Evidence map›Paper›PMID 31843820›Full record

ArticleBMJ open2019

Research priorities for the management of broken bones of the upper limb in people over 50: a UK priority setting partnership with the James Lind Alliance.

Warren J Sheehan, Mark A Williams, Zoe Paskins, Matthew L Costa, Miguel Antonio Fernandez, Jenny Gould, Philip Bell, Liz Baird, Richard Grant, Patricia Ellis and 4 more

Open 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. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 23 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 5 institutions in 3 countries.

Warren J SheehanOxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK warren.sheehan@ouh.nhs.uk.ORCID 0000-0002-4953-3110
Mark A WilliamsSport, Health Sciences and Social Work, Oxford Brookes University, Oxford, UK.ORCID 0000-0002-3488-847X
Zoe PaskinsPrimary Care Centre Versus Arthritis, Research Institute for Primary Care & Health Sciences, Keele University, Keele, Staffordshire, UK.
Matthew L CostaNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Miguel Antonio FernandezOxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0003-1533-8752
Jenny GouldPatient Representative, London, UK.
Philip BellPatient Representative, Isle-of-Anglesey, Wales, UK.
Liz BairdPatient Representative, Oxford, UK.
Richard GrantPatient Representative, Southampton, UK.
Patricia EllisJames Lind Alliance, Southampton, UK.
Catherine WhiteJames Lind Alliance (until March 2018), Southampton, United Kingdom.
Laura ArnelOxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Lauren ExellOxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Stephen GwilymOxford Trauma, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Nuffield Orthopaedic Centre · GBDigital Research Alliance of CanadaJames Lind Institute · CHMidlands Partnership NHS Foundation Trust · GBOxford Brookes University · GB

Funding

Department of Health CS-2018-18-ST2-010
6 · The paper itself

Abstract

objectiveTo determine research priorities for the management of broken bones of the upper limb in people over 50, which represent the shared priorities of patients, their families, carers and healthcare professionals. DESIGN/

settingA national (UK) research priority setting partnership.

participantsPeople aged 50 and over who have experienced a fracture of the upper limb, carers involved in their care, family and friends of patients, healthcare professionals involved in the treatment of these patients.

methodsUsing a multiphase methodology in partnership with the James Lind Alliance over 15 months (September 2017 to December 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 already been answered. A second national survey asked respondents to prioritise the research questions. A final shortlist of 25 questions was taken to a multi-stakeholder workshop where a consensus was reached on the top 10 priorities.

resultsThere were 1898 original uncertainties submitted by 328 respondents to the first survey. These original uncertainties were refined into 51 research questions of which 50 were judged to be true uncertainties following a review of the research evidence. There were 209 respondents to the second (interim prioritisation) survey. The top 10 priorities encompass a broad range of uncertainties in management and rehabilitation of upper limb fractures.

conclusionsThe top 10 UK research priorities highlight uncertainties in how we assess outcomes, provide information, achieve pain control, rationalise surgical intervention, optimise rehabilitation and provide psychological support. The breadth of these research areas highlights the value of this methodology. This work should help to steer research in this area for the next 5-10 years and the challenge for researchers now is to refine and deliver answers to these research priorities.

Indexed as

Biomedical ResearchHealth SurveysAge FactorsCaregiversFamilyFemaleFractures, BoneHealth PersonnelHumansMaleMiddle AgedOutcome Assessment, Health CarePain ManagementPatient Education as TopicPatient ParticipationSocial Supportbroken bonesJames Lind Alliancepriority settingresearch prioritiesupper limb

Identifiers

PMID31843820
PMCPMC6924751
OpenAlexW2966380266

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.