Evidence map›Paper›PMID 38546244›Full record

ArticleAfrican journal of paediatric surgery : AJPS2024

Assessment of Treatment Outcomes in the Management of Club foot using the Ponseti Technique: A cross-sectional study.

Joseph E Asuquo, Enembe O Okokon, Omolade Ayoola Lasebikan, Chukwuemeka Okechukwu Anisi, Best J Asuquo, Innocent Egbeji Abang, Akpet E Obaji, Kingsley C Chigbundu

Abstract read
In one paragraph

Article in African journal of paediatric surgery : AJPS, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

8 authors.

Joseph E AsuquoDepartment of Orthopaedics and Traumatology, University of Calabar, Cross River State, Nigeria.
Enembe O OkokonDepartment of Community Medicine, University of Calabar, Cross River State, Nigeria.
Omolade Ayoola LasebikanDivision of Paediatric Orthopaedics, National Orthopaedic Hospital Enugu, Enugu State, Nigeria.
Chukwuemeka Okechukwu AnisiDepartment of Orthopaedics and Traumatology, University of Calabar, Cross River State, Nigeria.
Best J AsuquoDepartment of Community Medicine, University of Calabar Teaching Hospital, Cross River State, Nigeria.
Innocent Egbeji AbangDepartment of Orthopaedics and Traumatology, University of Calabar, Cross River State, Nigeria.
Akpet E ObajiDepartment of Community Medicine, University of Calabar, Cross River State, Nigeria.
Kingsley C ChigbunduDepartment of Orthopaedics and Traumatology, University of Calabar Teaching Hospital, Nigeria University of Calabar, Calabar, Cross River State, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Ponseti technique remains the preferred method for club foot treatment. Although measures of treatment outcomes have been well documented, there is no consensus on the determinants of those outcomes. This study aims to assess treatment outcomes and the factors which can influence treatment outcomes. MATERIALS AND

methodsThis is a cross-sectional study. A total of 472 children representing 748 feet in total were recruited. Patient characteristics such as age at presentation, gender, tenotomy, walking with or without deformity, parental educational status and occupation were documented. Outcomes of care were assessed using indictors such as parents' satisfaction with the outcome of treatment and the patients' ambulation without deformity. The relationships between the determinant factors and these outcomes were explored using multivariable binary logistic regression.

resultsMost of the children (69.1%) were aged below 2 years. Brace compliance was very high (89.9%). The pre-treatment average Pirani scores were 3.9 ± 1.8 and 4.3 ± 1.8 for the right and left feet, respectively. Majority (88.3%) of the children achieved ambulation without deformity, whereas most (87%) of the parents were satisfied with the treatment outcomes. In total, parental satisfaction with child's treatment outcomes was lower in parents who were not formally educated odds ratio (OR) = 0.19 (95% confidence interval [CI] 0.08-0.43), but parental satisfaction was lower if the child had higher Pirani score OR = 0.77 (95% CI 0.62-0.96). Children who had more casts applied to the affected foot were more likely to walk without deformity OR = 1.24 (95% CI 1.01-1.52).

conclusionsThis study revealed that treatment outcomes in children with club foot can be determined by some sociodemographic and treatment-related factors.

Indexed as

ClubfootAgedCasts, SurgicalChildCross-Sectional StudiesFootHumansInfantTreatment Outcome

Identifiers

PMID38546244
PMCPMC11003577

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