Evidence map›Paper›PMID 39269558›Full record

ArticleSports medicine (Auckland, N.Z.)2024

Conservative Management and Postoperative Return to Sport in Endurance Athletes with Flow Limitations in the Iliac Arteries: A Scoping Review.

Jem I Arnold, Alishah Mawji, Kathryn Stene, David C Taylor, Michael S Koehle

Abstract readScoping Review
PubMed Publisher
In one paragraph

Article in Sports medicine (Auckland, N.Z.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

5 authors.

Jem I ArnoldSchool of Kinesiology, The University of British Columbia, Vancouver, BC, Canada. jem.arnold@ubc.ca.ORCID 0000-0003-3908-9447
Alishah MawjiFaculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-1591-947X
Kathryn SteneForça13 Physiotherapy Clinic, Girona, Spain.
David C TaylorDepartment of Surgery, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
Michael S KoehleSchool of Kinesiology, The University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-7026-8422

Funding

British Columbia Sports & Exercise Medicine Research Foundation 19-06-2023
6 · The paper itself

Abstract

backgroundFlow limitations in the iliac arteries (FLIA) is a sport-related vascular condition increasingly recognised as an occupational risk for professional cyclists and other endurance athletes. Surgical reconstruction is the definitive treatment for athletes wishing to continue competition. However, less information has been published regarding conservative management options and return-to-sport (RTS) guidelines.

objectiveOur aim was to review the existing literature on conservative treatment of FLIA, identify knowledge gaps and propose an RTS framework for athletes returning to competition.

methodsA comprehensive literature review was performed using the Ovid-MEDLINE, PubMed, Embase and PEDro databases for publications relevant to conservative management of FLIA. A scoping review was conducted following PRISMA-ScR guidelines. Original, peer-reviewed publications in English describing conservative or postoperative management for athletes with FLIA were included. Additional grey literature and clinical expertise were consulted to inform RTS guidelines.

resultsOverall, 62 studies were included in this review. In total, 11 categories of conservative modalities were extracted and presented qualitatively in terms of the information source (discussion or results statements) and perspective of the authors (positive, negative or mixed). We have proposed RTS guidelines covering pre-operative preparation and postoperative rehabilitation based on the available literature, clinical experience, and drawing from other areas of sports medicine research.

conclusionThere is insufficient literature evaluating the effectiveness of conservative management options for FLIA to establish best practices. Considering the importance of RTS for competitive athletes, we proposed practical guidelines to help with clinician and patient decision making. Future consensus should be sought for RTS best practices.

Indexed as

Conservative TreatmentIliac ArteryReturn to SportAthletesAthletic InjuriesBicyclingHumansPhysical EndurancePostoperative Care

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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.