Evidence map›Paper›PMID 32193261›Full record

ArticleBMJ open2020

Low-value injury care in the adult orthopaedic trauma population: a protocol for a rapid review.

Mélanie Bérubé, Lynne Moore, Stéphane Leduc, Imen Farhat, Martin Lesieur, Jean Lamontagne, Stéphane Pelet, Gregory Berry, Pier-Alexandre Tardif, Caroline Côté and 1 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 15% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

11 authors at 4 institutions in 1 country.

Mélanie BérubéPopulation Health and Optimal Health Practices Research Unit, Trauma - Emergency - Critical Care Medicine, Centre de Recherche du CHU de Québec - Université Laval (Hôpital de l'Enfant-Jésus), Québec City, Québec, Canada melanie.berube@fsi.ulaval.ca.ORCID 0000-0002-6657-3915
Lynne MoorePopulation Health and Optimal Health Practices Research Unit, Trauma - Emergency - Critical Care Medicine, Centre de Recherche du CHU de Québec - Université Laval (Hôpital de l'Enfant-Jésus), Québec City, Québec, Canada.
Stéphane LeducDivision of Orthopaedic Surgery, CIUSSS du Nord-de-l'île-de-Montréal (Hôpital du Sacré-Coeur de Montréal), Montréal, Québec, Canada.
Imen FarhatPopulation Health and Optimal Health Practices Research Unit, Trauma - Emergency - Critical Care Medicine, Centre de Recherche du CHU de Québec - Université Laval (Hôpital de l'Enfant-Jésus), Québec City, Québec, Canada.
Martin LesieurDivision of Orthopaedic Surgery, CHU de Québec-Université Laval, Québec City, Québec, Canada.
Jean LamontagneDivision of Orthopaedic Surgery, CHU de Québec-Université Laval, Québec City, Québec, Canada.
Stéphane PeletDivision of Orthopaedic Surgery, CHU de Québec-Université Laval, Québec City, Québec, Canada.
Gregory BerryDivision of Orthopaedic Surgery, McGill University Health Center, Montréal, Québec, Canada.
Pier-Alexandre TardifPopulation Health and Optimal Health Practices Research Unit, Trauma - Emergency - Critical Care Medicine, Centre de Recherche du CHU de Québec - Université Laval (Hôpital de l'Enfant-Jésus), Québec City, Québec, Canada.ORCID 0000-0003-3003-2399
Caroline CôtéFaculty of Nursing, Université Laval, Québec City, Québec, Canada.
Jérôme PaquetDivision of Neurosurgery, CHU de Québec - Université Laval, Québec City, Québec, Canada.
Université Laval · CAHôpital de l'Enfant-Jésus · CAHôpital du Sacré-Cœur de Montréal · CAMcGill University Health Centre · CA

Funding

CIHR 353374
6 · The paper itself

Abstract

introductionOrthopaedic injuries affect almost 90% of trauma patients. A previous scoping review and expert consultation survey identified 15 potential low-value intra-hospital practices in the adult orthopaedic trauma population. Limiting the frequency of such practices could reduce adverse events, improve clinical outcomes and free up resources. The aim of this study is to synthesise the evidence on intra-hospital practices for orthopaedic injuries, previously identified as potentially of low value. METHODS AND ANALYSIS: We will search Medline, Excerpta Medica Database (EMBASE), the Cochrane Central Register of Controlled Trials and Epistemonikos to identify systematic reviews, randomised controlled trials (RCTs), quasi-RCTs, cohort studies and case-control studies that evaluate selected practices according to a priori PICOS statements (Population-Intervention-Comparator-Outcome-Study design) . We will evaluate the methodological quality for systematic reviews using the Measurement Tool to Assess Systematic Reviews version 2 (AMSTAR-2). Risk of bias in original studies will be evaluated with the Cochrane revised tool for RCTs (RoB2) and with the risk of bias in non-randomised studies of interventions (ROBINS-I) tool. If for a given practice, more than two original studies on our primary outcome are identified, we will conduct meta-analysis using a random effects model and assess heterogeneity using the I ETHICS AND DISSEMINATION: Ethics approval is not required as original data will not be collected. Knowledge users from three level I trauma centres are involved in the design and conduct of the study in accordance with an integrated knowledge translation approach. Findings related to the rapid review will be available in May 2020. They will be presented to key stakeholders to inform discussions and raise awareness on low-value injury care. In addition, results will be disseminated in a peer-reviewed journal, at national and international scientific meetings and to healthcare associations.

Indexed as

OrthopedicsTrauma CentersAdultBiasHumansMeta-Analysis as TopicOutcome Assessment, Health CareRandomized Controlled Trials as TopicResearch DesignSystematic Reviews as TopicWounds and Injurieslow-value practicesorthopaedic injuriesrapid reviewtraumawound and injuries

Identifiers

PMID32193261
PMCPMC7202693
OpenAlexW3010855313

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.