Evidence map›Paper›PMID 34408037›Full record

SynthesisBMJ open2021

Hallux valgus orthosis characteristics and effectiveness: a systematic review with meta-analysis.

Mei-Ying Kwan, Kit-Lun Yick, Joanne Yip, Chi-Yung Tse

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Biomechanical evaluation of 3D-printed joint-type orthosis for hallux valgus.Journal of the Chinese Medical Association : JCMA · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mei-Ying KwanInstitute of Textiles and Clothing, The Hong Kong Polytechnic University, Kowloon, China.ORCID 0000-0001-8479-7157
Kit-Lun YickInstitute of Textiles and Clothing, The Hong Kong Polytechnic University, Kowloon, China tcyick@polyu.edu.hk.ORCID 0000-0002-9043-1781
Joanne YipInstitute of Textiles and Clothing, The Hong Kong Polytechnic University, Kowloon, China.ORCID 0000-0002-3270-4702
Chi-Yung TseCentre for Orthopaedic Surgery, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe treatment effect of orthoses for hallux valgus (HV) is unclear with little interventional studies, the design involves multiple complex factors, and therefore a systematic analysis with meta-analysis is necessary. The objective of this systematic review and meta-analysis is to determine whether current foot orthoses are effective in treating HV.

designSystematic review with meta-analysis. DATA SOURCES: Electronic databases (PubMed, Scopus, Cinahl and Medline) are searched up to February 2020. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Interventional studies with content focus on HV orthosis design and any of the outcomes related to effectiveness for treating HV are included. The standardised mean differences are calculated. The risk of bias in included studies is assessed using the Cochrane Collaboration's risk of bias tools.

resultsIn total, 2066 articles are identified. Among them, nine are selected and quality rated, and data are extracted and closely examined. A meta-analysis is conducted, where appropriate. The main causes of potential bias are missing outcome data and outcome measurement error. The results show that orthosis with a toe separator has the best effect of correcting the HV angle (standardised mean difference: 0.50, 95% CI: 0.189 to 0.803).

conclusionThe orthoses design with a toe separator or an element that allows for the foot anatomic alignment is critical for reducing the HV angle and relieving foot pain. The results contribute to a better selection of treatment for patients. PROSPERO REGISTRATION NUMBER: CRD42021260403.

Indexed as

Foot OrthosesHallux ValgusBracesFootHumansQuality of Lifeadult orthopaedicsanatomybone diseasesfoot & anklehealth economicsquality in healthcare

Identifiers

PMID34408037
PMCPMC8375760

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.