Evidence map›Paper›PMID 35638218›Full record

ArticleThe bone & joint journal2022

Attaining a British consensus on managing idiopathic congenital talipes equinovarus up to walking age.

Yael Gelfer, Naomi Davis, Jose Blanco, Rachel Buckingham, Amanda Trees, Jason Mavrotas, Sally Tennant, Tim Theologis

Abstract readConsensus Statement
In one paragraph

Article in The bone & joint journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. 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

8 authors.

Yael GelferSt George's Hospital, London, UK.ORCID 0000-0001-8212-9999
Naomi DavisRoyal Manchester Children's Hospital, Manchester, UK.
Jose BlancoNorth West Anglia NHS Foundation Trust, Peterborough, UK.
Rachel BuckinghamOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Amanda TreesJames Cook University Hospital, Middlesbrough, UK.
Jason MavrotasNewcastle Upon Tyne Hospitals NHS Trust, Newcastle, UK.
Sally TennantRoyal National Orthopaedic Hospital NHS Trust, London, UK.
Tim TheologisOxford 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

aimsThe aim of this study was to gain an agreement on the management of idiopathic congenital talipes equinovarus (CTEV) up to walking age in order to provide a benchmark for practitioners and guide consistent, high-quality care for children with CTEV.

methodsThe consensus process followed an established Delphi approach with a predetermined degree of agreement. The process included the following steps: establishing a steering group; steering group meetings, generating statements, and checking them against the literature; a two-round Delphi survey; and final consensus meeting. The steering group members and Delphi survey participants were all British Society of Children's Orthopaedic Surgery (BSCOS) members. Descriptive statistics were used for analysis of the Delphi survey results. The Appraisal of Guidelines for Research & Evaluation checklist was followed for reporting of the results.

resultsThe BSCOS-selected steering group, the steering group meetings, the Delphi survey, and the final consensus meeting all followed the pre-agreed protocol. A total of 153/243 members voted in round 1 Delphi (63%) and 132 voted in round 2 (86%). Out of 61 statements presented to round 1 Delphi, 43 reached 'consensus in', no statements reached 'consensus out', and 18 reached 'no consensus'. Four statements were deleted and one new statement added following suggestions from round 1. Out of 15 statements presented to round 2, 12 reached 'consensus in', no statements reached 'consensus out', and three reached 'no consensus' and were discussed and included following the final consensus meeting. Two statements were combined for simplicity. The final consensus document includes 57 statements allocated into six successive stages.

conclusionWe have produced a consensus document for the treatment of idiopathic CTEV up to walking age. This will provide a benchmark for standard of care in the UK and will help to reduce geographical variability in treatment and outcomes. Appropriate dissemination and implementation will be key to its success. Cite this article:

Indexed as

ClubfootChild, PreschoolDelphi TechniqueHumansInfantInfant, NewbornWalkingcliniciansclubfeetClubfootcongenital talipes equinovarusConsensusCTEVDelphiDelphi techniquefoot abduction braceOrthopaedic Surgerypaediatric orthopaedicpaediatric orthopaedic surgeonsPonseti methodsoft-tissue releaseStandard of care

Identifiers

PMID35638218
PMCPMC9948433

What OpenQuestion holds

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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.