Estudo randomizado do tratamento cirúrgico da síndrome do túnel do carpo

Nascimento, Thiago Francisco Do; Fernando, Luíz; Gonçalves, Lucas Oliveira; Dobashi, Eiffel Tsuyoshi

doi:10.1590/s1413-78522007000400009

Cited by 3 publications

(5 citation statements)

References 10 publications

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“…Foram incluídos 22 trabalhos, sendo destes 10 provenientes da AOB (22)(23)(24)(25)(26)(27)(28)(29)(30)(31) e 12 da RBO (32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43) (Tabela1). A avaliação da confiabilidade interobservadores (E1 e E2), para o escore de JADAD resultou em um valor de Kappa de 0,611 (substancial, ótima).…”

Section: Resultsunclassified

Ensaios Clínicos Randomizados na ortopedia e traumatologia: avaliação sistemática da evidência nacional

Moraes¹,

Moreira²,

Tamaoki³

et al. 2010

Rev. bras. ortop.

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Trabalho recebido para publicação: 02/03/10, aceito para publicação: 09/03/10. RESuMOObjetivo: Verificar se houve melhora da qualidade e quantidade dos ensaios clínicos randomizados (ECRs) publicados na literatura nacional, por meio da aplicação de escores estruturados e validados na literatura. Métodos: Selecionamos, eletronicamente, todas as edições das duas revistas indexadas e de escopo ortopédico da literatura nacional -Acta Ortopédica Brasileira (AOB) e Revista Brasileira (2000-2004 and 2004-2009)

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Section: Resultsunclassified

Ensaios Clínicos Randomizados na ortopedia e traumatologia: avaliação sistemática da evidência nacional

Moraes¹,

Moreira²,

Tamaoki³

et al. 2010

Rev. bras. ortop.

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“…Twenty-two studies were included, of which 10 came from AOB 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 and 12 from RBO 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ( Table 1 ). Evaluation of the inter-observer reliability (S1 and S2) for the Jadad score resulted in a kappa value of 0.611 (substantial, excellent).…”

Section: Resultsmentioning

confidence: 99%

Randomized Controlled Trials in Orthopedics and Traumatology: Systematic Analysis on the National Evidence

Moraes

Moreira

Tamaoki

et al. 2010

Revista Brasileira de Ortopedia (English Edition)

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Objective: To assess whether there has been any improvement in the quality and quantity of randomized controlled trials (RCTs) in nationally published journals through the application of standardized and validated scores. Methods: We electronically selected all RCTs published in the two indexed Brazilian journals that focus on orthopedics, over the period 2000-2009: Acta Ortopédica Brasileira (AOB) and Revista Brasileira de Ortopedia (RBO). These RCTs were identified and scored by two independent researchers in accordance with the Jadad scale and the Cochrane Bone, Joint and Muscle Trauma Group score. The studies selected were grouped as follows: 1) publication period (2000-2004 or 2004-2009); 2) journal of publication (AOB or RBO). Results: Twenty-two papers were selected: 10 from AOB and 12 from RBO. No statistically significant differences were found between the proportions (nRCT/nTotal of published papers) of RCTs published in the two journals (p = 0.458), or in the Jadad score (p = 0.722) and Cochrane score (p = 0.630). Conclusion: The relative quality and quantity of RCTs in the journals analyzed were similar. There was a trend towards improvement of quality, but there was no increase in the number of RCTs between the two periods analyzed.

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“…Approximately 10% of the original articles published in both journals were clinical trials, whereas no systematic reviews were published. [3][4][5][6][7][8][9][10] It should be noted that only two articles in each journal presented sample calculations. In other words, among the studies published in 2007 (and after application of the exclusion criteria), sample size calculations were only found in 6.6% of the articles in AOB and 3.8% of the articles in RBME.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7][8]10 In one of them, the randomization process was performed by taking the last general hospital registration number on each patient's medical files: those for whom the last digit was an even number were included in group A and those with an odd number were put in group B (quasi-randomization). 9 According to Jadad, the presence of adequate randomization is among the main requirements for a clinical trial of good methodological quality. 15 With regard to blinding, among the eight trials, three were described as blinded.…”

Section: Discussionmentioning

confidence: 99%

“…[9][10][11][16][17][18][19][20][21][22] The difficulties in conducting trials on surgical interventions are well known and cannot be denied. However, once it is decided to conduct a randomized clinical trial, the sample size calculation, selection and description of the randomization and blinding of the researcher/evaluator and, whenever possible, of the patients, are required in order to provide evidence that can be safely incorporated into clinical practice.…”

Section: Discussionmentioning

confidence: 99%

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Designs of studies published in two Brazilian journals of orthopedics and sports medicine, recently indexed in the ISI Web of Science

Riera

2009

Sao Paulo Med. J.

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CONTEXT AND OBJECTIVE: The methodology and relevance of articles are among the keystones for promoting their citation and increasing journals' impact factors. Study designs appropriate for answering the questions and adequate sample sizes have the aim of reducing the risk of bias. This study evaluated the articles published in two Brazilian journals of orthopedics and sports medicine that were recently indexed in the ISI Web of Science, regarding study design, sample size calculation, randomization and blinding. DESIGN AND SETTING:Descriptive study at Brazilian Cochrane Center. METHODS:Through a manual search, all original manuscripts published in 2007 in Acta Ortopédica Brasileira and Revista Brasileira de Medicina do Esporte were selected and evaluated.RESULTS: All the 60 articles published in Acta Ortopédica Brasileira and the 87 articles in Revista Brasileira de Medicina do Esporte were included and evaluated. The commonest design in Acta Ortopédica Brasileira was experimental studies (n = 19) and in Revista Brasileira de Medicina do Esporte, update or review articles (n =14). Sample calculations were seen in a minority of the articles. None of the eight clinical trials published presented sample calculations or adequate randomization processes. Three were described as blinded, but none described the measures taken to prevent disclosure of the allocation concealment.CONCLUSIONS: Publication of studies of good methodological quality other than review and experimental studies should be strongly encouraged among Brazilian journals, with the aim of increasing their citation and therefore their impact factor. RESUMO CONTEXTO E OBJETIVO:A qualidade metodológica e a pertinência dos artigos estão entre algumas das peças fundamentais para promover sua citação e aumentar o fator de impacto da revista. Um desenho de estudo apropriado para responder às perguntas e uma amostra de tamanho adequado visam reduzir o risco de viés. Este estudo avaliou os artigos publicados em duas revistas brasileiras das áreas de ortopedia e medicina esportiva recentemente indexadas no ISI Web of Science, com relação a desenho do estudo, cálculo do tamanho amostral, aleatorização e mascaramento. TIPO DE ESTUDO E LOCAL: Estudo descritivo no Centro Cochrane do Brasil.MÉTODOS: Por meio de pesquisa manual, foram selecionados e avaliados todos os manuscritos originais publicados em 2007 na Acta Ortopédica Brasileira e Revista Brasileira de Medicina do Esporte. RESULTADOS:Todos os 60 artigos publicados na Acta Ortopédica Brasileira e os 87 artigos da Revista Brasileira de Medicina do Esporte foram incluídos e avaliados. O desenho mais comum na Acta Ortopédica Brasileira foi de estudo experimental (n = 19) e na Revista Brasileira de Medicina do Esporte, de atualização ou revisão (n = 14). O cálculo da amostra foi observado em uma minoria dos artigos. Nenhum dos oito ensaios clínicos publicados apresentou o cálculo do tamanho da amostra, nem o processo de aleatorização adequado. Três foram descritos como cegos, no entanto, nenhum descreveu a...

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Estudo randomizado do tratamento cirúrgico da síndrome do túnel do carpo

Cited by 3 publications

References 10 publications

Ensaios Clínicos Randomizados na ortopedia e traumatologia: avaliação sistemática da evidência nacional

Ensaios Clínicos Randomizados na ortopedia e traumatologia: avaliação sistemática da evidência nacional

Randomized Controlled Trials in Orthopedics and Traumatology: Systematic Analysis on the National Evidence

Designs of studies published in two Brazilian journals of orthopedics and sports medicine, recently indexed in the ISI Web of Science

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