Evidence map›Paper›PMID 36120500›Full record

ReviewJPRAS open2022

Primary treatment of type B post-axial ulnar polydactyly: A systematic review and meta-analysis.

Harsh Samarendra, Ryckie G Wade, Louise Glanvill, Justin Wormald, Abhilash Jain

Abstract readReview
In one paragraph

Review in JPRAS open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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. Article
  2. Article
  3. Article
  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

5 authors.

Harsh SamarendraDepartment of Plastic and Reconstructive Surgery, Imperial College Healthcare NHS Trust, Flat 2, 17 Wyfold Road, London SW6 6SE, UK.
Ryckie G WadeDepartment of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals Trust, Leeds, UK.
Louise GlanvillDepartment of Plastic and Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, UK.
Justin WormaldDepartment of Plastic and Reconstructive Surgery, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.
Abhilash JainDepartment of Plastic and Reconstructive Surgery, Imperial College Healthcare NHS Trust, Flat 2, 17 Wyfold Road, London SW6 6SE, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Optimal management of pedunculated ulnar polydactyly is not defined. This systematic review summarises objective and patient-reported outcomes following primary treatment. Two authors screened articles for inclusion according to a PROSPERO published protocol. The meta-analysis of adverse events was performed, and a narrative synthesis of satisfaction and patient-reported outcomes was reported. The risk of bias was assessed using Cochrane's ROBINS-I tool. Of 1650 articles identified, 15 were eligible, including 13 single-arm and 2 multi-arm studies. Complications were 6 times as likely with ligation procedures (22%), compared to surgical removal (1%) whether this was performed in the outpatient setting or operating theatre (OR 6.89 [95% CI 1.73, 27]). Parent-reported satisfaction was high for all treatments. Studies were at high risk of bias and low methodological quality. Outcome measurement and follow-up were heterogenous. Well-designed prospective observational and experimental studies are required to inform practice, incorporating clinician and parent-reported outcomes and economic analyses. Level of evidence: I.

Indexed as

Adverse eventsExcision ligationPatient-reported outcomesSurgical outcomesUlnar polydactyly

Identifiers

PMID36120500
PMCPMC9478869

What OpenQuestion holds

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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.