Evidence map›Paper›PMID 39880443›Full record

ArticleBMJ open2025

Synovial biomarkers in the diagnosis of post-traumatic osteoarthritis following anterior cruciate ligament and meniscus injuries: protocol for a systematic review.

João Pedro Oliveira, João Castro Mendes, José Casanova, Fernando Fonseca, Alexandrina Ferreira Mendes, Helena Donato

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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. Review
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

6 authors.

João Pedro OliveiraOrthopaedic Department, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal 7006@ulscoimbra.min-saude.pt.ORCID http://orcid.org/0000-0002-6813-043X
João Castro MendesOrthopaedic Department, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
José CasanovaOrthopaedic Department, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Fernando FonsecaOrthopaedic Department, Centro Hospitalar e Universitário de Coimbra EPE, Coimbra, Portugal.
Alexandrina Ferreira MendesUniversity of Coimbra Center for Neuroscience and Cell Biology, Coimbra, Portugal.
Helena DonatoDocumentation and Scientific Information Service, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis review aims to synthesise research evidence regarding biomarkers in the synovial fluid that may predict the risk of post-traumatic osteoarthritis (PTOA) in young adults. Considering the high prevalence of knee joint injuries, particularly among youth sports athletes, this review will focus on anterior cruciate ligament and/or meniscal ruptures. These injuries are highly associated with PTOA, with studies indicating that even with surgical reconstruction, 50%-80% of affected individuals develop knee PTOA within a 10-year follow-up. METHODS AND ANALYSIS: The results of this systematic review will be reported in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Diagnostic Test Accuracy guidelines. Comprehensive electronic searches will be conducted across five platforms: four bibliographic databases (PubMed, Cochrane Central Register of Controlled Trials, Web of Science Core Collection and Embase) and ClinicalTrials.gov registry. These searches will use combinations of predefined keywords, such as "knee", "synovial fluid", "post-traumatic osteoarthritis", "anterior cruciate ligament", "meniscus", "trauma", "inflammation" and "biomarker". We will include randomised clinical trials, non-randomised prospective or retrospective clinical studies, case controls, cohort studies and case series, ranging from database inception to 30 June 2024 and published in English. Two independent reviewers will screen and evaluate the retrieved studies to determine their eligibility. Any reviewer disagreements will be resolved through discussion and consensus or, if necessary, by consultation with a third reviewer. The data will be extracted from the included studies and analysed, with the risk of bias assessed using the Quality Assessment of Diagnostic Accuracy Studies 2 tool. A narrative synthesis will be performed to evaluate the strength and consistency of the findings, considering both the methodological quality of the included studies and the reliability of the results. ETHICS AND DISSEMINATION: Ethical approval is not required for this review as it is a secondary study based on public and published data. The findings from this work will be submitted for publication in a peer-reviewed journal and presented at relevant academic conferences. Any amendments to the protocol arising from deviations during the study's execution will be documented and reported in the final publication. PROSPERO REGISTRATION NUMBER: CRD42024534272.

Indexed as

Anterior Cruciate Ligament InjuriesOsteoarthritis, KneeSynovial FluidTibial Meniscus InjuriesBiomarkersHumansResearch DesignSystematic Reviews as TopicBiomarkersBone diseasesKneeOrthopaedic sports trauma

Identifiers

PMID39880443
PMCPMC11781128

What OpenQuestion holds

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LicenceCC BY-NC
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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.