Evidence map›Paper›PMID 39089818›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Unnecessary interventions for the management of hip osteoarthritis: a population-based cohort study.

Olawale A Sogbein, Aaron G Chen, J Andrew McClure, Jennifer Reid, Blayne Welk, Brent A Lanting, Ryan M Degen

Abstract read
PubMed Full text at PMC Publisher
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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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. Article
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

7 authors.

Olawale A SogbeinFrom the Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, University Hospital, London, Ont. (Sogbein, Chen, Lanting, Degen); the Department of Surgery, London Health Sciences, London, Ont. (McClure, Reid); ICES Western, London, Ont. (Welk); the Division of Urology, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, St. Joseph's Healthcare, London, Ont. (Welk).
Aaron G ChenFrom the Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, University Hospital, London, Ont. (Sogbein, Chen, Lanting, Degen); the Department of Surgery, London Health Sciences, London, Ont. (McClure, Reid); ICES Western, London, Ont. (Welk); the Division of Urology, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, St. Joseph's Healthcare, London, Ont. (Welk).
J Andrew McClureFrom the Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, University Hospital, London, Ont. (Sogbein, Chen, Lanting, Degen); the Department of Surgery, London Health Sciences, London, Ont. (McClure, Reid); ICES Western, London, Ont. (Welk); the Division of Urology, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, St. Joseph's Healthcare, London, Ont. (Welk).
Jennifer ReidFrom the Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, University Hospital, London, Ont. (Sogbein, Chen, Lanting, Degen); the Department of Surgery, London Health Sciences, London, Ont. (McClure, Reid); ICES Western, London, Ont. (Welk); the Division of Urology, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, St. Joseph's Healthcare, London, Ont. (Welk).
Blayne WelkFrom the Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, University Hospital, London, Ont. (Sogbein, Chen, Lanting, Degen); the Department of Surgery, London Health Sciences, London, Ont. (McClure, Reid); ICES Western, London, Ont. (Welk); the Division of Urology, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, St. Joseph's Healthcare, London, Ont. (Welk).
Brent A LantingFrom the Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, University Hospital, London, Ont. (Sogbein, Chen, Lanting, Degen); the Department of Surgery, London Health Sciences, London, Ont. (McClure, Reid); ICES Western, London, Ont. (Welk); the Division of Urology, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, St. Joseph's Healthcare, London, Ont. (Welk).
Ryan M DegenFrom the Division of Orthopaedic Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London Health Sciences Centre, University Hospital, London, Ont. (Sogbein, Chen, Lanting, Degen); the Department of Surgery, London Health Sciences, London, Ont. (McClure, Reid); ICES Western, London, Ont. (Welk); the Division of Urology, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, St. Joseph's Healthcare, London, Ont. (Welk) Ryan.Degen@lhsc.on.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients aged 40-60 years who require total hip arthroplasty (THA) often first receive unindicated hip arthroscopy or magnetic resonance imaging (MRI). Our objective was to identify potentially inappropriate resource utilization before THA, specifically reporting on the proportion of patients aged 40-60 years who underwent hip arthroscopy or MRI in the year before THA.

methodsWe conducted a retrospective, population-based study at the provincial level. We retrieved data from the Canadian Institute for Health Information (CIHI). We included all Ontario residents who underwent an elective, primary THA for osteoarthritis between Apr. 1, 2004, and Mar. 31, 2016. We identified the rates and timing of patients who underwent an MRI or hip arthroscopy before their index THA.

resultsThe percentage of patients who underwent an MRI before THA increased significantly over the study period, from 8.7% in 2004 to 23.8% in 2015. There was also a significant but variable trend in the percentage of patients who underwent a hip arthroscopy before THA.

conclusionOur results demonstrate a high, gradually increasing proportion of patients who received a hip MRI and a low but increasing proportion of patients who received hip arthroscopy in close proximity to THA. Multidisciplinary collaboration may improve knowledge translation and help reduce the rate of clinically unnecessary diagnostic and therapeutic interventions in this population of patients who require THA.

Indexed as

Arthroplasty, Replacement, HipArthroscopyMagnetic Resonance ImagingOsteoarthritis, HipUnnecessary ProceduresAdultFemaleHumansMaleMiddle AgedOntarioRetrospective Studies

Identifiers

PMID39089818
PMCPMC11300034

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.