Evidence map›Paper›PMID 25455287›Full record

ArticleJournal of plastic, reconstructive & aesthetic surgery : JPRAS2015

Linear regression analysis of Hospital Episode Statistics predicts a large increase in demand for elective hand surgery in England.

Emily Bebbington, Dominic Furniss

Abstract read
In one paragraph

Article in Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 6 pooled it
–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

47 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Local corticosteroid injection versus surgery for carpal tunnel syndrome.The Cochrane database of systematic reviews · 2024
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  4. Local corticosteroid injection versus placebo for carpal tunnel syndrome.The Cochrane database of systematic reviews · 2023
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  5. Sickness absence after carpal tunnel release: a systematic review of the literature.Scandinavian journal of work, environment & health · 2018
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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

2 authors.

Emily BebbingtonThe School of Clinical Medicine, University of Oxford, The John Radcliffe Hospital, Oxford OX3 9DU, UK.
Dominic FurnissThe Department of Plastic and Reconstructive Surgery, Oxford University Hospitals NHS Trust, Nuffield Orthopaedic Centre, Oxford OX3 7HE, UK; NDORMS, University of Oxford, Botnar Research Centre, Oxford OX3 7HE, UK. Electronic address: dominic.furniss@doctors.org.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe integrated two factors, demographic population shifts and changes in prevalence of disease, to predict future trends in demand for hand surgery in England, to facilitate workforce planning.

methodsWe analysed Hospital Episode Statistics data for Dupuytren's disease, carpal tunnel syndrome, cubital tunnel syndrome, and trigger finger from 1998 to 2011. Using linear regression, we estimated trends in both diagnosis and surgery until 2030. We integrated this regression with age specific population data from the Office for National Statistics in order to estimate how this will contribute to a change in workload over time.

resultsThere has been a significant increase in both absolute numbers of diagnoses and surgery for all four conditions. Combined with future population data, we calculate that the total operative burden for these four conditions will increase from 87,582 in 2011 to 170,166 (95% confidence interval 144,517-195,353) in 2030. DISCUSSION: The prevalence of these diseases in the ageing population, and increasing prevalence of predisposing factors such as obesity and diabetes, may account for the predicted increase in workload. The most cost effective treatments must be sought, which requires high quality clinical trials. Our methodology can be applied to other sub-specialties to help anticipate the need for future service provision.

Indexed as

AdolescentAdultAgedAged, 80 and overCarpal Tunnel SyndromeCubital Tunnel SyndromeDupuytren ContractureElective Surgical ProceduresEnglandFemaleForecastingHandHealth PlanningHealth Services Needs and DemandHumansLinear ModelsCarpal tunnelCubital tunnelDupuytren's diseaseIncidenceTrigger fingerWorkforce planning

Identifiers

PMID25455287
PMCPMC4315884

What OpenQuestion holds

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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 OpenQuestion graph.