Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

194 questions · 197 findings · 16 reviews · Headline outcomes only

No studies found 64 · 32.5%GRADE not reported 8 · 4.1%Very low 57 · 28.9%Low 40 · 20.3%Moderate 27 · 13.7%High 1 · 0.5%

Trapeziectomy with interpositional arthroplasty (T and IA) vs trapeziectomy (T)

Adverse events Complications reported · Patients with thumb (trapeziometacarpal joint) osteoarthritis

Trapeziectomy with interpositional arthroplasty (T and IA) showed no clear difference in adverse events Complications reported compared with trapeziectomy (T) (moderate certainty).

1 finding from 1 review

Intervention not reported

Uncemented first‐generation bipolar hemiarthroplasty (No direct evidence, indirect evidence only) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes uncemented first‐generation bipolar hemiarthroplasty (No direct… (very low certainty).

1 finding from 1 review

Intervention not reported

Uncemented modern bipolar hemiarthroplasty (No direct evidence, indirect evidence only) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes uncemented modern bipolar hemiarthroplasty (No direct evidence,… (very low certainty).

1 finding from 1 review

Intervention not reported

Cemented modern bipolar hemiarthroplasty (3 RCTs; 485 participants)a · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes cemented modern bipolar hemiarthroplasty (3 RCTs; 485 participants)a (very low certainty).

1 finding from 1 review

Intervention not reported

Uncemented first‐generation unipolar hemiarthroplasty (1 RCT; 400 participants)a · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes uncemented first‐generation unipolar hemiarthroplasty (1 RCT; 400… (very low certainty).

1 finding from 1 review

Intervention not reported

Uncemented modern unipolar hemiarthroplasty (3 RCTs; 491 participants)a · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes uncemented modern unipolar hemiarthroplasty (3 RCTs; 491… (very low certainty).

1 finding from 1 review

Intervention not reported

Uncemented first‐generation bipolar hemiarthroplasty (No direct evidence, indirect evidence only) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

The intervention showed no clear difference in uncemented first‐generation bipolar hemiarthroplasty (No direct… (low certainty).

1 finding from 1 review

Intervention not reported

Total hip arthroplasty (single articulation) (3 RCTs; 306 participants)a · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes total hip arthroplasty (single articulation) (3 RCTs; 306… (very low certainty).

1 finding from 1 review

Intervention not reported

Dual‐mobility total hip arthroplasty (No direct evidence, indirect evidence only) · older adults (> 60 years of age) with intracapsular hip fractures; most fractures in the included studies were displaced

It is very uncertain whether the intervention changes dual‐mobility total hip arthroplasty (No direct evidence, indirect… (very low certainty).

1 finding from 1 review