Evidence map›Paper›PMID 36040530›Full record

SynthesisArchives of orthopaedic and trauma surgery2023

A meta-analysis assessing time for return to sport following hip resurfacing.

A Magan, W Wignadasan, B Kayani, G Radhakrishnan, F Ronca, F S Haddad

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. 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

6 authors.

A MaganDepartment of Trauma and Orthopaedic Surgery, University College Hospital, 235 Euston Road, Fitzrovia, NW1 2BU, London, UK.
W WignadasanDepartment of Trauma and Orthopaedic Surgery, University College Hospital, 235 Euston Road, Fitzrovia, NW1 2BU, London, UK. warran.wignadasan@gmail.com.ORCID http://orcid.org/0000-0001-5695-1516
B KayaniDepartment of Trauma and Orthopaedic Surgery, University College Hospital, 235 Euston Road, Fitzrovia, NW1 2BU, London, UK.
G RadhakrishnanDepartment of Trauma and Orthopaedic Surgery, University College Hospital, 235 Euston Road, Fitzrovia, NW1 2BU, London, UK.
F RoncaInstitute of Sports, Health and Exercise, University College Hospital, 235 Euston Road, Fitzrovia, NW1 2BU, London, UK.
F S HaddadDepartment of Trauma and Orthopaedic Surgery, University College Hospital, 235 Euston Road, Fitzrovia, NW1 2BU, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip resurfacing arthroplasty (HRA) is associated with excellent functional outcomes and return to pre-disease level of activity. The time for return to sport (RTS) following HRA remains unknown. The aim of this meta-analysis was to establish the time for RTS following HRA.

methodsA search was performed on PUBMED, MEDLINE, EMBASE, and the Cochrane Library for trials on HRA and RTS, in the English language, published from the inception of the database to October 2020. In addition, a manual search was performed of relevant sports medicine and orthopaedic journals, and the bibliographies reviewed for eligible trials. All clinical trials reporting on time to RTS following HRA were included. Data relating to patient demographics, methodological quality, operation type, RTS, clinical outcomes, and complications were recorded by two independent reviewers. The PRISMA guidelines for reporting meta-analyses was used to undertake this study.

resultsThe initial literature search identified 1559 studies and nine further studies were found. Of these, 11 studies with a total of 659 patients matched the inclusion criteria. Two studies involving a total of 94 patients demonstrated an overall pooled proportion of 91.8% (95% CI 71.8-100) of patients RTS by three months post-operatively. Four studies including a total of 265 patients determined a pooled proportion of 96.8% (95% CI 91.0-99.7) of patients able to RTS by the 6-month post-operative stage. Pooled proportion analysis from all 11 studies comprising 659 patients showed 90.9% (95% CI 82.2-96.9) of patients were able to RTS by final follow up of 3 years.

conclusionPooled proportion analysis showed an increasing number of patients were able to RTS after HRA over the first one year after surgery. There remains marked inter and intra-study variations in time for RTS but the pooled analysis shows that over 80% of patients were able to RTS at 6 to 12 months after HRA. The findings of this meta-analysis will enable more informed discussions between patients and healthcare professionals about time for RTS following HRA.

Indexed as

Arthroplasty, Replacement, HipReturn to SportHumansHip resurfacing arthroplastyHRASportsSports after HRA

Identifiers

PMID36040530

What OpenQuestion holds

Textmetadata
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.