Evidence map›Paper›PMID 33225285›Full record

ArticleBone & joint open2020

Outcomes reported in trials of childhood fractures: a systematic review.

Ben A Marson, Simon Craxford, Sandeep R Deshmukh, Douglas Grindlay, Joseph Manning, Benjamin J Ollivere

Abstract read
In one paragraph

Article in Bone & joint open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Interventions for treating tibial shaft fractures in children.The Cochrane database of systematic reviews · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. A solid and strong beginning.Bone & joint open · 2020
    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

6 authors.

Ben A MarsonTrauma Outcomes Group, University of Nottingham, Queens' Medical Centre, Nottingham, UK.ORCID 0000-0002-9264-537X
Simon CraxfordTrauma Outcomes Group, University of Nottingham, Queens' Medical Centre, Nottingham, UK.ORCID 0000-0002-4672-4587
Sandeep R DeshmukhTrauma Outcomes Group, University of Nottingham, Queens' Medical Centre, Nottingham, UK.ORCID 0000-0002-4560-0830
Douglas GrindlayTrauma Outcomes Group, University of Nottingham, Queens' Medical Centre, Nottingham, UK.
Joseph ManningSchool of Health Sciences, University of Nottingham; Nottingham Children's Hospital, Nottingham University Hospitals NHS Trust Queens' Medical Centre, Nottingham, UK.
Benjamin J OllivereTrauma Outcomes Group, University of Nottingham, Queens' Medical Centre, Nottingham, UK.

Funding

Department of Health NIHR300240
6 · The paper itself

Abstract

aimsTo analyze outcomes reported in trials of childhood fractures.

methodsOVID MEDLINE, Embase, and Cochrane CENTRAL databases were searched on the eighth August 2019. A manual search of trial registries, bibliographic review and internet search was used to identify additional studies. 11,476 studies were screened following PRISMA guidelines. 100 trials were included in the analysis. Data extraction was completed by two researchers for each trial. Study quality was not evaluated. Outcomes reported by trials were mapped onto domains in the World Health Organization (WHO) International Classification of Function framework.

resultsIn all, 525 outcomes were identified representing 52 WHO domains. Four domains were reported in more than 50% of trials: structure of upper/lower limb, sensation of pain, mobility of joint function, and health services, systems and policies. The Activities Scale for Kids performance (ASK-p) score was the most common outcome score reported in 6/72 upper limb and 4/28 lower limb trials.

conclusionThere is a diverse range of outcomes reported in trials of childhood fractures covering all areas in the International Classification of Functioning, Disability and Health (ICF) framework. There were three common upper limb and three common lower limb outcomes. In the absence of a core outcome set, we recommend that upper limb trials report pain, range of movement and radiograph appearance of the arm and lower limb trials report pain, radiograph appearance of the leg and healthcare costs to improve consistency of reporting in future trials.Cite this article:

Indexed as

childhood fracturesOutcomessystematic review

Identifiers

PMID33225285
PMCPMC7677094

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.