Evidence map›Paper›PMID 36029012›Full record

ArticleOrthopaedic surgery2022

Preference of Orthopedic Practitioners Toward the Use of Topical Medicine for Musculoskeletal Pain Management in China: A National Survey.

Fengyao Mei, Jiaojiao Li, Liyi Zhang, Jiaxiang Gao, Bin Wang, Qi Zhou, Yuankun Xu, Chi Zhou, Jiaguo Zhao, Pei Li and 8 more

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 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
2.2field-weighted citation impact, top 13% 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, 7 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

18 authors at 14 institutions in 2 countries.

Fengyao MeiArthritis Clinic and Research Center, Peking University People's Hospital, Beijing, China.
Jiaojiao LiSchool of Biomedical Engineering, Faculty of Engineering and IT, University of Technology Sydney, Ultimo, Australia.
Liyi ZhangArthritis Clinic and Research Center, Peking University People's Hospital, Beijing, China.
Jiaxiang GaoArthritis Clinic and Research Center, Peking University People's Hospital, Beijing, China.
Bin WangDepartment of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID https://orcid.org/0000-0002-5474-1002
Qi ZhouEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou, China.
Yuankun XuOrthopedic department, The First Affiliated Hospital of Senior High School University of traditional Chinese Medicine, Guiyang, China.
Chi ZhouThe First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, China.
Jiaguo ZhaoDepartment of Orthopadic Surgery, Tianjin Hospital, Tianjin, China.ORCID https://orcid.org/0000-0001-5799-3988
Pei LiShockwave Medical Center Department, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China.
Yu ZhaoDepartment of Orthopedics, Second Hospital of Shanxi Medical University, Taiyuan, China.
Ting YuanDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Weili FuDepartment of Orthopedics, West China Hospital, Sichuan University, Chengdu, China.ORCID https://orcid.org/0000-0003-4438-2760
Chuan LiDepartment of Orthopedics, 920th Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Kunming, China.
Yinghui JinCenter for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.
Pei YangDepartment of Bone and Joint Surgery, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.ORCID https://orcid.org/0000-0002-0466-2875
Dan XingArthritis Clinic and Research Center, Peking University People's Hospital, Beijing, China.ORCID https://orcid.org/0000-0001-6966-3134
Jianhao LinArthritis Clinic and Research Center, Peking University People's Hospital, Beijing, China.ORCID https://orcid.org/0000-0003-1830-9244
Peking University · CNCentral Hospital Affiliated to Shenyang Medical College · CNFirst Affiliated Hospital of Guangzhou University of Chinese Medicine · CNFirst Affiliated Hospital Zhejiang University · CNGuiyang College of Traditional Chinese Medicine · CNLanzhou University · CNPeople's Liberation Army 401 Hospital · CNSecond Affiliated Hospital of Xi'an Jiaotong University · CNShanghai Jiao Tong University · CNShanxi Medical University · CNSichuan University · CNTianjin Hospital · CNUniversity of Technology Sydney · AUWuhan University · CN

Funding

Peking University People's Hospital Scientific Research Development Funds RDX2020-02
6 · The paper itself

Abstract

objectiveMusculoskeletal pain is having growing impacts worldwide with clinical challenge in pain management. The purpose of the present study is to investigate the preferences of orthopedic surgeons of China for using medicine in musculoskeletal pain.

methodsA questionnaire was developed, including the following domains, personal information, medication preference for pain treatment, and perceptions of topical medicine. Ten participants were selected to confirm the consistency of questionnaire. A cross-sectional survey was conducted in orthopedic physicians with different specialties in different regions of China via the online survey platform. The participants' survey results were analyzed one-way and multi-way using chi-square test and logistic regression.

resultsThe pre-survey analysis results of 10 randomly selected investigators were a mean weighted kappa coefficient of 0.76 (range 0.61-0.89), which indicated the substantial consistency of the present questionnaire. A total of 1099 orthopedic surgeons (mean age, 41.67 ± 8.31 years) responded to our survey, most of whom were male (90.72%), and most of whom worked in level III hospitals (63.24%) and trained in modern medicine (71.43%). Most surgeons who participated in the survey had used topical analgesics in their clinical work (95.81%), and most preferred to use topical analgesics (39.50%) or a combination of oral analgesics (28.87%). Primary reasons for preferring topical analgesics were as follows: less adverse reactions (68.01%); ease of use (60.90%); and not interfering with other oral medications (49.60%). The preference for prescribing topical analgesics increased with the education level of the respondent, where statistically significant differences were seen (P < 0.05). In addition, the level of the respondent's hospital, type of hospital, the respondent's profession, and their participation in surgical work influenced their preferences for topical analgesics (P < 0.05).

conclusionOrthopedic surgeons across China have different medication preferences in the treatment of musculoskeletal pain. The educational background of the physician largely influences the preference when selecting medications. To better improve the treatment of musculoskeletal pain, there is a need to improve the overall medical education of practitioners and to disseminate clinical practice guidelines.

Indexed as

Musculoskeletal PainOrthopedicsAdultAnalgesicsCross-Sectional StudiesFemaleHumansMaleMiddle AgedPain ManagementAnalgesicsMusculoskeletal painNational surveyPractitionerPreferenceTopical medicine

Identifiers

PMID36029012
PMCPMC9531060
OpenAlexW4293315414

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.