Evidence map›Paper›PMID 31720724›Full record

SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020

Injury-related variation in patient-reported outcome after musculoskeletal trauma: a systematic review.

Abhiram R Bhashyam, Quirine M J van der Vliet, Yassine Ochen, Marilyn Heng, Luke P H Leenen, Falco Hietbrink, Roderick M Houwert

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. 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. Article
  2. Influence of psychiatric co-morbidity on health-related quality of life among major trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  3. 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

7 authors.

Abhiram R BhashyamHarvard Combined Orthopaedic Residency Program, 55 Fruit St, Boston, MA, USA. abhashyam@partners.org.
Quirine M J van der VlietDepartment of Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Yassine OchenDepartment of Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Marilyn HengDepartment of Orthopaedics, Massachusetts General Hospital, Harvard Orthopaedic Trauma Initiative, Harvard Medical School, 55 Fruit St, Boston, MA, USA. mheng@mgh.harvard.edu.
Luke P H LeenenDepartment of Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Falco HietbrinkDepartment of Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Roderick M HouwertDepartment of Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to explore injury-related characteristics that differentiate between patient-reported outcomes (PROs) following traumatic musculoskeletal injury.

methodsWe reviewed English-language articles in PubMed/MEDLINE, Google Scholar, and the Cochrane Database of Systematic Reviews (January 1995 to September 2018). We included studies that compared patient-reported outcomes of musculoskeletal trauma based on injury characteristics, and excluded studies related to development or validation of outcome tools without implementation, measurement, or comparison. Studies on patients with isolated neurotrauma or spine trauma were not included. Study level of evidence was assessed by 2 reviewers using the modified Oxford Centre for Evidence-based Medicine rating system.

resultsA total of 20 studies (21 articles) that reported on a total of 10,186 patients were included (4 were prospective cohort-studies, 8 were matched-control retrospective cohort-studies, and 8 were retrospective cohort-studies). Median minimum follow-up was 3 years (range 0.5-10 years). Injury-related factors associated with worse PROs were polytrauma or multiple injuries (10 studies), neurotrauma (11 studies), and high-energy injury mechanism (7 studies). Among all studies, 32 different outcome metrics were used (17 general health status metrics and 15 limb-specific metrics) making meta-analysis infeasible.

conclusionsBased on the included studies, we propose a framework where musculoskeletal injuries occur in one of 4 scenarios that is associated with a different context-dependent outcome: (1) polytrauma with neurotrauma, (2) polytrauma without neurotrauma, (3) high-energy monotrauma, and (4) low-energy monotrauma. Our results suggest that standardization of outcome instruments is needed to facilitate future meta-analyses that assess PROs in this population.

Indexed as

Multiple TraumaPatient Reported Outcome MeasuresHumansInjury Severity ScoreMusculoskeletal SystemInjury variationMusculoskeletal traumaPatient-reported outcomeValue-based care

Identifiers

PMID31720724

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.