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Patient and Public Involvement Within Orthopaedic Research: A Systematic Review.

Dean Owyang1, Ali Bakhsh, David Brewer

  • 1Patient and Public Involvement Group, The MSk Lab (D.B.), Department of Surgery and Cancer (D.O., A.B., O.R.B., and J.P.C.), Faculty of Medicine, Imperial College London, United Kingdom.

The Journal of Bone and Joint Surgery. American Volume
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Summary
This summary is machine-generated.

Patient and public involvement (PPI) in orthopaedic surgery trials is rare and poorly reported. Improving PPI reporting is crucial for enhancing clinical trial quality and patient-centered outcomes.

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Area of Science:

  • Orthopaedic Surgery
  • Clinical Trials
  • Health Services Research

Background:

  • Systematic review assessing patient and public involvement (PPI) in orthopaedic surgery randomized controlled trials (RCTs).
  • Evaluated the prevalence, extent, and quality of PPI in academic orthopaedic practice.
  • Highlights the importance of PPI for improving clinical trial relevance and patient outcomes.

Purpose of the Study:

  • To systematically review and assess the reporting of patient and public involvement (PPI) in orthopaedic surgery randomized controlled trials (RCTs).
  • To determine the prevalence, extent, and quality of PPI in current academic orthopaedic research.
  • To identify barriers to adequate PPI reporting in the field.

Main Methods:

  • Conducted a systematic literature search of Cochrane, MEDLINE, and Embase databases for RCTs published between 2013-2020 in top orthopaedic journals.
  • Included studies were analyzed for the rate and quality of PPI reporting using Wright and Foster guidelines and the GRIPP2-SF checklist.
  • Review followed PRISMA guidelines for systematic reviews and meta-analyses.

Main Results:

  • Identified 2,107 initial results, screening down to 475 full-text articles; only two papers described PPI.
  • One paper utilized PPI for research questions, outcomes, and dissemination; the other for study protocol design.
  • Both included studies reported PPI poorly, with limited information on its impact on the research.

Conclusions:

  • This systematic review is the first to detail PPI reporting in orthopaedic RCTs, revealing low prevalence and quality.
  • Barriers include a lack of systematic guideline adoption and compulsory reporting requirements from publishers.
  • Enhancing PPI reporting is essential for patient-centered research and improved trial quality.