Evidence map›Paper›PMID 42216065›Full record

ArticlePilot and feasibility studies2026

Spin reporting is common in pilot and feasibility trials in hip and knee arthroplasty: a methodological analysis of a cross-sectional sample.

Zinnia Chung, Leigh-Ann Grant, Jeslyn Chen, Lawrence Mbuagbaw, Lipalo Mokete, Lehana Thabane

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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.

Zinnia ChungMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Leigh-Ann GrantMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Jeslyn ChenMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.
Lawrence MbuagbawDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Lipalo MoketeDivision of Orthopaedics, University of the Witwatersrand, Johannesburg, South Africa.
Lehana ThabaneMichael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada. thabanl@mcmaster.ca.ORCID http://orcid.org/0009-0004-9034-0021

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPilot and feasibility trials help identify methodological and logistical challenges. However, biased reporting, known as "spin," may distort overall study findings and mislead readers, presenting content through a subjective lens. Accurate assessments of feasibility are critical in orthopedic research, where the continued popularity of procedures such as hip and knee arthroplasties emphasizes a need for rapid advancement through research and development. The prevalence of spin practices among pilot and feasibility trials in hip and knee arthroplasties remains unclear. To evaluate the prevalence of spin reporting practices in pilot and feasibility trials focused on hip and knee arthroplasty. The secondary objective is to identify factors associated with the level of spin featured in the analyzed manuscripts.

methodsA search of PubMed identified 147 trials published between 2017 and 2023, selected using stratified random sampling. Studies were screened for the presence of three spin criteria defined in previous literature, and summarized descriptively.

resultsSpin appeared in 88.4% of studies (95% CI 83.3-93.6). Emphasis on intervention effectiveness (81.6%) and statistical significance rather than feasibility (60.5%) were the most common types. Spin was frequent in abstracts (78.9%) and discussions (79.6%), with the highest rates also observed in privately funded (95.7%) and pharmacologic (100%) studies. No clear trend was observed over time.

conclusionsSpin is widespread in pilot and feasibility trials involving hip and knee arthroplasty, particularly in abstracts and discussions. Greater adherence to reporting guidelines and explicit communication of feasibility objectives and study limitations are necessary to improve transparency and reduce interpretive bias in this field.

Indexed as

Feasibility studiesHip arthroplastyHip replacementKnee arthroplastyKnee replacementMethodological analysisPilot and feasibility trialsPilot trials

Identifiers

PMID42216065
PMCPMC13425915

What Socratic holds

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Registered trials

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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.