Evidence map›Paper›PMID 32266349›Full record

ArticleArthroscopy, sports medicine, and rehabilitation2019

Rotator Cuff Repair With Knotless Technique Is Quicker and More Cost-Effective Than Knotted Technique.

Katherine A Burns, Lynn Robbins, Angela R LeMarr, Amber L Childress, Diane J Morton, Melissa L Wilson

Open access · goldAbstract read
In one paragraph

Article in Arthroscopy, sports medicine, and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 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

6 authors at 2 institutions in 1 country.

Katherine A BurnsSSM Health Orthopedics, SSM Health DePaul Hospital, St. Louis, Missouri, U.S.A.
Lynn RobbinsSSM Health Orthopedics, SSM Health DePaul Hospital, St. Louis, Missouri, U.S.A.
Angela R LeMarrSSM Health Orthopedics, SSM Health DePaul Hospital, St. Louis, Missouri, U.S.A.
Amber L ChildressSSM Health Orthopedics, SSM Health DePaul Hospital, St. Louis, Missouri, U.S.A.
Diane J MortonSSM Health Orthopedics, SSM Health DePaul Hospital, St. Louis, Missouri, U.S.A.
Melissa L WilsonUniversity of Southern California, Department of Preventive Medicine, Los Angeles, California, U.S.A.
SSM Health Care · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the cost-effectiveness of knotted (KT) versus knotless (KL) methods for rotator cuff surgical repair and to assess differences in patients' outcomes.

methodsWe retrospectively identified all patients who underwent arthroscopic rotator cuff repair at 1 institution by 1 surgeon over 2 6-month periods of time (KT technique from August 1, 2013, through January 31, 2014; and KL technique from December 1, 2014, through May 31, 2015) to calculate the direct and indirect costs associated with arthroscopic KT or KL suture bridge rotator cuff repair. Patient demographics, number of anchors used, tendons repaired, procedure time, operative time, and clinical results were also evaluated. We used univariate generalized linear models with a Gaussian distribution for assessment scores and total and implant cost data.

resultsWe identified 87 patients for inclusion during the 2 time frames (35 KT, 54 KL). After excluding patients for tear size < 4 cm

conclusionsDespite using more anchors and incurring higher implant costs, the KL technique for rotator cuff repair required less surgical procedure time and cost less overall than the KT technique and resulted in equivalent clinical results. LEVEL OF EVIDENCE: Level IV Economic and Decision Analyses.

Identifiers

PMID32266349
PMCPMC7120820
OpenAlexW2991336888

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.