Evidence map›Paper›PMID 33749355›Full record

SynthesisFoot & ankle specialist2023

Level of Evidence for the Treatment of Chronic Noninsertional Achilles Tendinopathy.

Mikaela J Peters, Kellen Walsh, Chris Day, Alastair Younger, Peter Salat, Murray Penner, Kevin Wing, Mark Glazebrook, Andrea Veljkovic

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Foot & ankle specialist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Achilles tendinopathy.Nature reviews. Disease primers · 2025
    Review
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

9 authors at 3 institutions in 1 country.

Mikaela J PetersUniversity of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-2995-7968
Kellen WalshUniversity of British Columbia, Vancouver, BC, Canada.
Chris DayUniversity of British Columbia, Vancouver, BC, Canada.
Alastair YoungerUniversity of British Columbia, Vancouver, BC, Canada.
Peter SalatUniversity of Calgary, Calgary, AB, Canada.
Murray PennerUniversity of British Columbia, Vancouver, BC, Canada.
Kevin WingUniversity of British Columbia, Vancouver, BC, Canada.
Mark GlazebrookDalhousie University, Halifax, NS, Canada.
Andrea VeljkovicUniversity of British Columbia, Vancouver, BC, Canada.
University of British Columbia · CADalhousie University · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNoninsertional Achilles tendinopathy affects both athletes and sedentary individuals, and its incidence is rising. Conservative management is the mainstay of treatment, but a variety of operative techniques have been described to treat recalcitrant cases. We seek to outline the current available evidence for surgical management of noninsertional Achilles tendinopathy. STUDY DESIGN AND

methodsA systematic review was performed using the MEDLINE and EMBASE databases, and all articles were reviewed by at least 2 authors. Each article was assigned a level of evidence in accordance with the standards of RESULTS AND

conclusionA total of 46 articles met inclusion and exclusion criteria. There is fair evidence (grade B) in support of open debridement with 1 level II study, 1 level III study, and 8 level IV studies. There is fair evidence (grade B) in support of arthroscopic or minimally invasive surgical techniques. There is poor evidence (grade C) in support of flexor hallucis longus transfer, longitudinal tenotomy, peritenolysis, gastrocnemius recession, and plantaris excision. There is insufficient evidence (grade I) to provide a recommendation about other surgical treatment methods for noninsertional Achilles tendinopathy.

Indexed as

Achilles TendonTendinopathyHumansMinimally Invasive Surgical ProceduresMuscle, SkeletalTenotomyAchilles tendinopathyheel painlevel of evidencesurgical managementsystematic review

Identifiers

PMID33749355
PMCPMC10422862
OpenAlexW3138419860

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.