Evidence map›Paper›PMID 35400136›Full record

ArticleOrthopaedic journal of sports medicine2022

Effect of Osteochondroplasty on Time to Reoperation After Arthroscopic Management of Femoroacetabular Impingement: Analysis of a Randomized Controlled Trial.

Jeffrey Kay, Nicole Simunovic, Olufemi R Ayeni, FIRST Investigators, Mohit Bhandari, Asheesh Bedi, Teppo Järvinen, Volker Musahl, Douglas Naudie, Matti Seppänen and 39 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
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. It is linked to trial NCT01623843 (Femoroacetabular Impingement RandomiSed Controlled Trial), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% 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.

NCT01623843 nacompletednot on this map

Femoroacetabular Impingement RandomiSed Controlled Trial (FIRST); Sub-study: Femoroacetabular Impingement RandomiSed Controlled Trial With an Embedded Prospective Cohort (FIRST-EPIC)

TypeinterventionalSponsorMcMaster UniversityRan2012 to 2020Enrolled220ConditionsFemoroacetabular ImpingementArmsArthroscopic Lavage, Arthroscopic Osteochondroplasty
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  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

49 authors at 1 institution in 2 countries.

Jeffrey KayAll authors are listed in the Authors section at the end of this article.
Nicole SimunovicAll authors are listed in the Authors section at the end of this article.
Olufemi R AyeniAll authors are listed in the Authors section at the end of this article.
FIRST Investigators
Mohit BhandariAll authors are listed in the Authors section at the end of this article.
Asheesh BediAll authors are listed in the Authors section at the end of this article.
Teppo JärvinenAll authors are listed in the Authors section at the end of this article.
Volker MusahlAll authors are listed in the Authors section at the end of this article.
Douglas NaudieAll authors are listed in the Authors section at the end of this article.
Matti SeppänenAll authors are listed in the Authors section at the end of this article.
Gerard SlobogeanAll authors are listed in the Authors section at the end of this article.
Lehana ThabaneAll authors are listed in the Authors section at the end of this article.
Andrew DuongAll authors are listed in the Authors section at the end of this article.
Matthew SkellyAll authors are listed in the Authors section at the end of this article.
Ajay ShanmugarajAll authors are listed in the Authors section at the end of this article.
Sarah CrouchAll authors are listed in the Authors section at the end of this article.
Sheila SpragueAll authors are listed in the Authors section at the end of this article.
Diane Heels-AnsdellAll authors are listed in the Authors section at the end of this article.
Lisa BuckinghamAll authors are listed in the Authors section at the end of this article.
Tim RamsayAll authors are listed in the Authors section at the end of this article.
John LeeAll authors are listed in the Authors section at the end of this article.
Petteri KousaAll authors are listed in the Authors section at the end of this article.
Sasha CarsenAll authors are listed in the Authors section at the end of this article.
Hema ChoudurAll authors are listed in the Authors section at the end of this article.
Yan SimAll authors are listed in the Authors section at the end of this article.
Kelly JohnstonAll authors are listed in the Authors section at the end of this article.
Ivan WongAll authors are listed in the Authors section at the end of this article.
Ryland MurphyAll authors are listed in the Authors section at the end of this article.
Sara SparavaloAll authors are listed in the Authors section at the end of this article.
Daniel WhelanAll authors are listed in the Authors section at the end of this article.
Ryan KhanAll authors are listed in the Authors section at the end of this article.
Gavin C A WoodAll authors are listed in the Authors section at the end of this article.
Fiona HowellsAll authors are listed in the Authors section at the end of this article.
Heather GrantAll authors are listed in the Authors section at the end of this article.
Bryn ZomarAll authors are listed in the Authors section at the end of this article.
Michael PollockAll authors are listed in the Authors section at the end of this article.
Kevin WillitsAll authors are listed in the Authors section at the end of this article.
Andrew FirthAll authors are listed in the Authors section at the end of this article.
Stacey WanlinAll authors are listed in the Authors section at the end of this article.
Alliya RemtullaAll authors are listed in the Authors section at the end of this article.
Nicole KanikiAll authors are listed in the Authors section at the end of this article.
Etienne L BelzileAll authors are listed in the Authors section at the end of this article.
Sylvie TurmelAll authors are listed in the Authors section at the end of this article.
Uffe JørgensenAll authors are listed in the Authors section at the end of this article.
Annie Gam-PedersenAll authors are listed in the Authors section at the end of this article.
Raine SihvonenAll authors are listed in the Authors section at the end of this article.
Marko Raivio SihvonenAll authors are listed in the Authors section at the end of this article.
Pirjo Toivonen SihvonenAll authors are listed in the Authors section at the end of this article.
Mari Pirjetta RoutapohjaAll authors are listed in the Authors section at the end of this article.
School of the Art Institute of Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A subset of patients with femoroacetabular impingement (FAI) fail arthroscopic management. It is not clear which patients will fail surgical management; however, several surgical and patient factors, such as type of procedure and age, are thought to be important predictors. Purpose: This time-to-event analysis with a 27-month follow-up analysis compared the effect of (1) arthroscopic osteochondroplasty with or without labral repair versus (2) arthroscopic lavage with or without labral repair on the time to reoperation in adults aged 18 to 50 years with FAI. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Eligible participants had been randomized in a previous study trial to a treatment of arthroscopic osteochondroplasty or arthroscopic lavage with or without labral repair. Using the comprehensive data set from the Multinational Femoroacetabular Impingement Randomized controlled Trial, all reoperations until 27 months after surgery were identified. The analysis was conducted using a Cox proportional hazards model, with percentage of patients with a reoperation evaluated in a time-to-event analysis as the outcome. The independent variable was the procedure, with age and impingement subtype explored as potential covariates. The effects from the Cox model were expressed as the hazard ratio (HR). All tests were 2-sided, with an alpha level of .05. Results: A total of 108 patients in the osteochondroplasty group and 106 patients in the lavage group were included. The mean age of the patients included in the study was 36 ± 8.5 years. Overall, 27 incident reoperations were identified within the 27-month follow-up, with an incidence rate of 6 per 100 person-years. Within the osteochondroplasty group, 8 incident reoperations were identified (incidence rate, 3.4 per 100 person-years), while within the lavage group, 19 incident reoperations were identified (incidence rate, 8.7 per 100 person-years). The hazard of reoperation for patients undergoing osteochondroplasty was 40% of that of patients undergoing lavage (HR, 0.40 [95% CI, 0.17-0.91] Conclusion: This study demonstrated that for adults between the ages of 18 and 50 years with FAI, arthroscopic osteochondroplasty was associated with a 2.5-fold decrease in the hazard of reoperation at any point in time compared with arthroscopic lavage. Registration: NCT01623843 (ClinicalTrials.gov identifier).

Indexed as

arthroscopic surgeryfemoroacetabular impingementfemoroplastyhip impingementhip labral tearlabral repairosteochondroplasty

Identifiers

PMID35400136
PMCPMC8988676
OpenAlexW4223433442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.