How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review
Background: The purpose of this study was to elucidate which criteria are being reported in the literature for the workup and diagnosis of shoulder periprosthetic joint infection (PJI). Studies published prior to or after 2019 were compared to elucidate any changes secondary to the publication of sh...
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Elsevier
2025-01-01
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| author | Alexis L. Clifford, BS Eoghan Hurley, MB, BCh, MCh, PhD Dana Rowe, BA Lulla Kiwinda, BS Tom R. Doyle, MB, MCh Bryan S. Crook, MD Grant E. Garrigues, MD Jason E. Hsu, MD Thorsten M. Seyler, MD, PhD Oke A. Anakwenze, MD, MBA Christopher S. Klifto, MD |
| author_facet | Alexis L. Clifford, BS Eoghan Hurley, MB, BCh, MCh, PhD Dana Rowe, BA Lulla Kiwinda, BS Tom R. Doyle, MB, MCh Bryan S. Crook, MD Grant E. Garrigues, MD Jason E. Hsu, MD Thorsten M. Seyler, MD, PhD Oke A. Anakwenze, MD, MBA Christopher S. Klifto, MD |
| author_sort | Alexis L. Clifford, BS |
| collection | DOAJ |
| description | Background: The purpose of this study was to elucidate which criteria are being reported in the literature for the workup and diagnosis of shoulder periprosthetic joint infection (PJI). Studies published prior to or after 2019 were compared to elucidate any changes secondary to the publication of shoulder-specific PJI criteria written by the International Consensus Meeting (ICM). Methods: Two independent reviewers performed the literature search on PubMed following Preferred Reporting Items for Systematic Reviews and Meta-Analysesguidelines. Studies of revision shoulder arthroplasty containing at least a subset of patients revised for infection were included. The infectious parameters utilized were extracted, including the use of 1) established guidelines or criteria from professional societies or consensus meetings, 2) laboratory indices, 3) clinical symptoms, 4) findings from biologic samples, and 5) imaging modalities. These studies were then categorized based upon where the study was conducted. Results: This review included 231 studies, 187 (81%) of which reported the criteria required for workup of PJI. 73 studies reported specifically on revision for infection, with 71 (97.3%) providing workup criteria. 137 (59.3%) of these studies were conducted in US hospitals, with 109 (79.5%) reporting infectious criteria. 83 (35.9%) were conducted in Europe, with 70 (84.3%) reporting criteria. Among these studies, 124 (53.7%) were published prior to 2019, with 80.6% reporting criteria and 11.3% reporting use of established criteria, such as Musculoskeletal Infection Society, ICM, Infectious Disease Society of America, or European Bone and Joint Infection Society. Of the 107 studies published in or after 2019, 81.3% published criteria and 52.3% reported established criteria. There increase in utilization of established criteria is echoed by 28.9% of studies published in or after 2019 having utilized ICM criteria. Conclusion: This systematic review demonstrates that the evaluation workup and criteria used to diagnose shoulder PJI remain inconsistent. While there has been an increase in the use of established criteria since the creation of ICM shoulder-specific criteria, further adoption is required to improve the strength of clinical research. |
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| institution | Kabale University |
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| spelling | doaj-art-f0518dc3a5ed44b58cc9e79df009edf22025-01-12T05:26:05ZengElsevierJSES International2666-63832025-01-0191219225How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic reviewAlexis L. Clifford, BS0Eoghan Hurley, MB, BCh, MCh, PhD1Dana Rowe, BA2Lulla Kiwinda, BS3Tom R. Doyle, MB, MCh4Bryan S. Crook, MD5Grant E. Garrigues, MD6Jason E. Hsu, MD7Thorsten M. Seyler, MD, PhD8Oke A. Anakwenze, MD, MBA9Christopher S. Klifto, MD10University of Florida College of Medicine, Gainesville, FL, USA; Corresponding author: Alexis Levy Clifford, BS, University of Florida- College of Medicine, 5601 Arringdon Park Dr. Suite 300, Morrisville, NC 27560, USA.Department of Orthopaedic Surgery, Duke University, Durham, NC, USADuke University School of Medicine, Durham, NC, USADuke University School of Medicine, Durham, NC, USADepartment of Orthopaedic Surgery, Duke University, Durham, NC, USADepartment of Orthopaedic Surgery, Duke University, Durham, NC, USAMidwest Orthopaedics at Rush, Rush University Medical Center, Chicago, IL, USADepartment of Orthopaedics and Sports Medicine, University of Washington Medical Center, Seattle, WA, USADepartment of Orthopaedic Surgery, Duke University, Durham, NC, USADepartment of Orthopaedic Surgery, Duke University, Durham, NC, USADepartment of Orthopaedic Surgery, Duke University, Durham, NC, USABackground: The purpose of this study was to elucidate which criteria are being reported in the literature for the workup and diagnosis of shoulder periprosthetic joint infection (PJI). Studies published prior to or after 2019 were compared to elucidate any changes secondary to the publication of shoulder-specific PJI criteria written by the International Consensus Meeting (ICM). Methods: Two independent reviewers performed the literature search on PubMed following Preferred Reporting Items for Systematic Reviews and Meta-Analysesguidelines. Studies of revision shoulder arthroplasty containing at least a subset of patients revised for infection were included. The infectious parameters utilized were extracted, including the use of 1) established guidelines or criteria from professional societies or consensus meetings, 2) laboratory indices, 3) clinical symptoms, 4) findings from biologic samples, and 5) imaging modalities. These studies were then categorized based upon where the study was conducted. Results: This review included 231 studies, 187 (81%) of which reported the criteria required for workup of PJI. 73 studies reported specifically on revision for infection, with 71 (97.3%) providing workup criteria. 137 (59.3%) of these studies were conducted in US hospitals, with 109 (79.5%) reporting infectious criteria. 83 (35.9%) were conducted in Europe, with 70 (84.3%) reporting criteria. Among these studies, 124 (53.7%) were published prior to 2019, with 80.6% reporting criteria and 11.3% reporting use of established criteria, such as Musculoskeletal Infection Society, ICM, Infectious Disease Society of America, or European Bone and Joint Infection Society. Of the 107 studies published in or after 2019, 81.3% published criteria and 52.3% reported established criteria. There increase in utilization of established criteria is echoed by 28.9% of studies published in or after 2019 having utilized ICM criteria. Conclusion: This systematic review demonstrates that the evaluation workup and criteria used to diagnose shoulder PJI remain inconsistent. While there has been an increase in the use of established criteria since the creation of ICM shoulder-specific criteria, further adoption is required to improve the strength of clinical research.http://www.sciencedirect.com/science/article/pii/S2666638324004195Periprosthetic joint infectionDiagnostic criteriaRevision shoulder arthroplastyICM criteriaMSIS criteriaEBJIS criteria |
| spellingShingle | Alexis L. Clifford, BS Eoghan Hurley, MB, BCh, MCh, PhD Dana Rowe, BA Lulla Kiwinda, BS Tom R. Doyle, MB, MCh Bryan S. Crook, MD Grant E. Garrigues, MD Jason E. Hsu, MD Thorsten M. Seyler, MD, PhD Oke A. Anakwenze, MD, MBA Christopher S. Klifto, MD How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review JSES International Periprosthetic joint infection Diagnostic criteria Revision shoulder arthroplasty ICM criteria MSIS criteria EBJIS criteria |
| title | How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review |
| title_full | How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review |
| title_fullStr | How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review |
| title_full_unstemmed | How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review |
| title_short | How is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature: systematic review |
| title_sort | how is infection diagnostic criteria for shoulder periprosthetic joint infection reported in literature systematic review |
| topic | Periprosthetic joint infection Diagnostic criteria Revision shoulder arthroplasty ICM criteria MSIS criteria EBJIS criteria |
| url | http://www.sciencedirect.com/science/article/pii/S2666638324004195 |
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