Evidence map›Paper›PMID 27580837›Full record

Trial reportBMJ open2016

Protocol for a multicentre, parallel-arm, 12-month, randomised, controlled trial of arthroscopic surgery versus conservative care for femoroacetabular impingement syndrome (FASHIoN).

D R Griffin, E J Dickenson, P D H Wall, J L Donovan, N E Foster, C E Hutchinson, N Parsons, S Petrou, A Realpe, J Achten and 7 more

Open access · goldAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
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  8. Article
  9. Multivariate Generalized Linear Mixed-Effects Models for the Analysis of Clinical Trial-Based Cost-Effectiveness Data.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    Article
  10. Review
  11. The evolution of femoroacetabular impingement surgical management as a model for introducing new surgical techniques.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
  12. Observational
  13. Article
  14. Article
  15. 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

17 authors at 4 institutions in 1 country.

D R GriffinUniversity of Warwick, University Hospitals of Coventry and Warwickshire NHS Trust, Coventry, UK.
E J DickensonWarwick Medical School, University of Warwick, Coventry, UK.
P D H WallWarwick Medical School, University of Warwick, Coventry, UK.
J L DonovanUniversity of Bristol, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
N E FosterArthritis Research UK Primary Care Centre, Research Institute of Primary Care and Health Sciences NIHR, Keele University, Keele, UK.
C E HutchinsonWarwick Medical School, University of Warwick, Coventry, UK.
N ParsonsWarwick Medical School, University of Warwick, Coventry, UK.
S PetrouWarwick Medical School, University of Warwick, Coventry, UK.
A RealpeWarwick Medical School, University of Warwick, Coventry, UK.
J AchtenWarwick Medical School, University of Warwick, Coventry, UK.
F AchanaWarwick Medical School, University of Warwick, Coventry, UK.
A AdamsWarwick Medical School, University of Warwick, Coventry, UK.
M L CostaWarwick Medical School, University of Warwick, Coventry, UK.
J GriffinWarwick Medical School, University of Warwick, Coventry, UK.
R HobsonWarwick Medical School, University of Warwick, Coventry, UK.
J SmithWarwick Medical School, University of Warwick, Coventry, UK.
FASHIoN Study Group
University of Warwick · GBKeele University · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GBUniversity of Bristol · GB

Funding

Department of Health 10/41/02Department of Health 13/103/02Department of Health NIHR-RP-011-015Department of Health PC6/CSA04/01Medical Research Council G0501681Medical Research Council G0700452Medical Research Council MR/K025643/1
6 · The paper itself

Abstract

introductionFemoroacetabular impingement (FAI) syndrome is a recognised cause of young adult hip pain. There has been a large increase in the number of patients undergoing arthroscopic surgery for FAI; however, a recent Cochrane review highlighted that there are no randomised controlled trials (RCTs) evaluating treatment effectiveness. We aim to compare the clinical and cost-effectiveness of arthroscopic surgery versus best conservative care for patients with FAI syndrome.

methodsWe will conduct a multicentre, pragmatic, assessor-blinded, two parallel arm, RCT comparing arthroscopic surgery to physiotherapy-led best conservative care. 24 hospitals treating NHS patients will recruit 344 patients over a 26-month recruitment period. Symptomatic adults with radiographic signs of FAI morphology who are considered suitable for arthroscopic surgery by their surgeon will be eligible. Patients will be excluded if they have radiographic evidence of osteoarthritis, previous significant hip pathology or previous shape changing surgery. Participants will be allocated in a ratio of 1:1 to receive arthroscopic surgery or conservative care. Recruitment will be monitored and supported by qualitative intervention to optimise informed consent and recruitment. The primary outcome will be pain and function assessed by the international hip outcome tool 33 (iHOT-33) measured 1-year following randomisation. Secondary outcomes include general health (short form 12), quality of life (EQ5D-5L) and patient satisfaction. The primary analysis will compare change in pain and function (iHOT-33) at 12 months between the treatment groups, on an intention-to-treat basis, presented as the mean difference between the trial groups with 95% CIs. The study is funded by the Health Technology Assessment Programme (13/103/02). ETHICS AND DISSEMINATION: Ethical approval is granted by the Edgbaston Research Ethics committee (14/WM/0124). The results will be disseminated through open access peer-reviewed publications, including Health Technology Assessment, and presented at relevant conferences. TRIAL REGISTRATION NUMBER: ISRCTN64081839; Pre-results.

Indexed as

AdolescentAdultAgedAged, 80 and overArthroscopyCost-Benefit AnalysisFemaleFemoracetabular ImpingementHip JointHumansLogistic ModelsMaleMiddle AgedPain MeasurementPatient SatisfactionPhysical Therapy Modalitiesfemoroacetabular impingementhip arthroscopyhip impingementphysiotherapy

Identifiers

PMID27580837
PMCPMC5013508
OpenAlexW2513281849

What OpenQuestion holds

Textmetadata
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.