Evidence map›Paper›PMID 33814859›Full record

ArticleJournal of clinical orthopaedics and trauma2021

Bioaerosols in orthopedic surgical procedures and implications for clinical practice in the times of COVID-19: A systematic review and meta-analysis.

Siddhartha Sharma, Rakesh John, Sandeep Patel, Deepak Neradi, Kamal Kishore, Mandeep S Dhillon

Abstract read
In one paragraph

Article in Journal of clinical orthopaedics and trauma, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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.

Siddhartha SharmaDepartment of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Rakesh JohnDepartment of Orthopaedics, Hull and Yorkshire Royal Infirmary, Hull, United Kingdom.
Sandeep PatelDepartment of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Deepak NeradiDepartment of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Kamal KishoreDepartment of Biostatistics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
Mandeep S DhillonDepartment of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOrthopedic surgical procedures (OSPs) are known to generate bioaerosols, which could result in transmission of infectious diseases. Hence, this review was undertaken to analyse the available evidence on bioaerosols in OSPs, and their significance in COVID-19 transmission.

methodsA systematic review was conducted by searching the PubMed, EMBASE, Scopus, Cochrane Library, medRxiv, bioRxiv and Lancet preprint databases for studies on bioaerosols in OSPs. Random-effects metanalysis was conducted to determine pooled estimates of key bioaerosol characteristics. Risk of bias was assessed by the RoB-SPEO tool; overall strength of evidence was assessed by the GRADE approach.

results17 studies were included in the systematic review, and 6 in different sets of meta-analyses. The pooled estimate of particle density was 390.74 μg/m

conclusionWhereas there is evidence to suggest that OSPs generate large amounts of bioaerosols, their potential to transmit infectious diseases like COVID-19 is questionable. High-quality research, as well as consensus minimum reporting guidelines for bioaerosol research in OSPs is the need of the hour.

Indexed as

AerosolAerosol generating procedure (AGP)CoronavirusCOVID19GuidelineOrthopaedics surgical proceduresPersonal protective equipment (PPE)ReviewSARS

Identifiers

PMID33814859
PMCPMC8005256

What OpenQuestion holds

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Registered trials

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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.