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Predicting the outcome of plantar heel pain in adults: a systematic review of prognostic factors
BACKGROUND: Plantar Heel Pain (PHP) is a common disorder with many treatment pathways and is not self-limiting, hence prognostic information concerning recovery or recalcitrance is needed to guide practice. In this systematic review, we investigate which prognostic factors are associated with favour...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10176769/ https://www.ncbi.nlm.nih.gov/pubmed/37173686 http://dx.doi.org/10.1186/s13047-023-00626-y |
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author | Gulle, Halime Morrissey, Dylan Tan, Xiang Li Cotchett, Matthew Miller, Stuart Charles Jeffrey, Aleksandra Birn Prior, Trevor |
author_facet | Gulle, Halime Morrissey, Dylan Tan, Xiang Li Cotchett, Matthew Miller, Stuart Charles Jeffrey, Aleksandra Birn Prior, Trevor |
author_sort | Gulle, Halime |
collection | PubMed |
description | BACKGROUND: Plantar Heel Pain (PHP) is a common disorder with many treatment pathways and is not self-limiting, hence prognostic information concerning recovery or recalcitrance is needed to guide practice. In this systematic review, we investigate which prognostic factors are associated with favourable or unfavourable PHP outcomes. METHODS: MEDLINE, Web of Science, EMBASE, Scopus and PubMed electronic bibliographic databases were searched for studies evaluating baseline patient characteristics associated with outcomes in prospective longitudinal cohorts or after specific interventions. Cohort, clinical prediction rule derivation and single arms of randomised controlled trials were included. Risk of bias was evaluated with method-specific tools and evidence certainty with GRADE. RESULTS: The review included five studies which evaluated 98 variables in 811 participants. Prognostic factors could be categorised as demographics, pain, physical and activity-related. Three factors including sex and bilateral symptoms (HR: 0.49[0.30–0.80], 0.33[0.15–0.72], respectively) were associated with a poor outcome in a single cohort study. The remaining four studies reported twenty factors associated with a favourable outcome following shockwave therapy, anti-pronation taping and orthoses. Heel spur (AUC = 0.88[0.82–0.93]), ankle plantar-flexor strength (Likelihood ratio (LR): 2.17[1.20–3.95]) and response to taping (LR = 2.17[1.19–3.90]) were the strongest factors predicting medium-term improvement. Overall, the study quality was low. A gap map analysis revealed an absence of research that included psychosocial factors. CONCLUSIONS: A limited number of biomedical factors predict favourable or unfavourable PHP outcomes. High quality, adequately powered, prospective studies are required to better understand PHP recovery and should evaluate the prognostic value of a wide range of variables, including psychosocial factors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13047-023-00626-y. |
format | Online Article Text |
id | pubmed-10176769 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-101767692023-05-13 Predicting the outcome of plantar heel pain in adults: a systematic review of prognostic factors Gulle, Halime Morrissey, Dylan Tan, Xiang Li Cotchett, Matthew Miller, Stuart Charles Jeffrey, Aleksandra Birn Prior, Trevor J Foot Ankle Res Research BACKGROUND: Plantar Heel Pain (PHP) is a common disorder with many treatment pathways and is not self-limiting, hence prognostic information concerning recovery or recalcitrance is needed to guide practice. In this systematic review, we investigate which prognostic factors are associated with favourable or unfavourable PHP outcomes. METHODS: MEDLINE, Web of Science, EMBASE, Scopus and PubMed electronic bibliographic databases were searched for studies evaluating baseline patient characteristics associated with outcomes in prospective longitudinal cohorts or after specific interventions. Cohort, clinical prediction rule derivation and single arms of randomised controlled trials were included. Risk of bias was evaluated with method-specific tools and evidence certainty with GRADE. RESULTS: The review included five studies which evaluated 98 variables in 811 participants. Prognostic factors could be categorised as demographics, pain, physical and activity-related. Three factors including sex and bilateral symptoms (HR: 0.49[0.30–0.80], 0.33[0.15–0.72], respectively) were associated with a poor outcome in a single cohort study. The remaining four studies reported twenty factors associated with a favourable outcome following shockwave therapy, anti-pronation taping and orthoses. Heel spur (AUC = 0.88[0.82–0.93]), ankle plantar-flexor strength (Likelihood ratio (LR): 2.17[1.20–3.95]) and response to taping (LR = 2.17[1.19–3.90]) were the strongest factors predicting medium-term improvement. Overall, the study quality was low. A gap map analysis revealed an absence of research that included psychosocial factors. CONCLUSIONS: A limited number of biomedical factors predict favourable or unfavourable PHP outcomes. High quality, adequately powered, prospective studies are required to better understand PHP recovery and should evaluate the prognostic value of a wide range of variables, including psychosocial factors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13047-023-00626-y. BioMed Central 2023-05-12 /pmc/articles/PMC10176769/ /pubmed/37173686 http://dx.doi.org/10.1186/s13047-023-00626-y Text en © Crown 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Gulle, Halime Morrissey, Dylan Tan, Xiang Li Cotchett, Matthew Miller, Stuart Charles Jeffrey, Aleksandra Birn Prior, Trevor Predicting the outcome of plantar heel pain in adults: a systematic review of prognostic factors |
title | Predicting the outcome of plantar heel pain in adults: a systematic review of prognostic factors |
title_full | Predicting the outcome of plantar heel pain in adults: a systematic review of prognostic factors |
title_fullStr | Predicting the outcome of plantar heel pain in adults: a systematic review of prognostic factors |
title_full_unstemmed | Predicting the outcome of plantar heel pain in adults: a systematic review of prognostic factors |
title_short | Predicting the outcome of plantar heel pain in adults: a systematic review of prognostic factors |
title_sort | predicting the outcome of plantar heel pain in adults: a systematic review of prognostic factors |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10176769/ https://www.ncbi.nlm.nih.gov/pubmed/37173686 http://dx.doi.org/10.1186/s13047-023-00626-y |
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