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A scoping review of the outcome reporting following surgery for chronic osteomyelitis of the lower limb
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Camilleri-Brennan, Julian, James, Sophie, McDaid, Catriona, Adamson, Joy, Jones, Katherine, O'Carroll, Grace, Akhter, Zohaib, Eltayeb, Momin and Sharma, Hemant (2023) A scoping review of the outcome reporting following surgery for chronic osteomyelitis of the lower limb. Bone & Joint Open, 4 (3). pp. 146-157. doi:10.1302/2633-1462.43.BJO-2022-0109.R1 ISSN 2633-1462.
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2633-1462.43.BJO-2022-0109.R1.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (834Kb) | Preview |
Official URL: http://doi.org/10.1302/2633-1462.43.BJO-2022-0109....
Abstract
Aims
Chronic osteomyelitis (COM) of the lower limb in adults can be surgically managed by either limb reconstruction or amputation. This scoping review aims to map the outcomes used in studies surgically managing COM in order to aid future development of a core outcome set.
Methods
A total of 11 databases were searched. A subset of studies published between 1 October 2020 and 1 January 2011 from a larger review mapping research on limb reconstruction and limb amputation for the management of lower limb COM were eligible. All outcomes were extracted and recorded verbatim. Outcomes were grouped and categorized as per the revised Williamson and Clarke taxonomy.
Results
A total of 3,303 records were screened, of which 99 studies were included. Most studies were case series (77/99; 78%) and assessed one method of reconstruction (68/99; 69%). A total of 511 outcomes were reported, which were grouped into 58 distinct outcomes. Overall, 143/511 of all outcomes (28%) were provided with a clear, in-text definition, and 231 outcomes (45%) had details reported of how and when they were measured. The most commonly reported outcome was ‘recurrence of osteomyelitis’ (62; 12%). The single-most patient-reported outcome measure was ‘pain’.
Conclusion
This study has highlighted significant inconsistencies in the defining, reporting, and measuring of outcomes across studies investigating surgical management for chronic osteomyelitis of the lower limb in adults. Future studies should clearly report complete details of how outcomes are defined and measured, including timing. The development of a standardized core outcome set would be of significant benefit in order to allow evidence synthesis and comparison across studies.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RC Internal medicine R Medicine > RD Surgery |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Library of Congress Subject Headings (LCSH): | Osteomyelitis, Bones -- Surgery, Chronic diseases, Bones -- Diseases | ||||||
Journal or Publication Title: | Bone & Joint Open | ||||||
Publisher: | British Editorial Society of Bone and Joint Surgery | ||||||
ISSN: | 2633-1462 | ||||||
Official Date: | 7 March 2023 | ||||||
Dates: |
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Volume: | 4 | ||||||
Number: | 3 | ||||||
Page Range: | pp. 146-157 | ||||||
DOI: | 10.1302/2633-1462.43.BJO-2022-0109.R1 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 17 March 2023 | ||||||
Date of first compliant Open Access: | 17 March 2023 |
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