Spin in the Abstracts of Meta-analyses and Systematic Reviews: Midshaft Clavicle Fracture.

Autor:	Gulbrandsen MT; Department of Orthopaedic Surgery, Loma Linda University School of Medicine, Loma Linda, CA., Filler RJ; Department of Orthopaedic Surgery, Loma Linda University School of Medicine, Loma Linda, CA., Rice RC; Department of Orthopaedic Surgery, Loma Linda University School of Medicine, Loma Linda, CA., Chung JH; Department of Orthopaedic Surgery, Loma Linda University School of Medicine, Loma Linda, CA., Gulbrandsen TR; Department of Orthopaedic Surgery, University of Iowa Hospital, Iowa City, IA; and., Phipatanakul WP; Department of Orthopaedic Surgery, Loma Linda University School of Medicine, Loma Linda, CA., Liu JN; Department of Orthopaedic Surgery, University of Southern California Keck School of Medicine, Los Angeles, CA.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic trauma [J Orthop Trauma] 2022 Oct 01, pp. e128-e134. Date of Electronic Publication: 2022 Oct 01.
DOI:	10.1097/BOT.0000000000002497
Abstrakt:	Objectives: Spin is a reporting bias that presents the beneficial effect of an experimental treatment as greater than what is found in the results of the study. This bias can result in patient care recommendations that are more subjective than objective. The purpose of this study is to identify the prevalence of spin in meta-analysis and systematic review abstracts regarding treatment of midshaft clavicle fractures. Methods: Electronic libraries (MEDLINE, Embase, Web of Science, Google Scholar) were systematically searched. Meta-analyses and systematic reviews regarding treatment of midshaft clavicular fractures were analyzed. The nine most severe types of spin commonly found in abstracts were used as an evaluation tool to assess the articles. Other variables analyzed include year of publication, journal impact factor, number of citations, and methodologic quality according to A Measurement Tool to Assess Systematic Reviews (AMSTAR-2). Results: The database search resulted in 401 articles, of which 53 met inclusion criteria. After review, it was found that 52.8% (28/53) of the included articles contained spin within the abstract. Of the nine most severe types of spin found in abstracts, type 3 spin ("selective reporting of or overemphasis on efficacy outcomes or analysis favoring the beneficial effect of the experimental intervention") was found to be the most prevalent 28.3% (15/53). Conclusion: This study demonstrated the presence of spin in the majority of meta-analyses and systematic review abstracts pertaining to midshaft clavicular fractures. Orthopedic surgeons should be aware and recognize spin as they review articles when deciding the treatment course for such injuries. Level of Evidence: Level 3. See Instructions for Authors for a complete description of levels of evidence. Competing Interests: Conflicts of Interest: Dr. Wesley P Phipatanakul is a paid consultant (presenter) for Arthrex, Inc and a Board or Committee Member for American Shoulder and Elbow Surgeons. Dr. Joseph N Liu is a Board or Committee Member for American Shoulder and Elbow Surgeons, Arthroscopy Association of North American, and the American Academy of Orthopaedic Surgeons. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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