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Weathering the storm

2025· article· en· W4409962695 on OpenAlexaff
Carl Laverdière, Adam Hart, Wassim Elmasry, Tanya Capolicchio, Karen Smith, Michael Tänzer

Bibliographic record

VenueThe Bone & Joint Journal · 2025
Typearticle
Languageen
FieldEnvironmental Science
TopicClimate Change and Health Impacts
Canadian institutionsMcGill University Health CentreMcGill University
Fundersnot available
KeywordsWeatheringStormGeologyEnvironmental scienceEarth scienceGeomorphologyOceanography

Abstract

fetched live from OpenAlex

Aims: It is not unusual for patients, prior to their total hip arthroplasty (THA), to indicate that their symptoms worsen with certain meteorological conditions. However, the prevalence and evolution of weather-related pain (WRP) following THA remain poorly understood. The aim of this study was to investigate the prevalence of WRP both before and after primary THA, assess the impact of THA on pre-existing WRP, explore the development of de novo WRP postoperatively, and identify potential risk factors associated with WRP. Methods: An in-person survey was conducted on 331 consecutive patients (442 primary THAs) at the time of their postoperative follow-up visit. Each patient was assessed using a questionnaire specifically designed to address weather-related joint pain before and after their THA. The clinical evaluation included patient-reported outcome measures (PROMs). Results: Preoperatively, WRP was present in 18% (61/331) of the patients, with 69% (42/61) achieving complete resolution postoperatively (p < 0.001). In patients with WRP in multiple joints preoperatively, the THA failed to alleviate the WRP in 34% (16/47) of cases. In addition, 9% (30/331) of the THA patients developed de novo WRP after surgery. Although the overall prevalence of WRP in patients post THA was 12% (51/442), the prevalence was 31% (19/61) in patients with WRP preoperatively. Patients with a preoperative diagnosis of rheumatoid arthritis, ankylosing spondylitis, or osteonecrosis, as well as older patients and those with a higher BMI, were more likely to have WRP postoperatively. Conclusion: WRP is not uncommon prior to and after THA. Although THA can effectively alleviate WRP in specific patient populations, it does not universally eliminate preoperative WRP or prevent the emergence of new WRP after surgery. The impact of THA on WRP should be discussed with patients preoperatively to facilitate informed decision-making and clarify postoperative expectations.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.540
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.049
GPT teacher head0.295
Teacher spread0.247 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes1
Has abstractyes

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