Randomised controlled trials in hand surgery: a scoping review
Objectives To identify the evidence gaps that exist regarding the efficacy or effectiveness of hand surgery.Setting A scoping review. We systematically searched MEDLINE, Embase and CENTRAL databases to identify all hand surgical randomised controlled trials from inception to 7 November 2020.Results...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/10/e062773.full |
| _version_ | 1811337424719052800 |
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| author | Rachelle Buchbinder Teemu Karjalainen Jarkko Jokihaara Juuso Heikkinen Soumen Das De Kati Jaatinen |
| author_facet | Rachelle Buchbinder Teemu Karjalainen Jarkko Jokihaara Juuso Heikkinen Soumen Das De Kati Jaatinen |
| author_sort | Rachelle Buchbinder |
| collection | DOAJ |
| description | Objectives To identify the evidence gaps that exist regarding the efficacy or effectiveness of hand surgery.Setting A scoping review. We systematically searched MEDLINE, Embase and CENTRAL databases to identify all hand surgical randomised controlled trials from inception to 7 November 2020.Results Of the 220 identified randomised controlled trials, none were fundamental efficacy trials, that is, compared surgery with placebo surgery. 172 (78%) trials compared the outcomes of different surgical techniques, and 143 (65%) trials were trauma related. We identified only 47 (21%) trials comparing surgery with non-operative care or injection.Conclusion The evidence supporting use of surgery especially for chronic hand conditions is scarce. To determine optimal care for people with hand conditions, more resources should be aimed at placebo-controlled trials and pragmatic effectiveness trials comparing hand surgery with non-operative care.PROSPERO registration number CRD42019122710. |
| first_indexed | 2024-04-13T17:54:42Z |
| format | Article |
| id | doaj.art-ed040ba477154a7899b139674891a705 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-13T17:54:42Z |
| publishDate | 2022-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-ed040ba477154a7899b139674891a7052022-12-22T02:36:33ZengBMJ Publishing GroupBMJ Open2044-60552022-10-01121010.1136/bmjopen-2022-062773Randomised controlled trials in hand surgery: a scoping reviewRachelle Buchbinder0Teemu Karjalainen1Jarkko Jokihaara2Juuso Heikkinen3Soumen Das De4Kati Jaatinen5Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaUnit of Hand Surgery, Department of Surgery, Central Finland Central Hospital, Jyvaskyla, FinlandDepartment of Hand Surgery, Faculty of Medicine and Life Sciences, Tampere University Hospital, Tampere, FinlandOrthopedic and Traumatology, Oulu University Hospital, Oulu, FinlandDepartment of Hand & Reconstructive Microsurgery, National University Hospital, SingaporeUniversity of Jyväskylä, University of Jyväskylä, Jyvaskylä, FinlandObjectives To identify the evidence gaps that exist regarding the efficacy or effectiveness of hand surgery.Setting A scoping review. We systematically searched MEDLINE, Embase and CENTRAL databases to identify all hand surgical randomised controlled trials from inception to 7 November 2020.Results Of the 220 identified randomised controlled trials, none were fundamental efficacy trials, that is, compared surgery with placebo surgery. 172 (78%) trials compared the outcomes of different surgical techniques, and 143 (65%) trials were trauma related. We identified only 47 (21%) trials comparing surgery with non-operative care or injection.Conclusion The evidence supporting use of surgery especially for chronic hand conditions is scarce. To determine optimal care for people with hand conditions, more resources should be aimed at placebo-controlled trials and pragmatic effectiveness trials comparing hand surgery with non-operative care.PROSPERO registration number CRD42019122710.https://bmjopen.bmj.com/content/12/10/e062773.full |
| spellingShingle | Rachelle Buchbinder Teemu Karjalainen Jarkko Jokihaara Juuso Heikkinen Soumen Das De Kati Jaatinen Randomised controlled trials in hand surgery: a scoping review BMJ Open |
| title | Randomised controlled trials in hand surgery: a scoping review |
| title_full | Randomised controlled trials in hand surgery: a scoping review |
| title_fullStr | Randomised controlled trials in hand surgery: a scoping review |
| title_full_unstemmed | Randomised controlled trials in hand surgery: a scoping review |
| title_short | Randomised controlled trials in hand surgery: a scoping review |
| title_sort | randomised controlled trials in hand surgery a scoping review |
| url | https://bmjopen.bmj.com/content/12/10/e062773.full |
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