Evidence map›Paper›PMID 32742869›Full record

ArticleCureus2020

Impact of Diabetes Mellitus on Outcomes of Patients With Knee Osteoarthritis Who Underwent Knee Arthroplasty: An Analysis of the Nationwide Inpatient Sample.

Pius E Ojemolon, Hafeez Shaka, Ehizogie Edigin, Trisha Marie A Gomez, Precious Eseaton, Jeremiah Bello, Clark Azubuike, Omokunmi P Adekola

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% of its field
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

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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

8 authors at 4 institutions in 4 countries.

Pius E OjemolonAnatomical Sciences, St. George's University, St. George's, GRD.
Hafeez ShakaInternal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.
Ehizogie EdiginInternal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.
Trisha Marie A GomezInternal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.
Precious EseatonInternal Medicine, University of Benin, Benin City, NGA.
Jeremiah BelloMedicine, University of Benin, Benin City, NGA.
Clark AzubuikeEmergency Medicine, University of Benin, Benin City, NGA.
Omokunmi P AdekolaMedicine and Surgery, University of Ibadan, Ibadan, NGA.
John H. Stroger, Jr. Hospital of Cook County · USSt. George's University · GDSt. George's School · USUniversity of Benin · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Knee arthroplasty is one of the most common reasons for hospitalizations in the United States. Diabetes mellitus is thought to be associated with adverse perioperative outcomes. We sought to demonstrate the effect of comorbid diabetes on hospitalizations involving patients with knee osteoarthritis who had knee arthroplasty. Materials and methods Data was obtained from the Nationwide Inpatient Sample (NIS) for 2016 and 2017. ICD-10 codes were used to obtain a cohort of patient who were principally admitted for knee osteoarthritis who underwent knee arthroplasty. The patients were further divided according to diabetic status. The primary outcome compared inpatient mortality. Secondary outcomes included mean length of hospital stay, total hospital charges, presence of secondary diagnoses on discharge of acute kidney injury, surgical site infection, sepsis, thromboembolic events, non-ST segment elevation myocardial infarction (NSTEMI). Results Patients with diabetes mellitus had a lower adjusted odds ratio for mortality (aOR: 0.45 95% CI: 0.221 - 0.920, p = 0.029), with no significant difference in total hospital charges and length of hospital stay. Interestingly, patients with diabetes had lower odds of NSTEMI; 0.53 (95% CI: 0.369 - 0.750, p < 0.001) sepsis; 0.64 (95% CI: 0.449 - 0.924, p = 0.017) and DVT; 0.67 (95% CI: 0.546 - 0.822, p < 0.001). Conclusion Uncomplicated diabetes mellitus is not associated with adverse outcomes in patients hospitalized with knee osteoarthritis who had knee arthroplasty.

Indexed as

diabetes mellitusknee osteoarthritisknee replacementperioperative outcomes

Identifiers

PMID32742869
PMCPMC7389248
OpenAlexW3037525392

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.