Evidence map›Paper›PMID 39025812›Full record

ArticleBMJ open2024

Development of an intervention for patients following an anterior cruciate ligament rupture: an online nominal group technique consensus study.

Hayley Carter, David Beard, Paul Leighton, Fiona Moffatt, Benjamin E Smith, Kate E Webster, Phillipa Logan

Registry-linked trialAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05529511 (The PreOperative Management of Patients Awaiting Anterior Cruciate Ligament Reconstruction), 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.

NCT05529511 completednot on this map

The PreOperative Management of Patients Awaiting Anterior Cruciate Ligament Reconstruction: a Mixed-methods Study

TypeobservationalSponsorUniversity Hospitals of Derby and Burton NHS Foundation TrustRan2022 to 2023Enrolled26ConditionsAnterior Cruciate Ligament Injuries, Anterior Cruciate Ligament Rupture, RehabilitationArmsPhase 1 - semi-structured interviews, Phase 2 - consensus meeting
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  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

7 authors.

Hayley CarterPhysiotherapy Outpatients, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK hayley.carter1@nhs.net.ORCID 0000-0002-0837-0802
David BeardSurgical Intervention Trials Unit, Botnar Research Centre, NDORMS, University of Oxford, Oxford, UK.ORCID 0000-0001-7884-6389
Paul LeightonSchool of Medicine, University of Nottingham, Nottingham, UK.
Fiona MoffattSchool of Health Sciences, University of Nottingham, Nottingham, UK.
Benjamin E SmithPhysiotherapy Outpatients, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.ORCID 0000-0002-4723-0028
Kate E WebsterSchool of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
Phillipa LoganSchool of Medicine, University of Nottingham, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectives(1) To develop an intervention for to support patients diagnosed with an anterior cruciate ligament (ACL) rupture with decision-making regarding treatment. (2) To define evidence-based recommendations for the treatment of patients following an ACL rupture.

designNominal group technique consensus study.

settingOnline meetings with patients and key stakeholders working and receiving treatment in the National Health Service, UK.

participantsConsensus meetings composed of eight voting participants and five non-voting facilitators. Voting participants included five clinicians, one outpatient therapy manager and two patients with experience in an ACL rupture and reconstructive surgery. Non-voting facilitators supported group discussions and/or observed study procedures. This included a clinical academic expert, two methodology experts and two patient representatives.

methodTwo online meetings were held. Pre-elicitation material was distributed ahead of the first meeting. Premeeting voting was conducted ahead of both meetings. A draft of the shared decision-making intervention and recommendations were shared ahead of the second meeting. Components were discussed and ranked for inclusion based on a 70% agreement threshold.

resultsThe meetings led to the development of a shared decision-making intervention to support treatment decision-making following an ACL rupture. The intervention includes two components: (1) a patient information leaflet and key questions diagram and (2) option grid. The evidence-based recommendations encompass core components of treatment reaching the 70% threshold agreed by the group. The recommendations cover: (1) advice and education, (2) exercise guidance, (3) intervention delivery, (4) outcome measure use and (5) shared decision-making.

conclusionThis study has successfully developed a shared decision-making intervention to support ACL treatment decision-making, ready for testing in a future feasibility study. Evidence-based recommendations for the treatment of patients following ACL injury, ready for testing in a National Health Service (UK) setting, are also presented. TRIAL REGISTRATION NUMBER: NCT05529511.

Indexed as

Anterior Cruciate Ligament InjuriesDecision Making, SharedAnterior Cruciate Ligament ReconstructionFemaleHumansMalePatient ParticipationUnited KingdomAdult orthopaedicsKneeMusculoskeletal disordersOrthopaedic sports trauma

Identifiers

PMID39025812
PMCPMC11261705

What OpenQuestion holds

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Registered trials

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.