Patterns in Outcomes Reporting of Operatively Managed Pediatric Patellofemoral Instability: A Systematic Review and Meta-analysis

Gao, Burke; Dwivedi, Shashank; Fabricant, Peter D.; Cruz, Aristides I.

doi:10.1177/0363546518765152

Cited by 12 publications

(16 citation statements)

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“…Only 2 of 6 systematic studies reported any form of PROM. Because entire studies have been devoted to such a topic, [36][37][38][39] a definitive suggestion as to the best PROM to report is beyond the scope of this article. However, some preliminary research suggests that the Rowe score (the only PROM cited among constituent studies [Table 2]) has limitations.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Versus Open Bankart Repairs in Recurrent Anterior Shoulder Instability: A Systematic Review of the Association Between Publication Date and Postoperative Recurrent Instability in Systematic Reviews

Gao

DeFroda

Bokshan

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Purpose: To systematically review the results of systematic studies regarding open versus arthroscopic Bankart repairs for recurrent anterior shoulder instability and quantitatively analyze the effect of primary-literature publication dates on reported outcomes in these systematic studies. Methods: A systematic search was conducted to identify systematic studies reporting outcomes of both arthroscopic and open Bankart repairs for recurrent anterior shoulder instability. Patient-reported outcome measures, recurrent instability rates, definitions of instability, and procedure types reported by included study characteristics were qualitatively analyzed. Correlation coefficient analyses were performed to investigate if a systematic study's proportion of included primary literature published after 1999, 2000, 2001, or 2002 affected that study's reported mean difference in instability recurrence between open and arthroscopic procedures. The Assessment of Multiple Systematic Reviews criteria were used to assess the risk of bias of the included studies. Results: Of 130 identified articles, 6 met the inclusion criteria. Patient-reported outcome measures were poorly reported. Among mean differences in instability recurrence rates, the results were indeterminate: Although 5 studies reported arthroscopic surgical procedures as having a higher recurrence rate, only 1 reported a statistically significant difference. Within the 5 included systematic reviews reporting the number of included studies, 37 of 56 observations were published after 2000. The proportion of studies published after 2000 (Pearson r ¼ 0.88, P ¼ .052) was positively associated with differences in instability recurrence rates between open and arthroscopic procedures. Conclusions: Systematic studies that included newer studies (published after 2000) were associated with more favorable arthroscopic outcomes. Level of Evidence: Level IV, systematic review of Level III and IV studies.

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Section: Discussionmentioning

confidence: 99%

Arthroscopic Versus Open Bankart Repairs in Recurrent Anterior Shoulder Instability: A Systematic Review of the Association Between Publication Date and Postoperative Recurrent Instability in Systematic Reviews

Gao

DeFroda

Bokshan

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Although the Kujala Anterior Knee Pain Scale is the most commonly used PROM in the pediatric patellofemoral instability literature, it has not been validated for use in a pediatric population [33]. Normative data is available from the original control group of 17 healthy adult patients, who scored an average of 99.9, compared with 82.8 for patients with anterior knee pain, and 62.2 for patients with patellofemoral instability [23].…”

Section: Additional Informationmentioning

confidence: 99%

“…Although the Lysholm scale has been validated for use in patients as young as 12 years as a knee-specific outcome score, it has not been specifically validated in a pediatric population [33]. Normative data has been published in which the average score was found to be 94 in healthy knees, and this did not vary with age [46,52].…”

Section: Additional Informationmentioning

confidence: 99%

Patient-Reported Outcome Measures for Patellofemoral Instability: a Critical Review

Hiemstra

Page

Kerslake

2019

Curr Rev Musculoskelet Med

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Purpose of Review The purpose of this paper was to review the current psychometric properties of patient-reported outcome measures that are commonly used for patients with patellofemoral instability. This review provides evidence to guide the selection of subjective outcome measures for assessing outcomes in clinical care and research studies. Recent Findings At the present time, there are two patient-reported outcome measures that have been designed for, and tested on, large cohorts of patellofemoral instability patients, the Banff Patella Instability Instrument (BPII) and the Norwich Patellar Instability Score (NPI). The BPII is a wholistic quality of life outcome measure and the NPI is a symptom score. Summary The use of disease-specific outcome measures such as the BPII and NPI, in combination with generic knee, functional activity, and/or psychological outcome measures that have been proven to be valid and reliable for the patellofemoral instability population, is most likely to provide a well-rounded evaluation of treatment outcomes.

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“… 9 , 10 , 11 Several recent studies have focused on the utility of such outcome measures in pediatric sports medicine. 12 , 13 , 14 To date, the plethora of reported outcome measures raises concern that data heterogeneity across the literature may impede meaningful data pooling that allows researchers to draw conclusions and to guide clinical practice. 13 Moreover, outcome measures must be validated in the patient populations of interest in order to ensure the accuracy and validity of information being collected, a challenge when studying children and adolescents.…”

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confidence: 99%

Which Metrics Are Being Used to Evaluate Children and Adolescents After ACL Reconstruction? A Systematic Review

Fabricant

Brusalis

Schachne

et al. 2020

Arthroscopy, Sports Medicine, and Rehabilitation

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Purpose To identify a comprehensive list of outcome measures previously used in the literature to evaluate clinical outcomes after reconstruction of the anterior cruciate ligament (ACL) in patients 18 years of age or younger. Methods A literature search was performed by querying MEDLINE, Embase and Cochrane computerized databases for relevant articles that reported clinical outcomes in pediatric patients undergoing ACL reconstruction. Studies that were nonclinical, that reported on patients older than 19 years, that were not available in English, or that included fewer than 10 patients were excluded. Outcome measures of all eligible studies were recorded. Results We identified 77 studies published between 1986 and 2018 in 20 peer-reviewed journals. The mean age of the patients was 13.9 years. The ACL rerupture rate was reported in 60% of studies; 32 studies (42%) reported a rate of return to preinjury activity or sports. The use of adult-validated patient-reported outcome measures were reported in 63 (82%) articles. The Lysholm (64%), International Knee Documentation Committee (IKDC) (56%) and Tegner (37%) scores were the most commonly reported. Two patient-reported outcome measures designed for pediatric patients (the Pedi-IKDC and Hospital for Special Surgery Pediatric Functional Activity Brief Scale (Pedi-FABS) were employed in 5 (6%) recent studies. Conclusions There is variability across studies in the metrics used to assess clinical outcomes following ACL reconstruction in children and adolescents. Validated pediatric-specific instruments were used infrequently. Clinical Relevance A large body of existing pediatric ACL-reconstruction literature relies on a variable set of outcome measures that have not been developed or validated for children and adolescents. More recently, contemporary studies have begun to employ pediatric- and adolescent-specific validated measures, yet their use remains uncommon.

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Patterns in Outcomes Reporting of Operatively Managed Pediatric Patellofemoral Instability: A Systematic Review and Meta-analysis

Cited by 12 publications

References 59 publications

Arthroscopic Versus Open Bankart Repairs in Recurrent Anterior Shoulder Instability: A Systematic Review of the Association Between Publication Date and Postoperative Recurrent Instability in Systematic Reviews

Arthroscopic Versus Open Bankart Repairs in Recurrent Anterior Shoulder Instability: A Systematic Review of the Association Between Publication Date and Postoperative Recurrent Instability in Systematic Reviews

Patient-Reported Outcome Measures for Patellofemoral Instability: a Critical Review

Which Metrics Are Being Used to Evaluate Children and Adolescents After ACL Reconstruction? A Systematic Review

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