社会人口学变量很少被纳入股骨颈骨折随机对照试验：一项系统回顾

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-03-15 DOI:10.1016/j.jor.2025.03.023

Avanish Yendluri, Jennifer Yu, Carolina Stocchi, Mark Kurapatti, Nikan K. Namiri, Junho Song, John J. Corvi, John K. Cordero, Steven Yacovelli, Brett L. Hayden, David A. Forsh

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引用次数: 0

摘要

社会人口学因素可能影响股骨颈骨折患者手术后的预后。本研究的目的是评估与股骨颈骨折手术治疗相关的高影响随机对照试验（rct）中社会人口学变量的纳入情况。方法查询spubmed、Embase和Medline网站2017年1月1日至2024年3月31日发表在高影响期刊上的与股骨颈骨折患者手术治疗相关的随机对照试验。提取了随机对照试验的发表期刊、发表年份和评估的干预措施。评估每个RCT是否包含以下社会人口学变量：年龄、性别/性别、身体质量指数(BMI)/体重、种族/民族、教育水平、保险、吸烟/烟草使用、社会经济地位、婚姻状况、酒精使用、英语熟练程度、地理测量（即靠近医院）、就业状况和骨折前居住状况。时间报告趋势采用卡方检验分析。结果1038项随机对照试验中，37项纳入分析。所有37项研究都报告了年龄和性别。22项研究（59.5%）报告了BMI/体重。11项研究报告了患者骨折前的居住状况（29.7%）。9项研究报告了吸烟/烟草使用（24.3%）。只有5项研究（13.5%）报告了种族/民族。社会经济地位、英语水平、地理测量、婚姻状况、教育水平、保险和就业变量在分析的随机对照试验中报告的比例不到10%。此外，2017-2020年（10/22）与2021-2024年（8/15）相比，报告至少一个社会人口变量（不包括年龄、性别/性别和BMI/体重）的研究比例无显著差异；p = 0.743)。结论：我们对高影响随机对照试验的分析显示，社会人口变量的报告存在很大差距。与股骨颈骨折处理相关的随机对照试验应一致地报告关键的社会人口学变量，以确保研究结果的普遍性。证据水平1

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Sociodemographic variables are rarely included in femoral neck fracture randomized controlled trials: A systematic review

Introduction

Sociodemographic factors may affect outcomes after surgery for patients with femoral neck fractures. The purpose of this study was to assess the inclusion of sociodemographic variables in high-impact randomized controlled trials (RCTs) related to femoral neck fracture operative management.

Methods

PubMed, Embase, and Medline were queried from January 1, 2017 to March 31, 2024 for RCTs pertaining to operative treatment of femoral neck fracture patients in high impact journals were included. The journal of publication, year of publication, and interventions assessed by the RCTs were extracted. Each RCT was assessed for inclusion of the following sociodemographic variables: age, sex/gender, body mass index (BMI)/weight, race/ethnicity, education level, insurance, smoking/tobacco use, socioeconomic status, marital status, alcohol use, English proficiency, geographic measures (i.e. proximity to hospital), employment status, and prefracture residence status. Temporal reporting trends were analyzed using Chi-square test.

Results

Of 1038 RCTs identified, 37 were included for analysis. All 37 studies reported age and sex/gender. BMI/weight was reported in 22 studies (59.5 %). Patients’ prefracture residence status was reported in 11 studies (29.7 %). Smoking/tobacco use was reported in 9 studies (24.3 %). Race/ethnicity was reported in only 5 studies (13.5 %). Socioeconomic status, English proficiency, geographic measures, marital status, education level, insurance, and employment variables were all reported in less than 10 % of the analyzed RCTs. Furthermore, there was no significant difference in the proportion of studies reporting at least one sociodemographic variable (excluding age, sex/gender, and BMI/weight) in 2017–2020 (10/22) versus 2021–2024 (8/15; p = 0.743).

Conclusion

Our analysis of high-impact RCTs revealed a large gap in the reporting of sociodemographic variables. RCTs relating to femoral neck fracture management should consistently report key sociodemographic variables to ensure generalizability of study findings.

Level of evidence

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.