Evidence map›Paper›PMID 26384208›Full record

ArticleJournal of orthopaedic surgery and research2015

The Beit CURE Classification of Childhood Chronic Haematogenous Osteomyelitis--a guide to treatment.

Andrew J Stevenson, Henry Wynn Jones, Linda C Chokotho, Verona L L Beckles, William J Harrison

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

5 authors.

Andrew J StevensonFRCS (T&O), North Bristol NHS Trust, 8 Mervyn Road, Bristol, BS7 9EL, UK. stevenson121@gmail.com.
Henry Wynn JonesFRCS (T&O), Wrightington, Wigan & Leigh NHS Foundation Trust, Wigan, UK. hwj@doctors.org.uk.
Linda C ChokothoFCS (ECSA), Beit CURE International Hospital, Blantyre, Malawi. linda.chokotho@cureinternational.org.
Verona L L BecklesFRCS (T&O), North Middlesex University Hospital NHS Trust, London, UK. veronabeckles@googlemail.com.
William J HarrisonFRCS (T&O), Countess of Chester Hospital NHS Trust, Chester, UK. aojimh@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Beit CURE (BC) classification is a radiographic classification used in childhood chronic haematogenous osteomyelitis. The aim of this study is to assess correlation between this classification and the type and extent of treatment required.

methodsWe present a retrospective series of 145 cases of childhood chronic haematogenous osteomyelitis classified using the BC classification. Variables measured include age, sex, bone involved, number of admissions, length of stay, type/number of operations and microbiology.

resultsThe most commonly affected bone was the tibia (46%), followed by femur (26%) and humerus (10%). Bone defects were most common in the tibia. Staphylococcus aureus was the most commonly isolated organism. Type B, sequestrum type, was the most common (88%), followed by type C, sclerotic type, (7%) and type A, Brodie's abscess (5%). Types A and B1 had the shortest length of hospitalisation (11 days), type B4 had the longest (87 days). Types A and B1 had the fewest infection control operations. Type B4 had the greatest total number of operations.

conclusionsThis study shows that the BC classification can guide surgical strategy and help predict length of inpatient treatment and number and type of procedures required.

Indexed as

AdolescentChildChild, PreschoolChronic DiseaseFemaleHumansInfantLength of StayMaleOsteomyelitisPractice Guidelines as TopicRadiographyRetrospective StudiesTreatment Outcome

Identifiers

PMID26384208
PMCPMC4573297

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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.