Evidence map›Paper›PMID 34187822›Full record

ArticleBMJ open2021

Protocol for surgical and non-surgical treatment for metacarpal shaft fractures in adults: an observational feasibility study.

Rowa Taha, Paul Leighton, Chris Bainbridge, Alan Montgomery, Tim Davis, Alexia Karantana

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Article
  2. 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.

Rowa TahaAcademic Orthopaedics, Trauma & Sports Medicine, University of Nottingham School of Medical and Surgical Sciences, Nottingham, UK rowa.taha@nottingham.ac.uk.ORCID 0000-0002-2403-5107
Paul LeightonDivision of Primary Care, University of Nottingham, Nottingham, UK.
Chris BainbridgePulvertaft Hand Centre, Royal Derby Hospital, Derby, UK.
Alan MontgomeryNottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK.
Tim DavisTrauma and Orthopaedics, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Alexia KarantanaSurgery, University of Nottingham Faculty of Medicine and Health Sciences, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMetacarpal shaft fractures (MSF) are common traumatic hand injuries that usually affect young people of working age. They place a significant burden on healthcare resources and society; however, there is a lack of evidence to guide their treatment. Identifying the most beneficial and cost-efficient treatment will ensure optimisation of care and provide economic value for the National Health Service. The aim of this study is to assess the feasibility of a randomised controlled trial comparing surgical and non-surgical treatment for MSF in adults. METHODS AND ANALYSIS: This is a multicentre prospective cohort study, with a nested qualitative study consisting of patient interviews and focus groups, and an embedded factorial randomised substudy evaluating the use of text messages to maximise data collection and participant retention. The outcomes of interest include eligibility, recruitment and retention rates, completion of follow-up, evaluation of primary outcome measures, calculation of the minimal clinically important difference (MCID) for selected outcome measures and establishing the feasibility of data collection methods and appropriate time-points for use in a future trial. Data will be captured using a secure online data management system. Data analyses will be descriptive and a thematic inductive analysis will be used for qualitative data. Minimum clinically important effects for each patient-reported outcome measure will be estimated using anchor-based responsiveness statistics and distribution-based methods. ETHICS AND DISSEMINATION: This study has received ethical approval from the Research Ethics Committee and the Health Research Authority (REC reference 20/EE/0124). Results will be made available to patients, clinicians, researchers and the funder via peer-reviewed publications and conference presentations. Social media platforms, local media and feedback from the Patient Advisory Group will be used to maximise circulation of findings to patients and the public. TRIAL REGISTRATION NUMBER: ISRCTN13922779.

Indexed as

Metacarpal BonesAdolescentAdultFeasibility StudiesHumansMulticenter Studies as TopicObservational Studies as TopicPatient Reported Outcome MeasuresProspective StudiesQuality of LifeRandomized Controlled Trials as TopicState Medicineclinical trialshand & wristhealth economicsorthopaedic & trauma surgeryqualitative researchstatistics & research methods

Identifiers

PMID34187822
PMCPMC8245430

What OpenQuestion holds

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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.