Evidence map›Paper›PMID 31601595›Full record

ArticleBMJ open2019

Patient experience of long-term recovery after open fracture of the lower limb: a qualitative study using interviews in a community setting.

Sophie Rees, Elizabeth Tutton, Juul Achten, Julie Bruce, Matthew L Costa

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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.

NCT06126289 unknown statusnot on this mapstarted 2023, after this paper: background citation

Cerebrospinal Fluid Single-cell Sequencing and Proteomics Analysis of the Chronic Postsurgical Pain in Patients Following Open Reduction Internal Fixation of Lower Limb Fractures

TypeobservationalSponsorXuzhou Central HospitalRan2023 to 2025Enrolled20ConditionsChronic Postsurgical Pain
NCT06136663 unknown statusnot on this mapstarted 2023, after this paper: background citation

A Prospective Cohort Survey on Prevalence and Risk Factors for Persistent Postsurgical Pain After the Open Reduction and Internal Fixation of the Lower Limbs

TypeobservationalSponsorXuzhou Central HospitalRan2023 to 2024Enrolled1,000ConditionsChronic Post Operative Pain
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Insights into the rehabilitation journey - patients' experiences following tibial plateau fractures.International journal of qualitative studies on health and well-being · 2026
    Article
  5. Review
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  13. The economic impact of open lower limb fractures in the Netherlands: a cost-of-illness study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  14. Article
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  17. The association between lower limb fractures and weight gain in adults: a prospective analysis of body mass index trends.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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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

5 authors at 2 institutions in 1 country.

Sophie ReesWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.ORCID 0000-0003-4399-2049
Elizabeth TuttonNDORMS, University of Oxford, Oxford, UK liz.tutton@ndorms.ox.ac.uk.ORCID 0000-0003-3973-360X
Juul AchtenNDORMS, University of Oxford, Oxford, UK.
Julie BruceWarwick Clinical Trials Unit, University of Warwick, Coventry, UK.
Matthew L CostaNDORMS, University of Oxford, Oxford, UK.
University of Oxford · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTreatment of open fractures is complex and patients may require muscle and skin grafts. The aim of this study was to gain a greater understanding of patient experience of recovery from open fracture of the lower limb 2-4 years postinjury.

designA phenomenological approach was used to guide the design of the study. Interviews took place between October 2016 and April 2017 in the participants' own homes or via telephone.

settingEngland, UK.

participantsA purposive sample of 25 patients were interviewed with an age range of 26-80 years (median 51), 19 were male and six female, and time since injury was 24-49 months (median 35 months).

resultsThe findings identified a focus on struggling to recover as participants created a new way of living, balancing moving forward with accepting how they are, while being uncertain of the future and experiencing cycles of progress and setbacks. This was expressed through three themes: (i) 'being disempowered' with the emotional impact of dependency and uncertainty, (ii) 'being changed' and living with being fragile and being unable to move freely and (iii) 'being myself' with a loss of self, feeling and looking different, alongside recreation of self in which they integrated the past, present and future to find meaningful ways of being themselves.

conclusionThis study identified the long-term disruption caused by serious injury, the hidden work of integration that is required in order to move forward and maximise potential for recovery. Supportive strategies that help people to self-manage their everyday emotional and physical experience of recovery from injury are required. Research should focus on developing and testing effective interventions that provide support and self-management within a holistic rehabilitation plan. TRIAL REGISTRATION NUMBER: Current Controlled Trials ISRCTN33756652; Post-results.

Indexed as

Patient Reported Outcome MeasuresAdultAgedAged, 80 and overBones of Lower ExtremityFemaleFractures, OpenHumansInterviews as TopicMaleMiddle AgedQualitative ResearchRecovery of FunctionSickness Impact ProfileTime Factorsorthopaedic & trauma surgeryqualitative researchrehabilitation medicine

Identifiers

PMID31601595
PMCPMC6797425
OpenAlexW2979908520

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.