Evidence map›Paper›PMID 36521890›Full record

SynthesisBMJ open2022

Quality and reporting of patient-reported outcomes in elderly patients with hip fracture: a systematic review.

Puck van der Vet, Sandra Wilson, R Marijn Houwert, Egbert-Jan Verleisdonk, Marilyn Heng

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMJ 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
1.1field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
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 at 3 institutions in 2 countries.

Puck van der VetDepartment of Trauma Surgery, University Medical Centre Utrecht, Utrecht, Netherlands puck_vandervet94@hotmail.com.ORCID 0000-0003-1577-1660
Sandra WilsonDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
R Marijn HouwertDepartment of Trauma Surgery, University Medical Centre Utrecht, Utrecht, Netherlands.
Egbert-Jan VerleisdonkDepartment of Surgery, Diakonessenhuis, Zeist, Netherlands.
Marilyn HengDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0000-0002-4047-6818
Massachusetts General Hospital · USUniversity Medical Center Utrecht · NLDiakonessenhuis hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess how patient-reported outcomes (PROs) are reported and to assess the quality of reporting PROs for elderly patients with a hip fracture in both randomised controlled trials (RCTs) and observational studies.

designSystematic review. DATA SOURCES: Medline, Embase and CENTRAL were searched on 1 March 2013 to 25 May 2021. ELIGIBILITY CRITERIA: RCTs and observational studies on geriatric (≥65 years of age) patients, with one or more PRO as outcome were included. DATA EXTRACTION AND SYNTHESIS: Primary outcome was type of PRO; secondary outcome and quality assessment was measured by adherence to the Consolidated Standards of Reporting Trials (CONSORT) extension for patient-reported outcomes (CONSORT-PRO). Because of heterogeneity in study population and outcomes, data pooling was not possible.

results3659 studies were found in the initial search. Of those, 67 were included in the final analysis. 83.6% of studies did not adequately mention missing data, 52.3% did not correctly report how PROs were collected and 61.2% did not report adequate effect size. PRO limitations were adequately reported in 20.9% of studies and interpretation of PROs was adequately reported in 19.4% of studies. Most Quality of Life (QoL) outcomes were measured by the EuroQol 5-Dimension 3-Levels, and pain as well as patient satisfaction by Visual Analogue Scale.

conclusionThis study found that a high variety of PRO measures are used to evaluate geriatric hip fracture care. In addition, 47.8% of studies examining PROs in elderly patients with hip fracture do not satisfy at least 50% of the CONSORT-PRO criteria. This enables poorly conducted research to be published and used in evidence-based medicine and, consequently, shared decision-making. More efforts should be undertaken to improve adequate reporting. We believe extending the CONSORT-PRO extension to Strengthening the Reporting of Observational Studies in Epidemiology for observational studies would be a valuable addition to current guidelines.

Indexed as

Patient Reported Outcome MeasuresQuality of LifeAgedHumansObservational Studies as TopicRandomized Controlled Trials as TopicReference StandardsGERIATRIC MEDICINEHipOrthopaedic & trauma surgery

Identifiers

PMID36521890
PMCPMC9756149
OpenAlexW4311731227

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.