Trial reportCanadian journal of surgery. Journal canadien de chirurgie2021
Impact of centre volume, surgeon volume, surgeon experience and geographic location on reoperation after intramedullary nailing of tibial shaft fractures
Registry-linked trialOpen access · diamondAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph
Trial report in Canadian journal of surgery. Journal canadien de chirurgie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00038129 (Study to Prospectively Evaluate Reamed Intramedullary Nails in Tibial Shaft Fractures), which is not on this map. Cited by 4 papers.
0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
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.
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.
Study to Prospectively Evaluate Reamed Intramedullary Nails in Tibial Shaft Fractures (SPRINT)
Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- [Non-unions of the upper extremities].Chirurgie (Heidelberg, Germany) · 2024Article
- Research trends in the field of the gut-brain interaction: Functional dyspepsia in the spotlight - An integrated bibliometric and science mapping approach.Frontiers in neuroscience · 2023Review
- What Would be the Difference Between Operative Treatment of Patients with Tibia Fractures out of Working Hours; Intramedullary Nailing for Tibial Shaft Fractures.Sisli Etfal Hastanesi tip bulteni · 2023Article
- Correlation Between the Fracture Line Plane and Perioperative Deep Vein Thrombosis in Patients with Tibial Fracture.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 6 institutions in 2 countries.
Marc SwiontkowskiFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
David TeagueFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
Sheila SpragueFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
Sofia BzovskyFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
Diane Heels-AnsdellFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
Mohit BhandariFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
Emil H. SchemitschFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
David W. SandersFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
Paul TornettaFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
Stephen D. WalterFrom the Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minn. (Swiontkowski); the Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Okla. (Teague); the Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ont. (Sprague, Heels-Ansdell, Bhandari, Walter); the Division of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, Ont. (Sprague, Bzovsky, Bhandari); the Division of Orthopaedic Surgery, London Health Sciences Centre and Western University, London, Ont. (Schemitsch, Sanders); and the Department of Orthopedic Surgery, Boston Medical Center, Boston, Mass. (Tornetta).
SPRINT InvestigatorsLondon Health Sciences Centre/University of Western Ontario: David W. Sanders, Mark D. Macleod, Timothy Carey, Kellie Leitch, Stuart Bailey, Kevin Gurr, Ken Konito, Charlene Bartha, Isolina Low, Leila V. MacBean, Mala Ramu, Susan Reiber, Ruth Strapp, Christina Tieszer; Sunnybrook Health Sciences Centre/University of Toronto: Hans Kreder, David J.G. Stephen, Terry S. Axelrod, Albert J.M. Yee, Robin R. Richards, Joel Finkelstein, Richard M. Holtby, Hugh Cameron, John Cameron, Wade Gofton, John Murnaghan, Joseph Schatztker, Beverly Bulmer, Lisa Conlan; Hôpital du Sacré-Coeur de Montréal: Yves Laflamme, Gregory Berry, Pierre Beaumont, Pierre Ranger, Georges-Henri Laflamme, Alain Jodoin, Eric Renaud, Sylvain Gagnon, Gilles Maurais, Michel Malo, Julio Fernandes, Kim Latendresse, Marie-France Poirier, Gina Daigneault; St. Michael’s Hospital/University of Toronto: Emil H. Schemitsch, Michael M. McKee, James P. Waddell, Earl R. Bogoch, Timothy R. Daniels, Robert R. McBroom, Robin R. Richards, Milena R. Vicente, Wendy Storey, Lisa M. Wild; Royal Columbian Hospital/University of British Columbia, Vancouver: Robert McCormack, Bertrand Perey, Thomas J. Goetz, Graham Pate, Murray J. Penner, Kostas Panagiotopoulos, Shafique Pirani, Ian G. Dommisse, Richard L. Loomer, Trevor Stone, Karyn Moon, Mauri Zomar; Wake Forest Medical Center/Wake Forest University Health Sciences, Winston-Salem, NC: Lawrence X. Webb, Robert D. Teasdall, John Peter Birkedal, David F. Martin, David S. Ruch, Douglas J. Kilgus, David C. Pollock, Mitchel Brion Harris, Ethan R. Wiesler, William G. Ward, Jeffrey Scott Shilt, Andrew L. Koman, Gary G. Poehling, Brenda Kulp; Boston Medical Center/Boston University School of Medicine: Paul Tornetta III, William R. Creevy, Andrew B. Stein, Christopher T. Bono, Thomas A. Einhorn, T. Desmond Brown, Donna Pacicca, John B. Sledge III, Timothy E. Foster, Ilva Voloshin, Jill Bolton, Hope Carlisle, Lisa Shaughnessy; Wake Medical Center, Raleigh, NC: William T. Ombremsky, C. Michael LeCroy, Eric G. Meinberg, Terry M. Messer, William L. Craig III, Douglas R. Dirschl, Robert Caudle, Tim Harris, Kurt Elhert, William Hage, Robert Jones, Luis Piedrahita, Paul O. Schricker, Robin Driver, Jean Godwin, Gloria Hansley; Vanderbilt University Medical Center, Nashville, Tenn.: William T. Obremskey, Philip J. Kregor, Gregory Tennent, Lisa M. Truchan, Marcus Sciadini, Franklin D. Shuler, Robin E. Driver, Mary Alice Nading, Jacky Neiderstadt, Alexander R. Vap; MetroHealth Medical Center, Cleveland: Heather A. Vallier, Brendan M. Patterson, John H. Wilber, Roger G. Wilber, John K. Sontich, Timothy A. Moore, Drew Brady, Daniel R. Cooperman, John A. Davis, Beth Ann Cureton; Hamilton Health Sciences, Hamilton, Ont.: Scott Mandel, R. Douglas Orr, John T.S. Sadler, Tousief Hussain, Krishan Rajaratnam, Bradley Petrisor, Mohit Bhandari, Brian Drew, Drew A. Bednar, Desmond C.H. Kwok, Shirley Pettit, Jill Hancock, Natalie Sidorkewicz; Regions Hospital, Saint Paul, Minn.: Peter A. Cole, Joel J. Smith, Gregory A. Brown, Thomas A. Lange, John G. Stark, Bruce Levy, Marc Swiontkowski, Julie Agel, Mary J. Garaghty, Joshua G. Salzman, Carol A. Schutte, Linda (Toddie) Tastad, Sandy Vang; University of Louisville School of Medicine, Louisville, Ky.: David Seligson, Craig S. Roberts, Arthur L. Malkani, Laura Sanders, Sharon Allen Gregory, Carmen Dyer, Jessica Heinsen, Langan Smith, Sudhakar Madanagopal; Memorial Hermann Hospital, Houston: Kevin J. Coupe, Jeffrey J. Tucker, Allen R. Criswell, Rosemary Buckle, Alan Jeffrey Rechter, Dhiren Shaskikant Sheth, Brad Urquart, Thea Trotscher; Erie County Medical Center/University of Buffalo, Buffalo, NY: Mark J. Anders, Joseph M. Kowalski, Marc S. Fineberg, Lawrence B. Bone, Matthew J. Phillips, Bernard Rohrbacher, Philip Stegemann, William M. Mihalko, Cathy Buyea; University of Florida – Jacksonville: Stephen J. Augustine, William Thomas Jackson, Gregory Solis, Sunday U. Ero, Daniel N. Segina, Hudson B. Berrey, Samuel G. Agnew, Michael Fitzpatrick, Lakina C. Campbell, Lynn Derting, June McAdams; Academic Medical Center, Amsterdam: J. Carel Goslings, Kees Jan Ponsen, Jan Luitse, Peter Kloen, Pieter Joosse, Jasper Winkelhagen, Raphaël Duivenvoorden; University of Oklahoma Health Science Center, Oklahoma City: David C. Teague, Joseph Davey, J. Andy Sullivan, William J.J. Ertl, Timothy A. Puckett, Charles B. Pasque, John F. Tompkins II, Curtis R. Gruel, Paul Kammerlocher, Thomas P. Lehman, William R. Puffinbarger, Kathy L. Carl; University of Alberta/University of Alberta Hospital, Edmonton: Donald W. Weber, Nadr M. Jomha, Gordon R. Goplen, Edward Masson, Lauren A. Beaupre, Karen E. Greaves, Lori N. Schaump; Greenville Hospital System, Greenville, SC: Kyle J. Jeray, David R. Goetz, Davd E. Westberry, J. Scott Broderick, Bryan S. Moon, Stephanie L. Tanner; Foothills General Hospital, Calgary: James N. Powell, Richard E. Buckley, Leslie Elves; Saint John Regional Hospital, Saint John, NB: Stephen Connolly, Edward P. Abraham, Donna Eastwood, Trudy Steele; Oregon Health & Science University, Portland: Thomas Ellis, Alex Herzberg, George A. Brown, Dennis E. Crawford, Robert Hart, James Hayden, Robert M. Orfaly, Theodore Vigland, Maharani Vivekaraj, Gina L. Bundy; San Francisco General Hospital: Theodore Miclau III, Amir Matityahu, R. Richard Coughlin, Utku Kandemir, R. Trigg McClellan, Cindy Hsin-Hua Lin; Detroit Receiving Hospital: David Karges, Kathryn Cramer, J. Tracy Watson, Berton Moed, Barbara Scott; Deaconess Hospital Regional Trauma Center and Orthopaedic Associates, Evansville, Ind.: Dennis J. Beck, Carolyn Orth; Thunder Bay Regional Health Sciences Centre, Thunder Bay, Ont.: David Puskas, Russell Clark, Jennifer Jones; Jamaica Hospital, Jamaica, NY: Kenneth A. Egol, Nader Paksima, Monet France; Ottawa Hospital – Civic Campus: Eugene K. Wai, Garth Johnson, Ross Wilkinson, Adam T. Gruszczynski, Liisa Vexler.
University of Oklahoma Health Sciences Center · USImpact · CAMcMaster University · CABoston Medical Center · USWestern University · CAWestern University of Health Sciences · US
Funding
SPRINT- Randomized Trial of Tibial Fracture FixationR01AR048529 · NIAMS · UNIVERSITY OF MINNESOTA TWIN CITIES · PI SWIONTKOWSKI, MARC F · 2002 to 2006
$1.1MCIHR MCT-38140NIAMS NIH HHS R01 AR048529
Abstract
Background: Tibial shaft fractures are the most common long-bone injury, with a reported annual incidence of more than 75 000 in the United States. This study aimed to determine whether patients with tibial fractures managed with intramedullary nails experience a lower rate of reoperation if treated at higher-volume hospitals, or by higher-volume or more experienced surgeons. Methods: The Study to Prospectively Evaluate Reamed Intramedullary Nails in Patients with Tibial Fractures (SPRINT) was a multicentre randomized clinical trial comparing reamed and nonreamed intramedullary nailing on rates of reoperation to promote fracture union, treat infection or preserve the limb in patients with open and closed fractures of the tibial shaft. Using data from SPRINT, we quantified centre and surgeon volumes into quintiles. We performed analyses adjusted for type of fracture (open v. closed), type of injury (isolated v. multitrauma), gender and age for the primary outcome of reoperation using multivariable logistic regression. Results: There were no significant differences in the odds of reoperation between high- and low-volume centres (p = 0.9). Overall, surgeon volume significantly affected the odds of reoperation (p = 0.03). The odds of reoperation among patients treated by moderate-volume surgeons were 50% less than those among patients treated by verylow-volume surgeons (odds ratio [OR] 0.50, 95% confidence interval [CI] 0.28–0.88), and the odds of reoperation among patients treated by high-volume surgeons were 47% less than those among patients treated by very-low-volume surgeons (OR 0.53, 95% CI 0.30–0.93). Conclusion: There appears to be no significant additional patient benefit in treatment by a higher-volume centre for intramedullary fixation of tibial shaft fractures. Additional research on the effects of surgical and clinical site volume in tibial shaft fracture management is needed to confirm this finding. The odds of reoperation were higher in patients treated by very-low-volume surgeons; this finding may be used to optimize the results of tibial shaft fracture management. Clinical trial registration: ClinicalTrials.gov, NCT00038129
Indexed as
Fracture Fixation, IntramedullaryHospitals, High-VolumeHospitals, Low-VolumeCanadaHumansNetherlandsProspective StudiesReoperationSurgeonsTibial FracturesUnited States
Identifiers
What OpenQuestion holds
Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390
Registered trials
NCT00038129ClinicalTrials.gov
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.