Evidence map›Paper›PMID 30891890›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2019

Framing the failure of medical implants: Media representations of the ASR hip replacements in the UK.

Gregory Maniatopoulos, Clare Hopkins, Thomas J Joyce, Katie Brittain

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Transvaginal mesh in Australia: An analysis of news media reporting from 1996 to 2021.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  2. Impact of Design on Medical Device Safety.Therapeutic innovation & regulatory science · 2020
    Review
  3. Framing the failure of medical implants: Media representations of the ASR hip replacements in the UK.Health expectations : an international journal of public participation in health care and health policy · 2019
    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

4 authors.

Gregory ManiatopoulosInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-9602-3885
Clare HopkinsInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Thomas J JoyceSchool of Engineering, Newcastle University, Newcastle upon Tyne, UK.
Katie BrittainDepartment of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring the twentieth century, hip replacement became one of the most popular and successful operations. In the 1990s, a new type of hip replacement namely the metal-on-metal hip resurfacing was developed. This paper draws on one of the available implants, namely the DePuy Orthopaedics' Articular Surface Replacement (ASR) hip system which was withdrawn from the market because of higher than expected rates of failure. It examines media representations on the failure of the ASR metal-on-metal hip replacement device and its subsequent withdrawal from the market.

methodsDrawing on content analysis this paper explores how systemic failure of the medical implant was framed and performed by press media in the UK.

resultsTwo narratives were particularly important in framing press media coverage of the ASR case: the role of patients as passive recipients of care and a distinction between health and disability identities as related to how individuals' narratives about the past shaped their sense of present and future. In all cases, the voice of the orthopaedic surgeons responsible for the selection and implantation of the ASR devices remains silent.

conclusionsPress media coverage of medically induced harm in the UK is significantly less common than coverage of any other patient safety issues and public health debates. This study aims to contribute to the evidence base on how public discourse on medically induced harm becomes framed through the reported experiences of individuals in press media and also how this process influences the legitimacy of various solutions to medical errors or unanticipated outcomes.

Indexed as

Hip ProsthesisMass MediaMedical Device RecallsMetal-on-Metal Joint ProsthesesProsthesis FailureHumansUnited Kingdommedia framingmedia representationsmedical devicemedical implant failuremetal-on-metal hipsUnited Kingdom

Identifiers

PMID30891890
PMCPMC6543155

What OpenQuestion holds

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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.