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Socioeconomic Status and Race Are Rarely Reported in Randomized Controlled Trials for Achilles Tendon Pathology in the Top 10 Orthopaedic Journals: A Systematic Review.

Publication ,  Journal Article
Talaski, GM; Baumann, AN; Salmen, N; Curtis, DP; Walley, KC; Anastasio, AT; de Cesar Netto, C
Published in: Foot Ankle Orthop
January 2024

BACKGROUND: Randomized controlled trials (RCTs) are crucial in comparative research, and a careful approach to randomization methodology helps minimize bias. However, confounding variables like socioeconomic status (SES) and race are often underreported in orthopaedic RCTs, potentially affecting the generalizability of results. This study aimed to analyze the reporting trends of SES and race in RCTs pertaining to Achilles tendon pathology, considering 4 decades of data from top-tier orthopaedic journals. METHODS: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and used PubMed to search 10 high-impact factor orthopaedic journals for RCTs related to the management of Achilles tendon pathology. The search encompassed all articles from the inception of each journal until July 11, 2023. Data extraction included year of publication, study type, reporting of SES and race, primary study location, and intervention details. RESULTS: Of the 88 RCTs identified, 68 met the inclusion criteria. Based on decade of publication, 6 articles (8.8%) reported on SES, whereas only 2 articles (2.9%) reported on race. No RCTs reported SES in the pre-1999 period, but the frequency of reporting increased in subsequent decades. Meanwhile, all RCTs reporting race were published in the current decade (2020-2030), with a frequency of 20%. When considering the study location, RCTs conducted outside the United States were more likely to report SES compared with those within the USA. CONCLUSION: This review revealed a concerning underreporting of SES and race in Achilles tendon pathology RCTs. The reporting percentage remains low for both SES and race, indicating a need for comprehensive reporting practices in orthopaedic research. Understanding the impact of SES and race on treatment outcomes is critical for informed clinical decision making and ensuring equitable patient care. Future studies should prioritize the inclusion of these variables to enhance the generalizability and validity of RCT results.

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Published In

Foot Ankle Orthop

DOI

EISSN

2473-0114

Publication Date

January 2024

Volume

9

Issue

1

Start / End Page

24730114231225454

Location

United States
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Talaski, G. M., Baumann, A. N., Salmen, N., Curtis, D. P., Walley, K. C., Anastasio, A. T., & de Cesar Netto, C. (2024). Socioeconomic Status and Race Are Rarely Reported in Randomized Controlled Trials for Achilles Tendon Pathology in the Top 10 Orthopaedic Journals: A Systematic Review. Foot Ankle Orthop, 9(1), 24730114231225456. https://doi.org/10.1177/24730114231225454
Talaski, Grayson M., Anthony N. Baumann, Natasha Salmen, Deven P. Curtis, Kempland C. Walley, Albert T. Anastasio, and Cesar de Cesar Netto. “Socioeconomic Status and Race Are Rarely Reported in Randomized Controlled Trials for Achilles Tendon Pathology in the Top 10 Orthopaedic Journals: A Systematic Review.Foot Ankle Orthop 9, no. 1 (January 2024): 24730114231225456. https://doi.org/10.1177/24730114231225454.
Talaski GM, Baumann AN, Salmen N, Curtis DP, Walley KC, Anastasio AT, et al. Socioeconomic Status and Race Are Rarely Reported in Randomized Controlled Trials for Achilles Tendon Pathology in the Top 10 Orthopaedic Journals: A Systematic Review. Foot Ankle Orthop. 2024 Jan;9(1):24730114231225456.
Talaski, Grayson M., et al. “Socioeconomic Status and Race Are Rarely Reported in Randomized Controlled Trials for Achilles Tendon Pathology in the Top 10 Orthopaedic Journals: A Systematic Review.Foot Ankle Orthop, vol. 9, no. 1, Jan. 2024, p. 24730114231225456. Pubmed, doi:10.1177/24730114231225454.
Talaski GM, Baumann AN, Salmen N, Curtis DP, Walley KC, Anastasio AT, de Cesar Netto C. Socioeconomic Status and Race Are Rarely Reported in Randomized Controlled Trials for Achilles Tendon Pathology in the Top 10 Orthopaedic Journals: A Systematic Review. Foot Ankle Orthop. 2024 Jan;9(1):24730114231225456.

Published In

Foot Ankle Orthop

DOI

EISSN

2473-0114

Publication Date

January 2024

Volume

9

Issue

1

Start / End Page

24730114231225454

Location

United States