Study quality and patient inclusion in geriatric orthopedic trauma research; a scoping review.

MedStar author(s):
Citation: Journal of Orthopaedic Trauma. 2023 Mar 15PMID: 36941234Institution: MedStar Union Memorial HospitalDepartment: Orthopaedic SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2023Local holdings: Available online from MWHC library: 1996 - presentISSN:
  • 0890-5339
Name of journal: Journal of orthopaedic traumaAbstract: CONCLUSIONS: A total of 2711 publications were screened for eligibility, after exclusion a total of 723 papers were included. There is a focus on retrospective studies investigating mortality and complications. Studies are often small in terms of sample size, and there are relatively few prospective studies and RCTs study patient reported outcomes and quality of life. Patients with cognitive impairment are selectively excluded from clinical studies, and no consensus exists on how cognitive impairment is diagnosed. This review identified pitfalls and provides recommendations to navigate these issues for future studies. Many studies exclude cognitively impaired patients, which may result in selection bias and inability to extrapolate results. The lack of use of objective measures to define cognitive impairment and lack appropriate outcome measures for the cognitively impaired is an important issue that needs to be addressed in future research. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.All authors: Schuijt HJ, McCormick BP, Webb AR, Fortier LM, von Keudell A, Weaver MJFiscal year: FY2023Digital Object Identifier: Date added to catalog: 2023-04-11
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article Available

Available online from MWHC library: 1996 - present

CONCLUSIONS: A total of 2711 publications were screened for eligibility, after exclusion a total of 723 papers were included. There is a focus on retrospective studies investigating mortality and complications. Studies are often small in terms of sample size, and there are relatively few prospective studies and RCTs study patient reported outcomes and quality of life. Patients with cognitive impairment are selectively excluded from clinical studies, and no consensus exists on how cognitive impairment is diagnosed. This review identified pitfalls and provides recommendations to navigate these issues for future studies. Many studies exclude cognitively impaired patients, which may result in selection bias and inability to extrapolate results. The lack of use of objective measures to define cognitive impairment and lack appropriate outcome measures for the cognitively impaired is an important issue that needs to be addressed in future research. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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