Advertisement

Authors’ Response to Letter to the Editor

Published:October 13, 2020DOI:https://doi.org/10.1016/j.apmr.2020.08.017
      We appreciate the interest of the authors of the letter to the editor on our recent article, “Comparative Effectiveness of Orthoses for Thumb Osteoarthritis: A Systematic Review and Network Meta-analysis.”
      • Marotta N.
      • Demeco A.
      • Marinaro C.
      • et al.
      Comparative effectiveness of orthoses for thumb osteoarthritis: a systematic review and network meta-analysis.
      Their observations allow us to clarify some specific aspects regarding the need to use a simplified ranking of the orthosis to conduct the network meta-analysis (NMA), focused on an important clinical question related to osteoarthritis of the thumb. NMA within the Bayesian framework involves data, a hierarchical model or likelihood function with parameters, and prior distributions.
      • Burnett H.
      • Earley A.
      • Voors A.A.
      • et al.
      Thirty years of evidence on the efficacy of drug treatments for chronic heart failure with reduced ejection fraction: a network meta-analysis.
      Even the NMA is not free from criticism. It allows the synthesis of results of different studies in the network and obtains relative effect estimates for all possible pairwise comparisons, but an analysis method needs to be used that minimizes bias owing to different definitions of the orthosis.

      Jansen JP, Fleurence R, Devine B, et al. Interpreting indirect treatment comparisons and network meta-analysis for health-care decision making: report of the ISPOR Task Force on Indirect Treatment Comparisons Good Research Practices: part 1. Value Health 201114:417-428.

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Marotta N.
        • Demeco A.
        • Marinaro C.
        • et al.
        Comparative effectiveness of orthoses for thumb osteoarthritis: a systematic review and network meta-analysis.
        Arch Phys Med Rehabil. 2020 Jul 12; ([Epub ahead of print])
        • Burnett H.
        • Earley A.
        • Voors A.A.
        • et al.
        Thirty years of evidence on the efficacy of drug treatments for chronic heart failure with reduced ejection fraction: a network meta-analysis.
        Circ Heart Fail. 2017; 10e003529
      1. Jansen JP, Fleurence R, Devine B, et al. Interpreting indirect treatment comparisons and network meta-analysis for health-care decision making: report of the ISPOR Task Force on Indirect Treatment Comparisons Good Research Practices: part 1. Value Health 201114:417-428.

        • Hamasaki T.
        • Laprise S.
        • Harris P.G.
        • et al.
        Efficacy of non-surgical interventions for trapeziometacarpal (thumb base) osteoarthritis: a systematic review.
        Arthritis Care Res (Hoboken). 2019 Oct 10; ([Epub ahead of print])
        • Buhler M.
        • Chapple C.M.
        • Stebbings S.
        • Sangelaji B.
        • Baxter G.D.
        Effectiveness of splinting for pain and function in people with thumb carpometacarpal osteoarthritis: a systematic review with meta-analysis.
        Osteoarthr Cartil. 2019; 27: 547-559
        • O'Brien V.H.
        • McGaha J.L.
        Current practice patterns in conservative thumb CMC joint care: survey results.
        J Hand Ther. 2014; 27: 14-22