Evidence map›Paper›PMID 27348865›Full record

ArticleAnnals of surgery2017

Predicting Heterotopic Ossification Early After Burn Injuries: A Risk Scoring System.

Jeffrey C Schneider, Laura C Simko, Richard Goldstein, Vivian L Shie, Betty Chernack, Benjamin Levi, Prakash Jayakumar, Karen J Kowalske, David N Herndon, Nicole S Gibran and 1 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Annals of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Musculoskeletal Issues in Pediatric Burn Patients.Seminars in plastic surgery · 2024
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Predicting Depression and Posttraumatic Stress Symptoms Following Burn Injury: A Risk Scoring System.Journal of burn care & research : official publication of the American Burn Association · 2022
    Article
  8. Review
  9. "Living Well" After Burn Injury: Using Case Reports to Illustrate Significant Contributions From the Burn Model System Research Program.Journal of burn care & research : official publication of the American Burn Association · 2021
    Review
  10. Contracture Severity at Hospital Discharge in Children: A Burn Model System Database Study.Journal of burn care & research : official publication of the American Burn Association · 2021
    Article
  11. Investigation into Possible Association of Oxandrolone and Heterotopic Ossification Following Burn Injury.Journal of burn care & research : official publication of the American Burn Association · 2019
    Article
  12. Article
  13. Article
  14. Review
  15. Heterotopic Ossification and Hypertrophic Scars.Clinics in plastic surgery · 2017
    Review
  16. Article
  17. Review
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

11 authors at 6 institutions in 2 countries.

Jeffrey C Schneider*Massachusetts General Hospital, Boston, MA †Shriners Hospitals for Children-Boston, Boston, MA ‡Spaulding Rehabilitation Hospital, Boston, MA §Harvard Medical School, Boston, MA ¶University of Michigan, Ann Arbor, MI ||Balliol College, University of Oxford, UK **University of Texas Southwestern Medical Center, Dallas, TX ††University of Texas Medical Branch, Galveston, TX ‡‡Shriners Hospital for Children-Galveston, Galveston, TX §§University of Washington, Seattle, WA.
Laura C Simko
Richard Goldstein
Vivian L Shie
Betty Chernack
Benjamin Levi
Prakash Jayakumar
Karen J Kowalske
David N Herndon
Nicole S Gibran
Colleen M Ryan
Harvard University · USMassachusetts General Hospital · USShriners Hospitals for Children - Boston · USSpaulding Rehabilitation Hospital · USUniversity of Michigan–Ann Arbor · USUniversity of Oxford · GB

Funding

Novel Pathway and Prevention Strategy for Heterotopic OssificationK08GM109105 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEVI, BENJAMIN · 2014 to 2017
$785k
ACL HHS 90DP0035NIGMS NIH HHS K08 GM109105
6 · The paper itself

Abstract

objectiveThe purpose of this study is to develop a scoring system that stratifies burn patients at the time of hospital admission according to risk of developing heterotopic ossification (HO). SUMMARY OF BACKGROUND DATA: HO in burns is an uncommon but severely debilitating problem with a poorly understood mechanism and no fully effective prophylactic measures.

methodsData were obtained from the Burn Model System National Database from 1994 to 2010 (n = 3693). The primary outcome is diagnosis of HO at hospital discharge. Logistic regression analysis was used to determine significant demographic and medical predictors of HO. A risk scoring system was created in which point values were assigned to predictive factors and final risk score is correlated with the percent risk of developing HO. The model was internally and externally validated.

resultsThe mean age of the subjects is 42.5 ± 16.0 years, the mean total body surface area (TBSA) burned is 18.5 ± 16.4%, and the population is 74.9% male. TBSA and the need for grafting of the arm, head/neck, and trunk were significant predictors of HO development (P < 0.01). A 13-point risk scoring system was developed using these significant predictors. The model c-statistic is 0.92. The risk scoring system demonstrated evidence of internal and external validity. An online calculator was developed to facilitate translation of knowledge to practice and research.

conclusionsThis HO risk scoring system identifies high-risk burn patients suitable for diagnostic testing and interventional HO prophylaxis trials.

Indexed as

Ossification, HeterotopicAdultBurnsFemaleHumansMaleRetrospective StudiesRisk AssessmentRisk FactorsSkin Transplantation

Identifiers

PMID27348865
PMCPMC9205532
OpenAlexW2469080075

What OpenQuestion holds

Textmetadata
LicenceTDM
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.