The statistical fragility of studies on rotator cuff repair with graft augmentation. (Record no. 12843)
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000 -LEADER | |
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fixed length control field | 04353nam a22006377a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
fixed length control field | 230316s20232023 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
International Standard Serial Number | 1058-2746 |
024 ## - OTHER STANDARD IDENTIFIER | |
Standard number or code | 10.1016/j.jse.2022.12.017 [doi] |
024 ## - OTHER STANDARD IDENTIFIER | |
Standard number or code | S1058-2746(23)00026-5 [pii] |
040 ## - CATALOGING SOURCE | |
Original cataloging agency | Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
PMID | 36681109 |
245 ## - TITLE STATEMENT | |
Title | The statistical fragility of studies on rotator cuff repair with graft augmentation. |
247 ## - FORMER TITLE | |
Title | The Statistical Fragility of Studies on Rotator Cuff Repair with Graft Augmentation. |
251 ## - Source | |
Source | Journal of Shoulder & Elbow Surgery. 32(5):1121-1125, 2023 May. |
252 ## - Abbreviated Source | |
Abbreviated source | J Shoulder Elbow Surg. 32(5):1121-1125, 2023 May. |
253 ## - Journal Name | |
Journal name | Journal of shoulder and elbow surgery |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Manufacturer | FY2023 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Year | 2023 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Publication date | 2023 May |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
Publication status | ppublish |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
Medline status | MEDLINE |
266 ## - Date added to catalog | |
Date updated in catalog | 2023-07-03 |
267 ## - Original year | |
Original year | 2023 |
268 ## - Previous citation | |
-- | Journal of Shoulder & Elbow Surgery. 2023 Jan 18 |
269 ## - Original dates | |
-- | J Shoulder Elbow Surg. 2023 Jan 18 |
269 ## - Original dates | |
Original fiscal year | FY2023 |
269 ## - Original dates | |
-- | 2023 Jan 18 |
269 ## - Original dates | |
-- | aheadofprint |
269 ## - Original dates | |
-- | Publisher |
520 ## - SUMMARY, ETC. | |
Abstract | BACKGROUND: Clinical decision-making often relies on evidence-based medicine. Our purpose was to determine the fragility index (FI) and fragility quotient (FQ) for studies evaluating rotator cuff repair (RCR) with graft augmentation. A lost to follow-up (LTF) value greater than the FI indicates statistical instability for the reported outcomes and conclusions. |
520 ## - SUMMARY, ETC. | |
Abstract | CONCLUSION: Studies of RCR with graft augmentation lack statistical stability, with few altered outcome events required to reverse statistical significance. Larger comparative studies with better follow-up will strengthen the statistical stability of the evidence for RCR with graft augmentation. For future investigations and reports, we recommend including FI and FQ along with traditional statistical significance analyses to provide better context on the strength of conclusions. Copyright � 2023. Published by Elsevier Inc. |
520 ## - SUMMARY, ETC. | |
Abstract | METHODS: We performed a systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines by searching PubMed, the Cochrane library, and Embase in June 2022 to identify studies of RCR with graft augmentation. Comparative studies with at least one statistically analyzed dichotomous outcome were included. Seventeen studies published in seven peer-reviewed journals from 2003 to 2019 were subsequently evaluated. The FI was determined by changing each reported outcome event within 2 x 2 contingency tables until statistical significance or non-significance was reversed. The associated FQ was determined by dividing the FI by the sample size. LTF values were also extracted from each included study. |
520 ## - SUMMARY, ETC. | |
Abstract | RESULTS: The included studies had a total of 1,098 patients with 36 dichotomous outcomes. The associated median FI was 4 (IQR 2-5), indicating that the reversal of 4 patients' outcomes would have reversed the finding of significant difference. The median FQ was 0.08 (IQR 0.04-0.15), indicating that in a sample of 100 patients, reversal of 8 patients' outcomes would reverse statistical significance. The median number of patients lost to follow-up was 3 (range 0-25), with 56% of reported outcomes having LTF greater than their respective FI. |
546 ## - LANGUAGE NOTE | |
Language note | English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | *Rotator Cuff |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | *Rotator Cuff Injuries |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | Arthroplasty |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | Humans |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | Neurosurgical Procedures |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | Research Design |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | Rotator Cuff Injuries/su [Surgery] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | Rotator Cuff/su [Surgery] |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Indexing | Automated |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
Institution | MedStar Union Memorial Hospital |
656 ## - INDEX TERM--OCCUPATION | |
Department | Curtis National Hand Center |
656 ## - INDEX TERM--OCCUPATION | |
Department | Orthopaedic Surgery |
656 ## - INDEX TERM--OCCUPATION | |
Department | Orthopaedic Surgery Residency |
657 ## - INDEX TERM--FUNCTION | |
Medline publication type | Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Imbergamo, Casey |
Institution Code | MUMH |
Program | Orthopaedic Surgery Residency |
Degree | MD |
Resident year | Resident PGY 2 |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Means, Kenneth R Jr |
Institution Code | CURT |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Sequeira, Sean |
Institution Code | MUMH |
Program | Orthopaedic Surgery Residency |
Degree | MD |
Resident year | Resident PGY 2 |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Stein, Jason A |
Institution Code | MUMH |
790 ## - Authors | |
All authors | Imbergamo C |
-- | Sequeira SB |
-- | Patankar A |
-- | Means KR Jr |
-- | Stein JA |
856 ## - ELECTRONIC LOCATION AND ACCESS | |
DOI | <a href="https://dx.doi.org/10.1016/j.jse.2022.12.017">https://dx.doi.org/10.1016/j.jse.2022.12.017</a> |
Public note | https://dx.doi.org/10.1016/j.jse.2022.12.017 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
Koha item type | Journal Article |
Item type description | Journal Article |
No items available.