Evidence map›Paper›PMID 30287674›Full record

ArticleBMJ open2018

Research priorities in fragility fractures of the lower limb and pelvis: a UK priority setting partnership with the James Lind Alliance.

Miguel A Fernandez, Laura Arnel, Jenny Gould, Alwin McGibbon, Richard Grant, Philip Bell, Stuart White, Mark Baxter, Xavier Griffin, Tim Chesser and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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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

14 authors at 7 institutions in 1 country.

Miguel A FernandezOxford Trauma, University of Oxford, Kadoorie Centre, John Radcliffe Hospital, Oxford, UK.ORCID 0000-0003-1533-8752
Laura ArnelOxford Trauma, University of Oxford, Kadoorie Centre, John Radcliffe Hospital, Oxford, UK.
Jenny GouldPatient representative, UK.
Alwin McGibbonPatient representative, UK.
Richard GrantPatient representative, UK.
Philip BellPatient representative, UK.
Stuart WhiteRoyal Sussex County Hospital, Brighton, UK.
Mark BaxterUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Xavier GriffinOxford Trauma, University of Oxford, Kadoorie Centre, John Radcliffe Hospital, Oxford, UK.
Tim ChesserNorth Bristol NHS Trust, Southmead Hospital, Bristol, UK.
David KeeneOxford Trauma, University of Oxford, Kadoorie Centre, John Radcliffe Hospital, Oxford, UK.
Rebecca S KearneyClinical Trials Unit, University of Warwick, Coventry, UK.
Catherine WhiteJames Lind Alliance advisor (to Feb 2018), National Institute for Health Research, University of Southampton, Southampton, UK.
Matthew L CostaOxford Trauma, University of Oxford, Kadoorie Centre, John Radcliffe Hospital, Oxford, UK.
John Radcliffe Hospital · GBNational Institute for Health Research · GBNorth Bristol NHS Trust · GBRoyal Sussex County Hospital · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Warwick · GB

Funding

Department of Health PDF-2016-09-056
6 · The paper itself

Abstract

objectiveTo determine research priorities in fragility fractures of the lower limb and pelvis which represent the shared priorities of patients, their friends and families, carers and healthcare professionals. DESIGN/

settingA national (UK) research priority setting partnership.

participantsPatients over 60 years of age who have experienced a fragility fracture of the lower limb or pelvis; carers involved in their care (both in and out of hospital); family and friends of patients; healthcare professionals involved in the treatment of these patients including but not limited to surgeons, anaesthetists, paramedics, nurses, general practitioners, physicians, physiotherapists and occupational therapists.

methodsUsing a multiphase methodology in partnership with the James Lind Alliance over 18 months (August 2016-January 2018), a national scoping survey asked respondents to submit their research uncertainties. These were amalgamated into a smaller number of research questions. The existing evidence was searched to ensure that the questions had not been answered. A second national survey asked respondents to prioritise the research questions. A final shortlist of 25 questions was taken to a multistakeholder workshop where a consensus was reached on the top 10 priorities.

resultsThere were 963 original uncertainties submitted by 365 respondents to the first survey. These original uncertainties were refined into 88 research questions of which 76 were judged to be true uncertainties following a review of the research evidence. Healthcare professionals and other stakeholders (patients, carers, friends and families) were represented equally in the responses. The top 10 represent uncertainties in rehabilitation, pain management, anaesthesia and surgery.

conclusionsWe report the top 10 UK research priorities in patients with fragility fractures of the lower limb and pelvis. The priorities highlight uncertainties in rehabilitation, postoperative physiotherapy, pain, weight-bearing, infection and thromboprophylaxis. The challenge now is to refine and deliver answers to these research priorities.

Indexed as

Interinstitutional RelationsConsensus Statements as TopicFractures, BoneHumansLeg InjuriesOsteoporotic FracturesPelvic BonesResearchUnited Kingdomadult orthopaedicsfragility fractureslower limbpriority setting partnership

Identifiers

PMID30287674
PMCPMC6194466
OpenAlexW2895264810

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.