Table 1.
Inclusion/exclusion criteria.
| Inclusion criteria | Exclusion criteria | |
|---|---|---|
| Study design | Prospective longitudinal prognostic factor studies looking specifically at risk factors for persistent pain following a distal radius fracture. Sample size greater than 100 |
• Note to exclude all RCTs unless it concerns a cohort analysis of trial participants. • Qualitative studies, retrospective studies, case studies or case series, case control and abstract-only reports • Study size 100 or less |
| Participants and conditions of interest | Population: Adults, 18 years and older who have suffered a fracture of the distal radius, regardless of treatment and are followed up from the time of experiencing/receiving first treatment of the fracture. | • Studies among populations with ‘red flag’ diagnoses (e.g., suspected cancer) • Studies on scaphoid outcomes • Studies on specific disease groups i.e., fibromyalgia or medication groups e.g., vitamin C • Studies focusing only on people with mal union/poorly healed fractures • Studies on subgroups with very specific types of complex (and or rare) fractures |
| Interventions or exposures | Studies should reflect usual care so should include a mix of conservative and surgical treatment. | Excluded are cohorts or trials where all individuals have been selected based on treatment with a specific surgical technique, as this would be selective and does not reflect usual care. |
| Comparisons or control groups | Any: Placebo/Usual care/Active treatment comparison groups – if this appears to reflect usual care for wrist fracture. | Please note that treatments will usually not constitute exclusion except in above where study population has been selected based on treatment given/received |
| Outcomes of interest | Persistent Pain: A new pain that started at the time of the fracture and is recorded as persisting for over 12 weeks. | Studies that have only focussed on non-patient-oriented outcomes such as: dexterity/Range of Movement (ROM)/grip strength/radiological outcomes. |
| Studies only focussing on prognosis in a different pain population such as fibromyalgia are to be excluded. | ||
| Note: this SLR isn’t specifically looking at risk factors for complex regional Pain Syndrome (CRPS) but CRPS will be a cause of persistent pain. Prognostic studies for CRPS can be included if they fulfil all the other criteria. | For studies that includes any of the non-patient-oriented outcomes above and any of our systematic review primary and secondary outcomes will be included BUT non-relevant outcomes listed above (dexterity/ROM//grip strength/radiological) can be disregarded for data extraction purposes. | |
| NB studies which only report a combined (multidimensional) score (based on non-patient-oriented outcomes such as ROM, surgical evaluations etc), and which will usually be scored by surgeons, & health care professionals rather than patients and are given as (final score often: Poor, moderate, good, excellent outcome) are to be excluded. |