MARC details
| 000 -LEADER |
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| fixed length control field |
03450nam a22004937a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
231004s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
2325-9671 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1177_23259671231184946 [pii] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1177/23259671231184946 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
PMC10392395 [pmc] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
37533502 |
| 245 ## - TITLE STATEMENT |
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| Title |
Statistical Fragility of Randomized Controlled Trials Evaluating Rehabilitation After Arthroscopic Rotator Cuff Repair. [Review] |
| 251 ## - Source |
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| Source |
Orthopaedic Journal of Sports Medicine. 11(7):23259671231184946, 2023 Jul. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Orthop. j. sports med.. 11(7):23259671231184946, 2023 Jul. |
| 253 ## - Journal Name |
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| Journal name |
Orthopaedic journal of sports medicine |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2024 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2023 Jul |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
epublish |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Medline status |
PubMed-not-MEDLINE |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2023-10-04 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Background: Clinical decision-making often relies on evidence-based medicine, derived from objective data with conventional and rigorous statistical tests to evaluate significance. The literature surrounding rehabilitation after rotator cuff repair (RCR) is conflicting, with no defined standard of practice. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Conclusion: The results of RCT studies of RCR rehabilitation protocols are moderately fragile, something clinicians should be aware of when implementing study results into practice. We recommend the inclusion of FI and FQ in addition to standard P values when reporting statistical results in future RCTs with dichotomous outcome variables on this topic. Copyright © The Author(s) 2023. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Methods: A systematic review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines by searching the PubMed, Cochrane Library, and Embase databases for RCTs evaluating rehabilitation protocols after arthroscopic RCRs from 2000 to June 1, 2022. The FI was determined by manipulating the dichotomous outcome events from each article until a reversal of significance with 2 x 2 contingency tables was achieved. The FQ was determined by dividing the FI by the sample size. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Purpose: To determine the fragility index (FI) and the fragility quotient (FQ) of randomized controlled trials (RCTs) evaluating rehabilitation protocols after RCR. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Results: Fourteen RCTs with 48 dichotomous outcomes were ultimately included for analysis. The mean FI for the included dichotomous outcomes was 4 (interquartile range, 3-6), suggesting that the reversal of 4 events is required to change study significance. The mean FQ was 0.048. Of the RCTs that reported data regarding loss to follow-up, most studies (58.5%) indicated that >4 patients had been lost to follow-up. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
Study Design: Systematic review. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Union Memorial Hospital |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Union Memorial Hospital |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Union Memorial Hospital |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Orthopaedic Surgery |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Orthopaedic Surgery Residency |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Orthopedics |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Review |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Murthi, Anand M |
| Institution Code |
MUMH |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Wright, Melissa A |
| Institution Code |
MUMH |
| 790 ## - Authors |
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| All authors |
Murthi AM, Sequeira SB, Wright MA |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Sequeira, Sean |
| Institution Code |
MUMH |
| Program |
Orthopaedic Surgery Residency |
| Degree |
MD |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1177/23259671231184946">https://dx.doi.org/10.1177/23259671231184946</a> |
| Public note |
https://dx.doi.org/10.1177/23259671231184946 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
