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

Moraes, Vinícius Ynoe de; Moreira, Cesar Domingues; Tamaoki, Marcel Jun Sugawara; Faloppa, Flávio; Belloti, João Carlos

doi:10.1016/s2255-4971(15)30310-4

Cited by 6 publications

(6 citation statements)

References 42 publications

(40 reference statements)

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“…Rodrigues have found 0.84% in plastic surgery journals, Moraes found 2.4% in orthopedic literature and Rosales found from zero to 8.3% in hand surgery journals. 5 6 7 …”

Section: Discussionmentioning

confidence: 99%

Relation Between Impact Factor in Orthopedic Journals and Level of Evidence

2018

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Objective:This study aims to assess the quality of articles published in the leading orthopedic surgery journals, by measuring the relation between the impact factor and the number studies with a high level of evidence.Methods:A literature review was performed of articles published in four previously selected journals. A score of journal evidence (RER - Relation between Randomized clinical trials and Systematic reviews) was calculated, considering the number of RCTs and SR published and the total number of full-text articles.Results:The selected journals were JBJS-Am, ASMJ, BJJ-Br and Arthroscopy, with Impact factors of 5.280, 4.362, 3.309 and 3.206 respectively in 2015. In the study, the RER Scores, in the same order, were 9.408, 6.153, 7.456 and 7.779.Conclusion:The journal JBJS-Am is the best available source of information on orthopedic surgery from this point of view. It has the highest Impact Factor and clearly the highest RER Score. On the other hand, we could conclude that the number of published RCT and good quality SR is very low, with less than 10% of all the articles. Level of evidence III, Analyses based on limited alternatives and costs, and poor estimates.

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“…Rodrigues have found 0.84% in plastic surgery journals, Moraes found 2.4% in orthopedic literature and Rosales found from zero to 8.3% in hand surgery journals. 5 6 7 …”

Section: Discussionmentioning

confidence: 99%

Relation Between Impact Factor in Orthopedic Journals and Level of Evidence

2018

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“…New options such as rib autograft [ 20 ] and pyrocarbon implants [ 21 ] are available and need further investigation. Despite the many treatment options, an evidence-based approach demonstrates no superiority for any surgical treatment in early or late stage disease and the authors underscore the lack of randomized trials [ 3 ], which is unfortunately commonplace in hand surgery research [ 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

Does dorsal capsule interposition improve the results of proximal row carpectomy in Kienböck’s disease? One year randomized trial

Fukushima

Moraes

Penteado

et al. 2015

SICOT-J

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Introduction: Proximal row carpectomy (PRC) is an option as a salvage procedure in late stage Kienböck’s disease. In this study, we hypothesize that interposition of a dorsal capsular flap following PRC improves functional outcomes. No comparative study is available to assess whether interposition is effective from the functional perspective. This study aims to determine whether the addition of this procedure may improve functional outcomes at a one year assessment. Methods: Thirty adult patients with IIIA and IIIB Lichtman stages, aged 18–54 years, were randomized into two study groups. Fourteen patients were allocated to the “no interposition group” and 16 to the “interposition” group. DASH questionnaire was used to evaluate quality of life. Cooney’s system was used to assess pain, functional state, range of motion, and grip strength. Complications were also assessed. Final followup and clinical assessment occurred after 12 months. Results: After 12 months and no patient losses, outcomes were similar in both groups. DASH scores (41.9 (7.5) vs. 42.9 (12.8), p = 0.79)), Cooney’s system (poor results, 0.6 vs. 0.14, p = 0.54), and complications were similar between groups. In conclusion, the inclusion of a dorsal capsular flap does not improve functional outcomes in PRC. Low rates of complications were found in both groups.

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“…The analysis of the national literature, in search of papers published on the subject “knee surgery”, demonstrated a similar trend to the international literature, with increasing scientific production over the years. 6 , 7 In 2000, 11 papers were published, increasing to 26 in 2005 and to 50 in 2011. This stimulus to scientific production can be explained by an increasing demand for evidence to justify the application of a therapeutic method.…”

Section: Discussionmentioning

confidence: 99%

“… 5 , 7 It is recommended that the authors make every effort and use a control group in their studies, since this practice can substantially raise the rating of the level of evidence and improve the confidence with which one can apply the information obtained to clinical and surgical practice. 6 …”

Section: Discussionmentioning

confidence: 99%

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Level of evidence of knee surgery in national journal

Rosário

Gracitelli

Luzo

et al. 2014

Revista Brasileira de Ortopedia (English Edition)

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Select the studies related to knee surgery in the orthopedic literature published by Acta Ortopédica Brasileira (AOB) and the Revista Brasileira de Ortopedia (RBO) and classify them according to the levels of evidence. We selected all studies published from 2000 to 2011 related to knee surgery in AOB and RBO. The following categorization was adopted: level 1: systematic review; level 2: clinical trial; level 3: cohort studies and case–control; level 4: number of cases; level 5: narrative review and others. We found in the national literature selected 255 studies related to knee surgery. In the Southeast were developed 212 articles (83.1%), 30 publications in the South (11.7%), Northeast 5 (2%), North and Central West 2 jobs each (0.8%). Four work performed in other country (1.6%). The most common issue was the anterior cruciate ligament in 58 studies (22.7%) and arthroplasty in 55 studies (21.5%). Most studies presented evidence level IV (27.8%) and V (50.2%). The national scientific production related to knee surgery presents itself expanding with predominant expression in the Southeast. Most studies related to knee surgery published in national journals have low level evidence and focuses on the approach of the anterior cruciate ligament and arthroplasty.

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

Cited by 6 publications

References 42 publications

Relation Between Impact Factor in Orthopedic Journals and Level of Evidence

Relation Between Impact Factor in Orthopedic Journals and Level of Evidence

Does dorsal capsule interposition improve the results of proximal row carpectomy in Kienböck’s disease? One year randomized trial

Level of evidence of knee surgery in national journal

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