Evidence map›Paper›PMID 37120559›Full record

ArticleBMC pediatrics2023

Active monitoring versus an abduction device for treatment of infants with centered dysplastic hips: study protocol for a randomized controlled trial (TReatment with Active Monitoring (TRAM)-Trial).

Frederike E C M Mulder, M Adhiambo Witlox, Carmen D Dirksen, Pieter Bas de Witte, Suzanne de Vos-Jakobs, Arno M Ten Ham, Melinda M E H Witbreuk, Ralph Sakkers, Magritha Margret M H P Foreman-van Drongelen, Simon G F Robben and 2 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

12 authors at 8 institutions in 1 country.

Frederike E C M MulderDepartment of Orthopedic Surgery, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands. fecm.mulder@maastrichtuniversity.nl.ORCID 0000-0001-9307-1198
M Adhiambo WitloxDepartment of Orthopedic Surgery, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center+, Maastricht, the Netherlands.
Carmen D DirksenDepartment of Clinical Epidemiology and Medical Technology Assessment, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center, Maastricht, the Netherlands.
Pieter Bas de WitteDepartment of Orthopedics, Leiden University Medical Center, Leiden, the Netherlands.
Suzanne de Vos-JakobsDepartment of Orthopedics and Sports Medicine, Erasmus Medical Center - Sophia Children's Hospital, Rotterdam, the Netherlands.
Arno M Ten HamDepartment of Orthopedics, Sint Maartenskliniek, Nijmegen, the Netherlands.
Melinda M E H WitbreukDepartment of Orthopedic Surgery, OLVG, AUMC, Amsterdam, the Netherlands.
Ralph SakkersDepartment of Orthopedic Surgery, Wilhelmina Children's Hospital, University Medical Center, Utrecht, the Netherlands.
Magritha Margret M H P Foreman-van DrongelenDepartment of Hip Sonography, Diagnostiek Voor U, Eindhoven, the Netherlands.
Simon G F RobbenDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, the Netherlands.
TRAM-Trial Consortium
Nina M C MathijssenReinier Haga Orthopedic Center, Zoetermeer, the Netherlands.
Maastricht University · NLReinier de Graaf Hospital · NLErasmus MC - Sophia Children’s Hospital · NLFugro (Netherlands) · NLLeiden University Medical Center · NLOLVG · NLSint Maartenskliniek · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopmental Dysplasia of the Hip (DDH) is one of the most common pediatric orthopedic disorders, affecting 1-3% of all newborns. The optimal treatment of centered DDH is currently under debate. This randomized controlled trial aims to study the (cost-)effectiveness of active monitoring versus abduction treatment for infants with centered DDH.

methodsThis is a multicenter, parallel-group, open-label, non-inferiority randomized controlled trial studying the (cost-)effectiveness of active monitoring versus abduction treatment for infants with centered DDH in fourteen hospitals in the Netherlands. In total, 800 infants with centered DDH (Graf IIa-/IIb/IIc), aged 10-16 weeks, will be randomly allocated to the active monitoring or abduction treatment group. Infants will be followed up until the age of 24 months. The primary outcome is the rate of normal hips, defined as an acetabular index lower than 25 degrees on an antero-posterior radiograph, at the age of 12 months. Secondary outcomes are the rate of normal hips at the age of 24 months, complications, time to hip normalization, the relation between baseline patient characteristics and the rate of normal hips, compliance, costs, cost-effectiveness, budget impact, health-related quality of life (HRQoL) of the infant, HRQoL of the parents/caregivers, and parent/caregiver satisfaction with the treatment protocol. DISCUSSION: The outcomes of this randomized controlled trial will contribute to improving current care-as-usual for infants with centered DDH.

trial registrationDutch Trial Register, NL9714, registered September 6, 2021. https://clinicaltrialregister.nl/en/trial/29596.

Indexed as

Hip Dislocation, CongenitalChildEquivalence Trials as TopicHumansInfantInfant, NewbornMonitoring, PhysiologicMulticenter Studies as TopicQuality of LifeRadiographyRandomized Controlled Trials as TopicUltrasonographyAbduction treatmentActive monitoringDDHDevelopmental dysplasia of the hip

Identifiers

PMID37120559
PMCPMC10148463
OpenAlexW4367368472

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.