AlMeshari Abdulmohsen, AlShehri Yasir, Anderson Lindsay, Willegger Madeleine, Younger Alastair, Veljkovic Andrea
Department of Orthopaedics, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.
Department of Orthopedics, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Foot Ankle Spec. 2024 May 24:19386400241256215. doi: 10.1177/19386400241256215.
Surgical complications are inevitable in any surgical subspecialty. Throughout the years, many classification systems have been developed to better understand and report such complications. The aim of this systematic review is to investigate the variability and frequency of reporting terms used to describe adverse events and complications in hallux valgus reconstruction. We hypothesized that the terms used would be highly inconsistent, which further promotes a need for a standardized terminology reporting system. Studies related to hallux valgus reconstruction outcomes that met our predetermined inclusion criteria were investigated to identify and report the related adverse terms and complications. Adverse terms and complications were grouped into 9 categories. Of the 142 studies included, 376 distinct terms that described adverse events or complications related to hallux valgus reconstruction were identified. Of these, 73.4% (276/376) were mentioned only once in their respective studies. Five of 376 terms were mentioned in at least 25% of the papers, and only 2 of 376 were mentioned in at least 50%. The most frequently reported adverse events were "Recurrence," mentioned in 77 of 142 studies (54%), followed by "Nonunion," mentioned in 76 of 142 studies (53%). The most reported category was "Bone/Joint" with 135 related terms, mentioned in 135 of 376 of the papers (95.1%). The terminology used in reporting adverse events and complications in surgical hallux valgus correction was highly inconsistent and variable. This represents yet another barrier in accurate reporting of these terms, and subsequently a difficult analysis of the outcomes related to hallux valgus reconstruction. To overcome these challenges, we suggest developing a standardized terminology reporting system. .
在任何外科亚专业中，手术并发症都是不可避免的。多年来，已经开发了许多分类系统，以更好地理解和报告此类并发症。本系统评价的目的是调查用于描述拇外翻重建中不良事件和并发症的报告术语的可变性和频率。我们假设所使用的术语将高度不一致，这进一步凸显了对标准化术语报告系统的需求。对符合我们预先设定纳入标准的拇外翻重建结果相关研究进行调查，以识别和报告相关的不良术语和并发症。不良术语和并发症被分为9类。在纳入的142项研究中，共确定了376个描述与拇外翻重建相关不良事件或并发症的不同术语。其中，73.4%（276/376）在各自的研究中仅被提及一次。376个术语中有5个在至少25%的论文中被提及，376个中只有2个在至少50%的论文中被提及。最常报告的不良事件是“复发”，在142项研究中的77项（54%）中被提及，其次是“骨不连”，在142项研究中的76项（53%）中被提及。报告最多的类别是“骨/关节”，有135个相关术语，在376篇论文中的135篇（95.1%）中被提及。手术拇外翻矫正中报告不良事件和并发症所使用的术语高度不一致且变化多样。这代表了准确报告这些术语的又一障碍，进而导致对拇外翻重建相关结果的分析困难。为克服这些挑战，我们建议开发一个标准化术语报告系统。
