Evidence map›Paper›PMID 30744626›Full record

ArticleBMC musculoskeletal disorders2019

The recovery after Achilles tendon rupture: a protocol for a multicenter prospective cohort study.

Olivier C Dams, Inge van den Akker-Scheek, Ron L Diercks, Klaus W Wendt, Eelke Bosma, Tom M van Raaij, Arvid V Munzebrock, Wierd P Zijlstra, Johannes Zwerver, Inge H F Reininga

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Free tendon grafts for surgical management of chronic tears of the main body of the Achilles tendon: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. 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

10 authors.

Olivier C DamsDepartment of Sport and Exercise Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. o.c.dams@umcg.nl.
Inge van den Akker-ScheekDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Ron L DiercksDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Klaus W WendtDepartment of Trauma Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Eelke BosmaDepartment of Surgery, Martini Hospital, Groningen, The Netherlands.
Tom M van RaaijDepartment of Orthopaedic Surgery, Martini Hospital, Groningen, The Netherlands.
Arvid V MunzebrockDepartment of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Wierd P ZijlstraDepartment of Orthopaedic Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Johannes ZwerverDepartment of Sport and Exercise Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Inge H F ReiningaDepartment of Trauma Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchilles tendon rupture (ATR) is a common sports injury, with a rising incidence and significant impairments. Due to the lack of treatment guidelines, there is no consensus about diagnostic methods, primary treatment (non-surgical or surgical) and rehabilitation. It is hypothesized that this lack of consensus and guidelines leads to sub-optimal recovery and higher societal costs. The primary aim of this study is to give a broad insight into the recovery after ATR. Secondarily this study aims to explore factors contributing to recovery and gain insight into the cost-effectiveness of ATR management.

methodsThis multicenter prospective cohort study will include all adult (≥ 18 years) patients with an ATR treated at the three main hospitals in the Northern Netherlands: University Medical Center Groningen, Martini Hospital Groningen and Medical Center Leeuwarden. All subjects will be invited for three visits at 3, 6 and 12 months post-injury. The following data will be collected: patient-reported outcome measures (PROMs), physical tests, imaging and economic questionnaires. At 3 months post-injury personal, injury, and treatment data will be collected through a baseline questionnaire and assessment of the medical file. The PROMs concern the Dutch version of the Achilles Tendon Total Rupture Score, EQ-5D-5 L, Oslo Sport Trauma Research Center Overuse Injury Questionnaire, Injury Psychological Readiness Return to Sport Scale, Tampa Scale of Kinesiophobia, Expectations, Motivation and Satisfaction questionnaire and a ranking of reasons for not returning to sport. The administered physical tests are the heel-rise test, standing dorsiflexion range of motion, resting tendon length and single leg hop for distance. Ultrasound Tissue Characterization will be used for imaging. Finally, economic data will be collected using the Productivity Cost Questionnaire and Medical Consumption Questionnaire. DISCUSSION: This prospective cohort study will contribute to optimal decision making in the primary treatment and rehabilitation of ATRs by providing insight into (1) ATR recovery (2) novel imaging for monitoring recovery (3) (barriers to) return to sport and (4) cost-effectiveness of management. The analysis of these data strives to give a broad insight into the recovery after ATR as well as provide data on novel imaging and costs, contributing to individualized ATR management.

trial registrationTrialregister.nl. NTR6484 . 20/06/2017. 20/07/2017.

Indexed as

Achilles TendonResearch DesignTendon InjuriesClinical Decision-MakingCost-Benefit AnalysisHealth Care CostsHumansMulticenter Studies as TopicNetherlandsPatient Reported Outcome MeasuresPatient SatisfactionPhysical ExaminationPredictive Value of TestsProspective StudiesRecovery of FunctionTime FactorsAchilles tendon ruptureEconomicMulticenterPROMProspective cohortRehabilitationShared-decision makingUltrasound tissue characterization

Identifiers

PMID30744626
PMCPMC6371453

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.