Ramadanov Nikolai
Center of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, 14770 Brandenburg an der Havel, Germany.
J Clin Med. 2023 Aug 19;12(16):5395. doi: 10.3390/jcm12165395.
SuperPATH is a novel minimally invasive technique for hip replacement that is gaining increasing attention. The aim of this review was to determine the nature, extent, and quality of current research evidence on SuperPATH and to identify areas for further investigations.
A bibliometric search was conducted in PubMed up to 1 August 2023 using the search term "SuperPATH". Data extraction and quality assessment were performed for relevant articles.
The bibliometric search yielded 51 articles on SuperPATH, 9 of which were meta-analyses, 11 were randomized controlled trials (RCTs), 4 were prospective non-RCTs, 12 were retrospective comparative studies, 11 were case series, and 4 were other article types. Most articles were published between 2015 and 2023, with a steady increase in publications per year. The articles originated from 13 countries, of which China was the most productive (35%). The quality assessment of the meta-analyses showed that 22.2% were of moderate quality, 66.7% were of low quality, and 11.1% were of critically low quality. The quality assessment of the RCTs showed that 36.4% had a low risk of bias (RoB), 27.2% revealed some concerns, and 36.4% had a high RoB. All studies were evaluated for content and taken into account in the formulation of recommendations and conclusions.
The SuperPATH evidence varies from low to high quality. There is a steady increase in SuperPATH publications in the English-language literature and an uneven distribution of the article origins, with most articles coming from China. Consistent terminology should be used in the future, referring to the surgical approach as the direct superior approach (DSA) and to the surgical technique as SuperPATH. This review provides further concrete suggestions for future investigations and recommendations to improve study quality.
SuperPATH是一种用于髋关节置换的新型微创技术，正受到越来越多的关注。本综述的目的是确定当前关于SuperPATH的研究证据的性质、范围和质量，并确定需要进一步研究的领域。
截至2023年8月1日，在PubMed中使用搜索词“SuperPATH”进行文献计量检索。对相关文章进行数据提取和质量评估。
文献计量检索产生了51篇关于SuperPATH的文章，其中9篇是荟萃分析，11篇是随机对照试验（RCT），4篇是前瞻性非RCT，12篇是回顾性比较研究，11篇是病例系列，4篇是其他文章类型。大多数文章发表于2015年至2023年之间，每年的发表量稳步增加。文章来自13个国家，其中中国的发文量最多（35%）。荟萃分析的质量评估显示，22.2%为中等质量，66.7%为低质量，11.1%为极低质量。RCT的质量评估显示，36.4%的偏倚风险（RoB）较低，27.2%存在一些问题，36.4%的RoB较高。对所有研究进行了内容评估，并在制定建议和结论时予以考虑。
SuperPATH的证据质量参差不齐。英文文献中关于SuperPATH的出版物稳步增加，文章来源分布不均，大多数文章来自中国。未来应使用一致的术语，将手术入路称为直接上方入路（DSA），将手术技术称为SuperPATH。本综述为未来的研究提供了进一步的具体建议，并为提高研究质量提出了建议。
