LEVELS OF EVIDENCE IN ONCOLOGIC-ORTHOPEDIC STUDIES - ACTA ORTOP BRAS (1993-2022).

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243205e285265
Alex Guedes, Ângelo Rebouças Fernandes Curvelo Sousa, Marco Aurélio Santos Santana, Aparecida Aguiar Lima Guedes, Ricardo Gehrke Becker, Olavo Pires de Camargo
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Abstract

Objectives: to identify oncological-orthopedic studies published in Acta Ortopédica Brasileira over three decades; to classify them according to the type and level of evidence (LE); to observe the inter-rater agreement in the classification of studies; to analyze the studies retrospectively, according to levels of evidence; and to outline the evolution of the evidence in the study period.

Methods: Descriptive analyses were performed with absolute and relative frequencies of studies published between 1993 and 2022. Inter-rater agreement was analyzed by percentage of agreement and Kappa statistic (95%CI). The interpretation of the magnitude of the agreement was performed according to Landis & Koch. The association between classifications and publication period was analyzed using Fisher's exact test. The analyses were performed using the R program (significance of 5%).

Results: 69/1349 papers were selected; there was a significant association between type of study, statistical methodology, and LE with publication period (p < 0.05); inter-rater agreement regarding LE was 92.8%.

Conclusions: Oncological-orthopedic studies accounted for 5.1% of all published papers. Regarding the LE, 80% were NE IV and V studies, despite the evolution observed between the first and last decade (decrease in LE V studies and increase in LE II, III and IV). Level of Evidence III, Retrospective Comparative Study.

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肿瘤学-骨科研究的证据等级--《乳房 X 线照相术》(1993-2022 年)。
目的:确定三十年来发表在《巴西矫形外科杂志》(Acta Ortopédica Brasileira)上的肿瘤矫形外科研究;根据证据类型和水平(LE)对其进行分类;观察研究分类的评分者之间的一致性;根据证据水平对研究进行回顾性分析;概述研究期间证据的演变情况:对 1993 年至 2022 年间发表的研究报告的绝对频率和相对频率进行了描述性分析。通过一致性百分比和 Kappa 统计量(95%CI)分析评分者之间的一致性。根据 Landis & Koch 的方法解释了一致性的大小。分类与发表时间之间的关联采用费雪精确检验法进行分析。分析使用 R 程序进行(显著性为 5%):69篇/1349篇论文入选;研究类型、统计方法和LE与发表时间之间存在显著关联(P < 0.05);LE的评分者间一致性为92.8%:肿瘤骨科研究占所有发表论文的 5.1%。结论:在所有发表的论文中,肿瘤骨科研究占 5.1%,其中 80% 为 NE IV 和 V 级研究,尽管在过去十年间出现了变化(LE V 级研究减少,LE II、III 和 IV 级研究增加)。证据等级 III,回顾性比较研究。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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