Evidence map›Paper›PMID 26677237›Full record

Trial reportThe Journal of bone and joint surgery. American volume2015

Effect of Naproxen Prophylaxis on Heterotopic Ossification Following Hip Arthroscopy: A Double-Blind Randomized Placebo-Controlled Trial.

James T Beckmann, James D Wylie, Michael Q Potter, Travis G Maak, Thomas H Greene, Stephen K Aoki

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of bone and joint surgery. American volume, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 3% of its field
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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
  9. Identifying Hip Arthroscopy Trends in Turkey.Orthopaedic journal of sports medicine · 2024
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Heterotopic Ossification in Hip Arthroscopy.Surgery journal (New York, N.Y.) · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

James T BeckmannDepartment of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108.
James D WylieDepartment of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108.
Michael Q PotterDepartment of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108.
Travis G MaakDepartment of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108.
Thomas H GreeneDepartment of Population Health Sciences and Internal Medicine, University of Utah, 295 Chipeta Way, Salt Lake City, UT 84108.
Stephen K AokiDepartment of Orthopaedic Surgery, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108. Stephen.Aoki@hsc.utah.edu.
University of Utah · US

Funding

University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
NCATS NIH HHS 8UL1TR000105
6 · The paper itself

Abstract

backgroundHeterotopic ossification (HO) is a known complication of hip arthroscopy. Our objective was to determine the effect of postoperative naproxen therapy on the development of HO following arthroscopic surgery for femoroacetabular impingement.

methodsBetween August 2011 and April 2013, 108 eligible patients were enrolled and randomized to take naproxen or a placebo for three weeks postoperatively. Radiographs were made at routine follow-up visits for one year following surgery. The primary outcome measure was the development of HO, as classified with the Brooker criteria and two-dimensional measurements on radiographs made at least seventy-five days postoperatively (average, 322 days). The primary analysis, performed with a Fisher exact test, compared the proportion of subjects with HO between the treatment and control groups. A single a priori interim analysis was planned at the midpoint of the study.

resultsOur data safety and monitoring board stopped this study when the interim analysis showed that the stopping criterion had been met for demonstration of efficacy of the naproxen intervention. The prevalence of HO was 46% (twenty-two of the forty-eight in the final analysis) in the placebo group versus 4% (two of forty-eight) in the naproxen group (p < 0.001). Medication compliance was 69% overall, but it did not differ between the naproxen and placebo groups. Minor adverse reactions to the study medications were reported in 42% of the patients taking naproxen versus 35% of those taking the placebo (p = 0.45).

conclusionsIn this trial, prophylaxis with naproxen was effective in reducing the prevalence of HO without medication-related morbidity.

Indexed as

ArthroscopyAdolescentAdultAgedAged, 80 and overAnti-Inflammatory Agents, Non-SteroidalDouble-Blind MethodDrug Administration ScheduleFemaleFemoracetabular ImpingementFollow-Up StudiesHumansMaleMiddle AgedNaproxenOssification, HeterotopicAnti-Inflammatory Agents, Non-SteroidalNaproxen

Identifiers

PMID26677237
PMCPMC4673445
OpenAlexW2341793557

What OpenQuestion holds

Textmetadata
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.