Evidence map›Paper›PMID 35284586›Full record

ArticleOrthopaedic journal of sports medicine2022

What Are the Causes and Consequences of Delayed Surgery for Pediatric Tibial Spine Fractures? A Multicenter Study.

Haley E Smith, Aristides I Cruz, R Justin Mistovich, Tomasina M Leska, Theodore J Ganley, Julien T Aoyama, Henry B Ellis, Indranil Kushare, Rushyuan J Lee, Scott D McKay and 5 more

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In one paragraph

Article in Orthopaedic journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

15 authors.

Haley E SmithAll authors are listed in the Authors section at the end of this article.
Aristides I CruzAll authors are listed in the Authors section at the end of this article.
R Justin MistovichAll authors are listed in the Authors section at the end of this article.
Tomasina M LeskaAll authors are listed in the Authors section at the end of this article.
Theodore J GanleyAll authors are listed in the Authors section at the end of this article.
Julien T AoyamaAll authors are listed in the Authors section at the end of this article.
Henry B EllisAll authors are listed in the Authors section at the end of this article.
Indranil KushareAll authors are listed in the Authors section at the end of this article.
Rushyuan J LeeAll authors are listed in the Authors section at the end of this article.
Scott D McKayAll authors are listed in the Authors section at the end of this article.
Todd A MilbrandtAll authors are listed in the Authors section at the end of this article.
Jason T RhodesAll authors are listed in the Authors section at the end of this article.
Brant C SachlebenAll authors are listed in the Authors section at the end of this article.
Gregory A SchmaleAll authors are listed in the Authors section at the end of this article.
Neeraj M PatelAll authors are listed in the Authors section at the end of this article.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The uncommon nature of tibial spine fractures (TSFs) may result in delayed diagnosis and treatment. The outcomes of delayed surgery are unknown. Purpose: To evaluate risk factors for, and outcomes of, delayed surgical treatment of pediatric TSFs. Study Design: Cohort study; Level of evidence, 3. Methods: The authors performed a retrospective cohort study of TSFs treated surgically at 10 institutions between 2000 and 2019. Patient characteristics and preoperative data were collected, as were intraoperative information and postoperative complications. Surgery ≥21 days after injury was considered delayed based on visualized trends in the data. Univariate analysis was followed by purposeful entry multivariate regression to adjust for confounders. Results: A total of 368 patients (mean age, 11.7 ± 2.9 years) were included, 21.2% of whom underwent surgery ≥21 days after injury. Patients who experienced delayed surgery had 3.8 times higher odds of being diagnosed with a TSF at ≥1 weeks after injury (95% CI, 1.1-14.3; Conclusion: Patients who underwent delayed surgery for TSFs were found to have a higher rate of concomitant meniscal injury, longer procedure duration, and more postoperative arthrofibrosis when the surgery length was >2.5 hours. Those who experienced delays in diagnosis or MRI, saw multiple clinicians, and had public insurance were more likely to have a delay to surgery.

Indexed as

pediatric kneepediatric sports medicinetibial eminencetibial spine

Identifiers

PMID35284586
PMCPMC8905066

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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.