The statistical fragility of studies on rotator cuff repair with graft augmentation. (Record no. 12843)

MARC details
000 -LEADER
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

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