Evidence map›Paper›PMID 41727348›Full record

ReviewHand therapy2026

Clinical guidelines and pathways for the management of non-traumatic wrist disorders: A review and synthesis.

Thomas Mitchell, Joe Palmer, Shaharsha Borkar, Garishma Gajwani, Sandra Tomy, Nimisha Rachel, Nick Hamilton, Benjamin Dean, Sionnadh McLean

Abstract readReview
In one paragraph

Review in Hand therapy, 2026. 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

9 authors.

Thomas MitchellCentre for Applied Health & Social Care Research (CARe), Sheffield Hallam University, Sheffield, UK.ORCID https://orcid.org/0009-0009-2876-628X
Joe PalmerCentre for Applied Health & Social Care Research (CARe), Sheffield Hallam University, Sheffield, UK.ORCID https://orcid.org/0000-0002-8185-8265
Shaharsha BorkarCentre for Applied Health & Social Care Research (CARe), Sheffield Hallam University, Sheffield, UK.
Garishma GajwaniCentre for Applied Health & Social Care Research (CARe), Sheffield Hallam University, Sheffield, UK.
Sandra TomyCentre for Applied Health & Social Care Research (CARe), Sheffield Hallam University, Sheffield, UK.
Nimisha RachelCentre for Applied Health & Social Care Research (CARe), Sheffield Hallam University, Sheffield, UK.
Nick HamiltonSheffield Hallam University, Centre for Sports Engineering Research, Sheffield Hallam University, Sheffield, UK.ORCID https://orcid.org/0000-0002-4807-3087
Benjamin DeanBotnar Research Centre of Musculoskeletal Diseases, University of Oxford, Oxford, UK.ORCID https://orcid.org/0000-0002-8969-8868
Sionnadh McLeanFaculty of Health, School of Allied Health Sciences, Charles Darwin University, Northern Territory, Darwin, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Non-traumatic wrist disorders (NTWD) are commonly encountered across a range of healthcare settings. Uncertainty exists regarding optimal management and how this is reflected in care provision through clinical guidelines and pathways. We aimed to identify existing UK-based clinical guidelines and pathways and examine their quality. Methods: For this review, we searched MEDLINE, PubMed, Embase, CINAHL, ProQuest, Scopus, Web of Science, Google, The National Grey Literature Collection, TRIP, and the National Institute for Health and Care Excellence and undertook targeted outreach and engagement activities with healthcare professional networks. We included clinical practice guidelines and pathways for NTWD published after 2010. The AGREE II tool was used to assess guideline quality based on the domains of topic selection, best practice identification, data collection, and rigor of analysis. Results: Of 7017 records identified, 15 eligible clinical guidelines and pathways for NTWD management were eligible and included. De Quervain's tenosynovitis and ganglion cyst were most frequently covered while other NTWD had few or no guidelines or pathways. Variation in the composition and nomenclature of sources was found. Quality assessment using the AGREE II tool identified variability and overall unsatisfactory quality. Conclusion: There is a lack of high-quality clinical guidelines and pathways for NTWD within the UK healthcare system indicating an obstacle to improvements in healthcare delivery.

Indexed as

clinical practiceconservative managementnon-traumaticqualityscoping reviewwrist injurywrist pain

Identifiers

PMID41727348
PMCPMC12920155

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.