Evidence map›Paper›PMID 37908016›Full record

ArticlePilot and feasibility studies2023

A randomized controlled trial comparing conservative versus surgical treatment in patients with foot drop due to peroneal nerve entrapment: results of an internal feasibility pilot study.

Christophe Oosterbos, Sofie Rummens, Kris Bogaerts, Anaïs Van Hoylandt, Sophie Hoornaert, Frank Weyns, Annie Dubuisson, Jeroen Ceuppens, Sophie Schuind, Justus L Groen and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04695834 (A Prospective, Multi-center, Randomized, Parallel-group Controlled Trial to Compare Conservative Versus Surgical Treatment of Foot Drop in Peroneal Nerve Entrapment.), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT04695834 narecruitingnot on this map

A Prospective, Multi-center, Randomized, Parallel-group Controlled Trial to Compare Conservative Versus Surgical Treatment of Foot Drop in Peroneal Nerve Entrapment.

TypeinterventionalSponsorUniversitaire Ziekenhuizen KU LeuvenRan2021 to 2028Enrolled182ConditionsPeroneal Nerve EntrapmentArmsNeurolysis peroneal nerve, Maximal physiotherapy
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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.

Christophe OosterbosResearch Group experimental Neurosurgery and Neuroanatomy KULeuven and the Leuven Brain Institute, Leuven, Belgium. christopheoosterbos@gmail.com.ORCID http://orcid.org/0000-0003-2142-9941
Sofie RummensDepartment of Physical Medicine and Rehabilitation, University Hospitals Leuven, Leuven, Belgium.
Kris BogaertsDepartment of Public Health and Critical Care, I-BioStat, KU Leuven, Belgium and I-BioStat, UHasselt, Belgium.
Anaïs Van HoylandtResearch Group experimental Neurosurgery and Neuroanatomy KULeuven and the Leuven Brain Institute, Leuven, Belgium.
Sophie HoornaertResearch Group experimental Neurosurgery and Neuroanatomy KULeuven and the Leuven Brain Institute, Leuven, Belgium.
Frank WeynsDepartment of Neurosurgery, Ziekenhuis-Oost Limburg, Genk, Belgium.
Annie DubuissonDepartment of Neurosurgery, University Hospitals Liège, Liège, Belgium.
Jeroen CeuppensDepartment of Neurosurgery, Algemeen Ziekenhuis Groeninge, Kortrijk, Belgium.
Sophie SchuindDepartment of Neurosurgery, Erasme Hospital, Brussels, Belgium.
Justus L GroenLeiden Nerve Center, Department of Neurosurgery, University of Leiden, Leiden, the Netherlands.
Robin LemmensKU Leuven-University of Leuven, Department of Neurosciences, Experimental Neurology, Leuven, Belgium.
Tom TheysResearch Group experimental Neurosurgery and Neuroanatomy KULeuven and the Leuven Brain Institute, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBased on the lack of literature to support any treatment strategy in patients with foot drop due to peroneal nerve entrapment, a prospective study randomizing patients between surgery and conservative treatment is warranted. Since studies comparing surgery to no surgery are often challenging, we first examined the feasibility of such a randomized controlled trial. METHODS/

designAn internal feasibility pilot study was conducted to assess several aspects of process, resource, management, and scientific feasibility. The main objective was the assessment of the recruitment rate. The criterion to embark on a full study was the recruitment of at least 14 patients in 6 participating centers within 6 months. Cross-over rate, blinding measures, training strategies, and trial assessments were evaluated. The trial was entirely funded by the KCE Trials public funding program of the Belgian Health Care Knowledge Centre (ID KCE19-1232).

resultsThe initial duration was prolonged due to the COVID-19 pandemic. Between April 2021 and October 2022, we included 19 patients of which 15 were randomized. Fourteen patients were treated as randomized. One drop-out occurred after randomization, prior to surgery. We did not document any cross-over or accidental unblinding. Training strategies were successful. Patients perceived the quality of life questionnaire as the least relevant assessment. Assessment of ankle dorsiflexion range of motion was prone to interobserver variability. All other trial assessments were adequate. DISCUSSION: Recruitment of the anticipated 14 patients was feasible although slower than expected. The Short-Form Health Survey (SF-36) and assessment of ankle dorsiflexion range of motion will no longer be included in the full-scale FOOTDROP trial.

conclusionThe FOOTDROP study is feasible.

trial registrationClinicalTrials.gov, identifier NCT04695834 . Registered 4 January 2021.

Indexed as

Conservative treatmentFeasibilityFoot dropNeurolysisPeroneal nerveRandomized controlled trial

Identifiers

PMID37908016
PMCPMC10617035

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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.