Evidence map›Paper›PMID 34475168›Full record

ArticleBMJ open2021

Attaining a British consensus statement on managing idiopathic congenital talipes equinovarus (CTEV) through a Delphi process: a study protocol.

Yael Gelfer, Jose Blanco, Amanda Trees, Naomi Davis, Rachel Buckingham, Anna C Peek, Elizabeth Wright, Rohan Rajan, William Guy Atherton, Denise Watson and 5 more

Abstract read
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Yael GelferTrauma and Orthopaedic Department, St George's Hospital, London, UK yaelgelfer@gmail.com.ORCID 0000-0001-8212-9999
Jose BlancoPaediatric Orthopaedics, North West Anglia NHS Foundation Trust, Peterborough, UK.
Amanda TreesPhysiotherapy, James Cook University Hospital, Middlesbrough, UK.
Naomi DavisPaediatric Orthopaedic Surgery, Manchester University NHS Foundation Trust, Manchester, UK.
Rachel BuckinghamPaediatric Orthopaedics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Anna C PeekPaediatric Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK.
Elizabeth WrightOrthopaedics, Southampton Children's Hospital, Southampton, UK.
Rohan RajanOrthopaedics, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
William Guy AthertonTrauma and Orthopaedics, Bristol Royal Hospital for Children, Bristol, UK.
Denise WatsonPhysiotherapy, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
Vicky EastonPaediatric Physiotherapy, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Neeraj GargOrthopaedics, Alder Hey Children's Hospital, Liverpool, UK.
Jason MavrotasCore Surgical Trainee, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.
Sally TennantPaediatric Orthopaedics, Royal National Orthopaedic Hospital NHS Trust, London, UK.
Tim TheologisPaediatric Orthopaedic Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.ORCID 0000-0002-4758-9081

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIdiopathic congenital talipes equinovarus (CTEV) is the most common congenital limb deformity. Non-operative intervention using the Ponseti method has shown to be superior to soft tissue release and has become the gold standard for first-line treatment. However, numerous deviations from the Ponseti protocol are still reported following incomplete correction or deformity relapse. Significant variation in treatment protocols and management is evident in the literature. Reducing geographical treatment variation has been identified as one of The James Lind Alliance priorities in children's orthopaedics. For this reason, the British Society of Children's Orthopaedic Surgery (BSCOS) commissioned a consensus document to form a benchmark for practitioners and ensure consistent high quality care for children with CTEV. METHODS AND ANALYSIS: The consensus will follow an established Delphi approach aiming at gaining an agreement on the items to be included in the consensus statement for the management of primary idiopathic CTEV up to walking age. The process will include the following steps: (1) establishing a steering group, (2) steering group meetings, (3) a two-round Delphi survey aimed at BSCOS members, (4) final consensus meeting and (5) dissemination of the consensus statement. Degree of agreement for each item will be predetermined. Descriptive statistics will be used for analysis of the Delphi survey results. ETHICS AND DISSEMINATION: No patient involvement is required for this project. Informed consent will be assumed from participants taking part in the Delphi survey. Study findings will be published in an open access journal and presented at relevant national and international conferences. Charities and associations will be engaged to promote awareness of the consensus statement.

Indexed as

ClubfootOrthopedic ProceduresChildConsensusDelphi TechniqueHumansResearch DesignResearch Reportpaediatric orthopaedicsprotocols & guidelinesstatistics & research methods

Identifiers

PMID34475168
PMCPMC8413928

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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.