Evidence map›Paper›PMID 37316308›Full record

ArticleBMJ open2023

Developing a patient decision aid for Achilles tendon rupture management: a mixed-methods study.

Jan F L Gan, Marnee J McKay, Caitlin M P Jones, Ian A Harris, Kirsten McCaffery, Rachel Thompson, Tammy C Hoffmann, Sam Adie, Christopher G Maher, Joshua R Zadro

Open access · goldAbstract read

PubMed Full text at PMC Publisher

In one paragraph

Article in BMJ open, 2023. 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

1.7field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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

10 authors at 3 institutions in 1 country.

Jan F L GanDiscipline of Physiotherapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.

Marnee J McKayDiscipline of Physiotherapy, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.

Caitlin M P JonesSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.

Ian A HarrisSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.

Kirsten McCafferySydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-2696-5006

Rachel ThompsonDiscipline of Behavioural and Social Sciences in Health, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-1009-0746

Tammy C HoffmannInstitute for Evidence-Based Healthcare, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.

Sam AdieSouth West Sydney Clinical School, University of New South Wales Medicine and Health, Liverpool, New South Wales, Australia.

Christopher G MaherSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia.

Joshua R ZadroSydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia joshua.zadro@sydney.edu.au.ORCID 0000-0001-8981-2125

The University of Sydney · AUBond University · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop and user-test a patient decision aid portraying the benefits and harms of non-surgical management and surgery for Achilles tendon ruptures.

designMixed methods.

settingA draft decision aid was developed using guidance from a multidisciplinary steering group and existing patient decision aids. Participants were recruited through social media.

participantsPeople who have previously sustained an Achilles tendon rupture and health professionals who manage these patients. PRIMARY AND SECONDARY OUTCOMES: Semi-structured interviews and questionnaires were used to gather feedback on the decision aid from health professionals and patients who had previously suffered an Achilles tendon rupture. The feedback was used to redraft the decision aid and assess acceptability. An iterative cycle of interviews, redrafting according to feedback and further interviews was used. Interviews were analysed using reflexive thematic analysis. Questionnaire data were analysed descriptively.

resultsWe interviewed 18 health professionals (13 physiotherapists, 3 orthopaedic surgeons, 1 chiropractor, 1 sports medicine physician) and 15 patients who had suffered an Achilles tendon rupture (median time since rupture was 12 months). Most health professionals and patients rated the aid's acceptability as good-excellent. Interviews showcased agreement among health professionals and patients on most aspects of the decision aid: introduction, treatment options, comparing benefits and harms, questions to ask health professionals and formatting. However, health professionals had differing views on details about Achilles tendon retraction distance, factors that modify the risk of harms, treatment protocols and evidence on benefits and harms.

conclusionOur patient decision aid is an acceptable tool to both patients and health professionals, and our study highlights the views of key stakeholders on important information to consider when developing a patient decision aid for Achilles tendon rupture management. A randomised controlled trial evaluating the impact of this tool on the decision-making of people considering Achilles tendon surgery is warranted.

Indexed as

Achilles TendonAnkle InjuriesPhysical TherapistsPhysiciansTendon InjuriesDecision Support TechniquesHumansDecision MakingFoot & ankleMusculoskeletal disordersQUALITATIVE RESEARCHSPORTS MEDICINE

Identifiers

PMID37316308

DOI10.1136/bmjopen-2023-072553

PMCPMC10277142

OpenAlexW4380685479

What OpenQuestion holds

Textmetadata

LicenceCC BY-NC

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.