Evidence map›Paper›PMID 35572419›Full record

ArticleJSES international2022

The quality and accuracy of direct-to-consumer biologic marketing for shoulder pathology are poor.

Mathangi Sridharan, Marisa Ulrich, Ryan Thacher, Steven Swinehart, Michael R Baria, Grant L Jones, Julie Y Bishop, Gregory L Cvetanovich, Ryan C Rauck

Open access · goldAbstract read
In one paragraph

Article in JSES international, 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
0.3field-weighted citation impact, top 43% 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

9 authors at 2 institutions in 1 country.

Mathangi SridharanDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Marisa UlrichDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Ryan ThacherDepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Steven SwinehartDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Michael R BariaDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Grant L JonesDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Julie Y BishopDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Gregory L CvetanovichDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Ryan C RauckDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
The Ohio State University Wexner Medical Center · USHospital for Special Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The growing role of biologic therapies as adjunct or standalone procedures in orthopedic practice has led to greater levels of direct-to-consumer biologic marketing. The present study aims to assess the quality, accuracy, and readability of online educational resources available to patients regarding biologic therapies for shoulder pathology. Methods: Eight search terms relevant to shoulder biologic therapies (shoulder + BMAC, Bone Marrow Aspirate Concentrate, PRP, Platelet Rich Plasma, Lipogems, Adipose Tissue, Biologic therapy, and Stem cell therapy) were searched across three separate search engines. The first 25 websites of each search were recorded. Duplicate websites and those not specific to shoulder pathology were excluded. Three evaluators independently assessed quality using an author-derived scoring rubric for a total of 25 possible points and accuracy for a total of 12 possible points. The Flesch-Kincaid readability test was used to quantify reading levels. Websites were further characterized by authorship and the presence of commercial bias. Results: Of the 600 results from the initial search, 59 met inclusion criteria. The mean quality of the websites was poor, with 7.97 ± 2.3 of 25 points (32%). The mean accuracy was low, with 8.47 ± 1.52 of 12 points (71%). The average reading level was 11.2 ± 1.93, with 32% of websites' reading at greater than 12 Discussion: The online resources available to patients seeking information about biologic therapies for the treatment of shoulder pathologies are of very poor quality, moderately poor accuracy, and advanced readability. Providers should caution patients about the reliability of direct-to-consumer biologic marketing for shoulder pathology. Conclusion: The information available to patients online regarding the diagnosis, evaluation, and treatment of shoulder pathology with biologic therapies is of poor quality and accuracy and difficult readability.

Indexed as

Adipose tissueBiologic therapyBone marrow aspirate concentrateLipogemsPlatelet-rich plasmaShoulderStem cell therapy

Identifiers

PMID35572419
PMCPMC9091716
OpenAlexW4210514732

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.