Evidence map›Paper›PMID 37105597›Full record

ArticleBMJ paediatrics open2023

Development and validation of the paediatric elbow trauma (PET) rules as a decision rule for radiography in traumatic elbow injuries: a study protocol.

Tim Frans Frederik Saris, Christiaan J A van Bergen, Bertram The, Pieter Boele van Hensbroek, Niels W L Schep, Leonieke C van Boekel, Denise Eygendaal

Open access · diamondAbstract read
In one paragraph

Article in BMJ paediatrics open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 51% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

7 authors at 3 institutions in 1 country.

Tim Frans Frederik SarisOrthopedic Surgery, Amphia Hospital, Breda, The Netherlands tim.saris@me.com.ORCID 0000-0002-2366-4497
Christiaan J A van BergenOrthopedic Surgery, Amphia Hospital, Breda, The Netherlands.
Bertram TheOrthopedic Surgery, Amphia Hospital, Breda, The Netherlands.
Pieter Boele van HensbroekTrauma Surgery, Amphia Hospital, Breda, The Netherlands.
Niels W L SchepTrauma Surgery, Maasstad Hospital, Rotterdam, The Netherlands.
Leonieke C van BoekelOrthopedic Surgery, Amphia Hospital, Breda, The Netherlands.
Denise EygendaalOrthopedic Surgery and Sports Medicine, Erasmus MC, Rotterdam, The Netherlands.
Amphia Ziekenhuis · NLErasmus MC · NLMaasstad Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraumatic elbow injuries in children occur frequently and are among the most common traumatic injuries seen in the emergency department (ED) and in general practice. The use of a validated decision rule to enhance selective radiography in paediatric patients with possible elbow fractures may reduce unnecessary exposure to radiation in children. METHOD AND ANALYSIS: This study is designed as a multicentre prospective cohort study. An expert panel of orthopaedic elbow surgeons, paediatric orthopaedic surgeons and trauma surgeons will initially determine clinical parameters that provide a possible predictive value for elbow fractures. Four hundred children between the ages of 2 and 17 years visiting the ED with pain following elbow trauma will then be included. The clinical parameters will be collected via patient history and physical examination. Elbow radiographs will be obtained in all patients to identify fractures. The data will be processed in a multivariable logistic regression analysis to determine which clinical parameters predict the presence of an elbow fracture. Only the clinical parameters that predict a fracture will be used to formulate the new decision rule: the paediatric elbow trauma (PET) rules. Internal validation of the prediction model will take place after inclusion is complete and by means of a bootstrap analysis on the acquired data. A calculation will be made to determine how many radiographs can potentially be reduced by applying the PET rules and a cost analysis will be performed. ETHICS AND DISSEMINATION: The study will be conducted according to the principles of the Declaration of Helsinki and in accordance with the Medical Research Involving Human Subjects Act. The Medical Research Ethics Committees United stated on 16 May 2022 that The Medical Research Involving Human Act (WMO) does not apply to this study and an official approval by the committee is not required, reference number; project W22.086.

Indexed as

Arm InjuriesElbow FracturesElbow InjuriesFractures, BoneAdolescentChildChild, PreschoolElbowHumansProspective StudiesRadiographydata collectionqualitative researchstatistics

Identifiers

PMID37105597
PMCPMC10151907
OpenAlexW4367320838

What OpenQuestion holds

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Registered trials

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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.