Evidence map›Paper›PMID 41878380›Full record

ArticleJSAMS plus2025

Outcomes of anterior cruciate ligament reconstruction surgery from private and public healthcare services in Australia.

Thomas J West, Andrea M Bruder, Kay M Crossley, Michael A Girdwood, Laura K To, Jamon L Couch, Mark J Scholes, Sebastian C S Evans, Melissa J Haberfield, Christian J Barton and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JSAMS plus, 2025. 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
  2. Delayed Surgery and Adenosine, Lidocaine, and MgThe American journal of sports medicine · 2025
    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

13 authors.

Thomas J WestLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Andrea M BruderLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Kay M CrossleyLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Michael A GirdwoodLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Laura K ToLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Jamon L CouchLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Mark J ScholesLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Sebastian C S EvansLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Melissa J HaberfieldLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Christian J BartonLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Ewa M RoosDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark.
Alysha De LiveraMathematics and Statistics, School of Computing Engineering and Mathematical Sciences, La Trobe University, Melbourne, Australia.
Adam G CulvenorLa Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To explore outcomes of anterior cruciate ligament (ACL) reconstructive surgery (ACLR) between individuals using private and public healthcare. Methods: We conducted a cross-sectional study of participants, 9-36 months post-ACLR using public or private healthcare services. Multivariable linear regression assessed the association between healthcare service used (private versus public) with self-reported outcomes (Knee injury and Osteoarthritis Outcome Score (KOOS) subscales of pain, symptoms, sport/recreation, knee-related quality of life (QoL); 0-100 scale), adjusting for potential confounders. Results: A total of 314 participants were included (median age 29 years, 35 ​% female). One hundred and thirty-nine (44 ​%) underwent ACLR using private healthcare. Individuals using private healthcare for ACLR reported better post-ACLR knee-related QoL (mean difference 5.1; 95%CI 0.6 to 9.7) than individuals using public healthcare, when adjusted for available confounders. No other KOOS subscale scores (pain, symptoms, sport/recreation) differed between healthcare groups in our adjusted analysis. Conclusions: Australian young adults who underwent ACLR using private healthcare (compared to public healthcare) services reported better knee-related QoL post-operatively in this cross-sectional cohort. Sociodemographic and socioeconomic factors contributed little to the differences observed. Future research should consider potential disparities in outcomes between participants using differing healthcare services both clinically and when recruiting participants into research studies evaluating outcomes post-ACLR.

Indexed as

Anterior cruciate ligamentHealthcareKneeOsteoarthritisReconstruction

Identifiers

PMID41878380
PMCPMC13008449

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.