Clinical Evidence for 10 Common Elective Orthopaedic Procedures: An Umbrella Review

An umbrella review of meta-analyses assessing the clinical effectiveness of ten common elective orthopaedic procedures compared to non-operative care. The study, sourced from Medline, Embase, and the Cochrane Library up to September 2020, found high-quality trial evidence supports only two of the ten procedures. It was conducted to determine the quality of evidence and its alignment with national clinical guidelines.

Use Cases

• Systematic review of clinical trial evidence based on the Assessment of Multiple Systematic Reviews (AMSTAR) instrument scores.
• Comparison of surgical procedure recommendations with national guideline strength based on the National Institute for Health and Care Excellence (NICE) Evidence search.
• Analysis of evidence gaps for procedures like total hip replacement and meniscal repair where specific randomized controlled trials are lacking.
• Evaluation of the Jadad decision algorithm outputs to identify the best available meta-analysis for each procedure.

Strengths

• Focuses on ten specific, high-volume elective orthopaedic procedures.
• Methodology involved independent data extraction by two investigators with third-party consensus.
• Searched multiple authoritative medical databases (Medline, Embase, Cochrane Library) up to September 2020.

Limitations

• Column-level documentation is absent; field semantics must be inferred after download.
• Row count is unknown, which may limit suitability assessment.
• Last update date is unknown; freshness unverified.

Provenance

Source

paperswithcode

Collection Method

Umbrella review of meta-analyses of randomized controlled trials and other study designs.

Time Range

Literature search until September 2020.

Freshness

Data current as of September 2020; update frequency unknown.

Geography

Global (studies from international databases).