Evidence map›Paper›PMID 37867164›Full record

ArticleProgress in orthodontics2023

Clinical evaluation of marketed and non-marketed orthodontic products: are researchers now ahead of the times? A meta-epidemiological study.

Almaha Alhussain, Martyn T Cobourne, Nikolaos Pandis, Jadbinder Seehra

Abstract read
In one paragraph

Article in Progress in orthodontics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

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 synthesis or guideline pooled it.

  1. Pooled it
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

4 authors.

Almaha AlhussainDepartment of Orthodontics, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Floor 21, Guy's Hospital, Guy's and St Thomas NHS Foundation Trust, London, SE1 9RT, UK.
Martyn T CobourneDepartment of Orthodontics, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Floor 21, Guy's Hospital, Guy's and St Thomas NHS Foundation Trust, London, SE1 9RT, UK.
Nikolaos PandisDepartment of Orthodontics and Dentofacial Orthopedics, Dental School/Medical Faculty, University of Bern, Bern, Switzerland.
Jadbinder SeehraDepartment of Orthodontics, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, Floor 21, Guy's Hospital, Guy's and St Thomas NHS Foundation Trust, London, SE1 9RT, UK. jadbinderpal.seehra@kcl.ac.uk.ORCID http://orcid.org/0000-0002-3243-1580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe advertisement and adoption of untested orthodontic products is common. This study aimed to provide an update regarding the prevalence of clinical trials in orthodontics evaluating commercially marketed products. Associations between marketed/non-marketed products and study characteristics such as direction of effect, declaration of conflict of interest and industry sponsorship were evaluated. In addition, within the marketed products associations between direction of effect and study characteristics were explored. MATERIAL AND

methodsElectronic searching of a single database (Medline via PubMed) was undertaken to identify Randomized controlled trials (RCTs) published over a 5-year period (1st January 2017 to 31st December 2021). Descriptive statistics and associations between trial characteristics were explored.

results196 RCTs were analysed. RCTs were frequently published in Angle Orthodontist (18.4%), American Journal of Orthodontics and Dentofacial Orthopedics (14.8%) and European Journal of Orthodontics (13.3%). 65.3% (128/196) of trials assessed marketed products after their introduction. The majority of trials assessed interventions to improve treatment efficiency (33.7%). Growth modification appliances were typically analysed in non-marketed compared to marketed products. An association between the type of product (marketed vs non-marketed) and both the declaration of conflict of interest and industry sponsorship was detected. For individual RCTs assessing marketed products either a positive effect (45.3%) or equivalence between interventions or between intervention and untreated control (47.7%) was evident. In 27% of these trials either no conflict of interest or industry funding was not clearly declared. Within the marketed products, no association between the direction of the effect and conflict of interest or funding was detected.

conclusionsThe analysis of marketed orthodontic products after their introduction is still common practice. To reduce research waste, collaboration prior to the licensing and marketing of orthodontic products between researchers, industry and manufacturers is recommended.

Indexed as

OrthodonticsEpidemiologic StudiesHumansMarketingOrthodontistsUnited StatesIndustry fundingMarketed productsOrthodonticsRandomised clinical trials

Identifiers

PMID37867164
PMCPMC10590772

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.