Evidence map›Paper›PMID 40255490›Full record

ReviewJB & JS open access

The Trend to Use the Word "Trend" to Describe Nonsignificant Results in Orthopaedic Literature.

Patrick A Massey, Ryan Taylor, Robert W Rutz, Joshua Harris, Carver Montgomery, Mohammad Alfrad Nobel Bhuiyan

Abstract readReview
In one paragraph

Review in JB & JS open access. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Patrick A MasseyDepartment of Orthopaedic Surgery, Louisiana State University Health Shreveport, Shreveport, Louisiana.ORCID https://orcid.org/0000-0001-8637-0122
Ryan TaylorDepartment of Orthopaedic Surgery, Louisiana State University Health Shreveport, Shreveport, Louisiana.ORCID https://orcid.org/0009-0006-1039-4746
Robert W RutzDepartment of Orthopaedic Surgery, Louisiana State University Health Shreveport, Shreveport, Louisiana.ORCID https://orcid.org/0009-0003-4706-5231
Joshua HarrisHouston Methodist Orthopedics and Sports Medicine, Houston, Texas.ORCID https://orcid.org/0000-0002-7606-2473
Carver MontgomeryDepartment of Orthopaedic Surgery, University of Mississippi Medical Center, Jackson, Mississippi.ORCID https://orcid.org/0000-0002-4873-4308
Mohammad Alfrad Nobel BhuiyanDepartment of Biostatistics and Computational Biology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana.ORCID https://orcid.org/0000-0002-6011-2624

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Use of the word "trend" for statistical judgment with no statistical significance has been recognized in multiple fields of medical literature. "Trend" is sometimes used to describe "nearly significant" findings when they are not statistically significant. The purpose of this study was to characterize the use of the word "trend" to describe nonsignificant findings in orthopaedic publications. Methods: Orthopaedic journals indexed in MEDLINE were identified using the terms: orthopedics OR orthopaedics OR sports medicine OR orthopedic OR orthopaedic. Abstracts from these journals that contained the word "trend" from 1985 to 2022 were identified. Journals containing literature on nonhuman orthopaedics were excluded. "Trend" used for statistical judgment without a p-value or with a nonsignificant p-value was labeled "NS Trend". Use of "trend" not in the context of statistical tests was labeled as "dictionary usage" of the word. Results: A total of 59,839 article abstracts were identified, with "trend" being used in 1,029 abstracts (1.7%). "NS Trend" was used in 617 abstracts (60%) to describe significant results when the p-value was not given or not actually significant. There was a strong correlation over time with increasing use of the word "trend" in orthopaedic abstracts (r = 0.956). An exponential rise in "NS Trend" usage was found (r = 0.924; R Conclusion: The word "trend" is increasingly being used in orthopaedic literature, including suggesting statistical significance when absent. Misinterpretation of statistical analyses can lead to research conclusions that push readers toward inappropriate treatments. It is imperative that we clearly communicate our statistical findings and not use ambiguous language. The word "trend" should only be used to describe an actual trend analysis and not to imply statistical significance when none is present.

Identifiers

PMID40255490
PMCPMC12002384

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.