Evidence map›Paper›PMID 36229837›Full record

ArticleBMC musculoskeletal disorders2022

Sex differences in patients' recovery following an acute Achilles tendon rupture - a large cohort study.

Elin Larsson, Annelie Brorsson, Malin Carling, Christer Johansson, Michael R Carmont, Katarina Nilsson Helander

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Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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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

5 citing papers in PubMed.

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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.

Elin LarssonThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, Gothenburg , Sweden. elin.ma.larsson@vgregion.se.
Annelie BrorssonIFK Kliniken Rehab, Gothenburg, Sweden.
Malin CarlingThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, Gothenburg , Sweden.
Christer JohanssonThe Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Michael R CarmontThe Department of Orthopaedics, Institute of Clinical Science at Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Katarina Nilsson HelanderThe Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, Gothenburg , Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe incidence of Achilles tendon ruptures (ATR) has increased over the past few decades. Treatment may be individualised based upon multiple factors including age, pre-injury activity level and the separation of the ruptured tendon ends. Several studies indicate that women may have a poorer self-reported and clinical outcome compared with men, but the number of women in these studies is often small due to the different incidence of ATR between the genders.

aimsThe primary aim of this study was to evaluate whether there is a difference in self-reported outcome after an acute ATR between women and men at one to five years following injury. The second aim was to compare the outcome between the surgically and non-surgically treated patients.

methodsData were obtained from the medical charts of patients treated for an acute ATR between 1 and 2015 and 31 December 2020 at Sahlgrenska University Hospital/Mölndal. The Achilles tendon total rupture score (ATRS) and additional questions relating to treatment and recovery were determined. A multiple regression analysis was performed to isolate the impact of sex when comparing the patient-reported outcome between women and men.

resultsA total of 856 patients were included of which 66% participated prospectively. Sex, BMI and age were found to be significant factors influencing the total ATRS score. Female gender resulted in a lower ATRS, 7.8 points (CI = 3.3 to 12.3), than male gender. It was found that treatment did not significantly predict the results of the ATRS.

conclusionTo our knowledge, this is the first report with a larger number of women included showing that female sex predicts inferior self-reported results after an acute ATR.

Indexed as

Achilles TendonAnkle InjuriesTendon InjuriesAcute DiseaseCohort StudiesFemaleHumansMaleRuptureSex CharacteristicsTreatment OutcomeAchilles tendon ruptureAchilles tendon total rupture scoreATRSexesTreatment

Identifiers

PMID36229837
PMCPMC9559013

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