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe EuroQol five-dimension (EQ-5D) questionnaire is a widely used multiattribute general health questionnaire where an EQ-5D < 0 defines a state 'worse than death' (WTD). The aim of this study was to determine the proportion of patients awaiting total hip arthroplasty (THA) or total knee arthroplasty (TKA) in a health state WTD and to identify associations with this state. Secondary aims were to examine the effect of WTD status on one-year outcomes. PATIENTS AND
methodsA cross-sectional analysis of 2073 patients undergoing 2073 THAs (mean age 67.4 years (sd 11.6; 14 to 95); mean body mass index (BMI) 28.5 kg/m
resultsPreoperatively, 391 THA patients (19%) and 263 TKA patients (12%) were WTD. Multivariate analysis identified preoperative OHS, deprivation, and chronic obstructive pulmonary disease in THA, and OKS, peripheral arterial disease, and inflammatory arthropathy in TKA as independently associated with WTD status (p < 0.05). One year following arthroplasty EQ-5D scores improved significantly (p < 0.001) and WTD rates reduced to 35 (2%) following THA and 53 (3%) following TKA. Patients who were WTD preoperatively achieved significantly (p < 0.001) worse joint-specific Oxford scores and satisfaction rates one year following joint arthroplasty, compared with those not WTD preoperatively.
conclusionIn total, 19% of patients awaiting THA and 12% awaiting TKA for degenerative joint disease are in a health state WTD. Although specific comorbidities contribute to this, hip- or knee-specific function, mainly pain, appear key determinants and can be reliably reversed with an arthroplasty. Cite this article:
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Registered trials
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 Socratic graph.