Evidence map›Paper›PMID 35413876›Full record

ArticleTrials2022

Patient and clinician characteristics and preferences for increasing participation in placebo surgery trials: a scoping review of attributes to inform a discrete choice experiment.

Madeleine Hinwood, Laura Wall, Danielle Lang, Zsolt J Balogh, Angela Smith, Michelle Dowsey, Phillip Clarke, Peter Choong, Samantha Bunzli, Francesco Paolucci

Open access · goldAbstract readScoping Review
In one paragraph

Article in Trials, 2022. 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
0.4field-weighted citation impact, top 46% 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.

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, 3 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

10 authors at 5 institutions in 2 countries.

Madeleine HinwoodSchool of Medicine and Public Health, University of Newcastle, Newcastle, Australia. Madeleine.Hinwood@newcastle.edu.au.ORCID http://orcid.org/0000-0002-2225-973X
Laura WallNewcastle Business School, University of Newcastle, Newcastle, Australia.ORCID https://orcid.org/0000-0002-3070-387X
Danielle LangSchool of Medicine and Public Health, University of Newcastle, Newcastle, Australia.ORCID https://orcid.org/0000-0002-3703-8112
Zsolt J BaloghDepartment of Traumatology, John Hunter Hospital and the University of Newcastle, Newcastle, Australia.ORCID https://orcid.org/0000-0002-0277-4822
Angela SmithHunter New England Local Health District, Newcastle, Australia.
Michelle DowseyDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Australia, Fitzroy, Australia.ORCID https://orcid.org/0000-0002-9708-5308
Phillip ClarkeSchool of Population and Global Health, University of Melbourne, Australia, Parkville, Australia.ORCID https://orcid.org/0000-0002-7555-5348
Peter ChoongDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Australia, Fitzroy, Australia.ORCID https://orcid.org/0000-0002-3522-7374
Samantha BunzliDepartment of Surgery, St Vincent's Hospital, University of Melbourne, Australia, Fitzroy, Australia.
Francesco PaolucciNewcastle Business School, University of Newcastle, Newcastle, Australia.ORCID https://orcid.org/0000-0001-6173-5324
The University of Melbourne · AUHunter Medical Research Institute · AUUniversity of Newcastle Australia · AUHunter New England Local Health District · AUJohn Hunter Hospital · AU

Funding

National Health and Medical Research Council APP1122526National Health and Medical Research Council APP1154203National Health and Medical Research Council APP1163613
6 · The paper itself

Abstract

backgroundOrthopaedic surgeries include some of the highest volume surgical interventions globally; however, studies have shown that a significant proportion of patients report no clinically meaningful improvement in pain or function after certain procedures. As a result, there is increasing interest in conducting randomised placebo-controlled trials in orthopaedic surgery. However, these frequently fail to reach recruitment targets suggesting a need to improve trial design to encourage participation. The objective of this study was to systematically scope the available evidence on patient and clinician values and preferences which may influence the decision to participate in placebo surgery trial.

methodsA systematic review was conducted via a literature search in the MEDLINE, Embase, PsycInfo, CINAHL, and EconLit databases as of 19 July 2021, for studies of any design (except commentaries or opinion pieces) based on two key concepts: patient and clinician characteristics, values and preferences, and placebo surgery trials.

resultsOf 3424 initial articles, we retained 18 eligible studies. Characteristics, preferences, values, and attitudes of patients (including levels of pain/function, risk/benefit perception, and altruism) and of clinicians (including concerns regarding patient deception associated with placebo, and experience/training in research) influenced their decisions to participate in placebo-controlled trials. Furthermore, some aspects of trial design, including randomisation procedures, availability of the procedure outside of the trial, and the information and consent procedures used, also influenced decisions to participate.

conclusionParticipant recruitment is a significant challenge in placebo surgery trials, and individual decisions to participate appear to be sensitive to preferences around treatment. Understanding and quantifying the role patient and clinician preferences may play in surgical trials may contribute to the optimisation of the design and implementation of clinical trials in surgery.

Indexed as

OrthopedicsHumansPain

Identifiers

PMID35413876
PMCPMC9006556
OpenAlexW4223444750

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.