Evidence map›Paper›PMID 28853024›Full record

SynthesisMusculoskeletal surgery2018

Does experience matter? A meta-analysis of physician rating websites of Orthopaedic Surgeons.

R A Jack, M B Burn, P C McCulloch, S R Liberman, K E Varner, J D Harris

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Musculoskeletal surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Social Media Use by American Association of Hip and Knee Surgeons Members.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024
    Article
  3. Article
  4. Article
  5. What Affects an Orthopaedic Surgeon's Online Rating? A Large-Scale, Retrospective Analysis.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
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

6 authors.

R A JackDepartment of Orthopedics and Sports Medicine, Houston Methodist Hospital, 6445 Main Street, Outpatient Center, Floor 25, Houston, TX, 77030, USA.
M B BurnDepartment of Orthopedics and Sports Medicine, Houston Methodist Hospital, 6445 Main Street, Outpatient Center, Floor 25, Houston, TX, 77030, USA.
P C McCullochDepartment of Orthopedics and Sports Medicine, Houston Methodist Hospital, 6445 Main Street, Outpatient Center, Floor 25, Houston, TX, 77030, USA.
S R LibermanDepartment of Orthopedics and Sports Medicine, Houston Methodist Hospital, 6445 Main Street, Outpatient Center, Floor 25, Houston, TX, 77030, USA.
K E VarnerDepartment of Orthopedics and Sports Medicine, Houston Methodist Hospital, 6445 Main Street, Outpatient Center, Floor 25, Houston, TX, 77030, USA.
J D HarrisDepartment of Orthopedics and Sports Medicine, Houston Methodist Hospital, 6445 Main Street, Outpatient Center, Floor 25, Houston, TX, 77030, USA. joshuaharrismd@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo perform a systematic review evaluating online ratings of Orthopaedic Surgeons to determine: (1) the number of reviews per surgeon by website, (2) whether the number of reviews and rate of review acquisition correlated with years in practice, and (3) whether the use of ratings websites varied based on the surgeons' geographic region of practice.

methodsThe USA was divided into nine geographic regions, and the most populous city in each region was selected. HealthGrades and the American Board of Orthopaedic Surgery (ABOS) database were used to identify and screen (respectively) all Orthopaedic Surgeons within each of these nine cities. These surgeons were divided into three "age" groups by years since board certification (0-10, 10-20, and 20-30 years were assigned as Groups 1, 2, and 3, respectively). An equal number of surgeons were randomly selected from each region for final analysis. The online profiles for each surgeon were reviewed on four online physician rating websites (PRW, i.e. HealthGrades, Vitals, RateMDs, Yelp) for the number of available patient reviews. Descriptive statistics, analysis of variance (ANOVA), and Pearson correlations were used.

resultsUsing HealthGrades, 2802 "Orthopaedic Surgeons" were identified in nine cities. However, 1271 (45%) of these were not found in the ABOS board certification database. After randomization, a total of 351 surgeons were included in the final analysis. For these 351 surgeons, the mean number of reviews per surgeon found on all four websites was 9.0 ± 14.8 (range 0-184). The mean number of reviews did not differ between the three age groups (p > 0.05) with 8.7 ± 14.4, (2) 10.3 ± 18.3, and (3) 8.0 ± 10.8 for Groups 1, 2, and 3, respectively. However, the rate that reviews were obtained (i.e. reviews per surgeon per year) was significantly higher (p < 0.001) in Group 1 (2.6 ± 7.7 reviews per year) compared to Group 2 (1.4 ± 2.4) and Group 3 (1.1 ± 1.4). There was no correlation between the number of reviews and years in practice (R < 0.001), and there was a poor correlation between number of reviews and regional population (R = 0.199).

conclusionsThe number of reviews per surgeon did not differ significantly between the three defined age groups based on years in practice. However, surgeons with less than 10 years in practice were accumulating reviews at a significantly higher rate. Interestingly nearly half of "Orthopaedic Surgeons" listed were not found to be ABOS-certified Orthopaedic Surgeons.

Indexed as

Clinical CompetenceClinical Decision-MakingInternetOrthopedicsOrthopedic SurgeonsHumansPatient SatisfactionPhysician-Patient RelationsGeographic regionOnlineOrthopaedic SurgeonPhysician rating websiteYears in practice

Identifiers

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.