Evidence map›Paper›PMID 33876273›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021

Same knee, different goals: patients and surgeons have different priorities related to ACL reconstruction.

Hana Marmura, Dianne M Bryant, Trevor B Birmingham, Anita Kothari, Kurt P Spindler, Christopher C Kaeding, Tim Spalding, Alan M J Getgood

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 9 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

8 authors at 4 institutions in 3 countries.

Hana MarmuraFaculty of Health Sciences, Western University, London, ON, Canada.
Dianne M BryantFaculty of Health Sciences, Western University, London, ON, Canada.
Trevor B BirminghamFaculty of Health Sciences, Western University, London, ON, Canada.
Anita KothariFaculty of Health Sciences, Western University, London, ON, Canada.
Kurt P SpindlerOrthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
Christopher C KaedingDepartment of Orthopaedics, The Ohio State University, Ohio, USA.
Tim SpaldingDepartment of Orthopaedics, University Hospital Coventry and Warwickshire NHS Trust, Coventry, UK.
Alan M J GetgoodFaculty of Health Sciences, Western University, London, ON, Canada. alan.getgood@uwo.ca.ORCID http://orcid.org/0000-0003-4731-4333
Western University · CACleveland Clinic · USThe Ohio State University · USUniversity Hospital Coventry · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe priorities of patients should be shared by those treating them. Patients and surgeons are likely to have different priorities surrounding anterior cruciate ligament reconstruction (ACLR), with implications for shared decision-making and patient education. The optimal surgical approach for ACLR is constantly evolving, and the magnitude of treatment effect necessary for evidence to change surgical practice is unknown. The aim of this study was to determine (1) the priorities of surgeons and patients when making decisions regarding ACLR and (2) the magnitude of reduction in ACLR graft failure risk that orthopaedic surgeons require before changing practice.

methodsThis study followed a cross-sectional survey design. Three distinct electronic surveys were administered to pre-operative ACLR patients, post-operative ACLR patients, and orthopaedic surgeons. Patients and surgeons were asked about the importance of various outcomes and considerations pertaining to ACLR. Surgeons were asked scenario-based questions regarding changing practice for ACLR based on new research.

resultsSurgeons were more likely to prioritize outcomes related to the surgical knee itself, whereas patients were more likely to prioritize outcomes related to their daily lifestyle and activities. Knee instability and risk of re-injury were unanimous top priorities among all three groups. A mean relative risk reduction in ACLR graft failure of about 50% was required by orthopaedic surgeons to change practice regardless of the type of change, or patient risk profile.

conclusionThere are discrepancies between the priorities of surgeons and patients, and orthopaedic surgeons appear resistant to changing practice for ACLR. LEVEL OF EVIDENCE: IV.

Indexed as

Anterior Cruciate Ligament InjuriesAnterior Cruciate Ligament ReconstructionSurgeonsCross-Sectional StudiesHumansKnee JointACL reconstructionAnterior cruciate ligamentFailureOutcomeRiskShared decision-makingSurgical practiceYoung patients

Identifiers

PMID33876273
OpenAlexW3155497629

What OpenQuestion holds

Textmetadata
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.