Review Article

Is End-Stage Ankle Arthrosis Best Managed with Total Ankle Replacement or Arthrodesis? A Systematic Review

Table 3

Assessment of papers according to STROBE statement [24].

Item numberRecommendationSchuh et al., 2012 [26]Esparragoza et al., 2011 [27]Saltzman et al., 2010 [29]Krause et al., 2011 [28]

Title and abstract 1(a) Indicate the study’s design with a commonly used term in the title or the abstract.NoYesNoNo
(b) Provide in the abstract an informative and balanced summary of what was done and what was found.YesYesYesYes

Introduction
 Background/rationale2Explain the scientific background and rationale for the investigation being reported.Yes YesYesYes
 Objectives3State specific objectives, including any prespecified hypotheses.Yes YesYesYes

Methods
 Study design4Present key elements of study design early in the paper.No YesYesYes
 Setting5Describe the setting, locations, and relevant dates, including periods of recruitment, exposure, follow-up, and data collection.Yes YesYesYes
 Participants 6(a) Cohort study—give the eligibility criteria and the sources and methods of selection of participants. Describe methods of follow-up.
Case-control study—give the eligibility criteria and the sources and methods of case ascertainment and control selection. Give the rationale for the choice of cases and controls.
Cross-sectional study—give the eligibility criteria and the sources and methods of selection of participants.
No NoNoYes
(b) Cohort study—for matched studies, give matching criteria and number of exposed and unexposed.
Case-control study—for matched studies, give matching criteria and the number of controls per case.
n/an/an/an/a
 Variables7Clearly define all outcomes, exposures, predictors, potential confounders, and effect modifiers. Give diagnostic criteria, if applicable.Yes YesYesYes
 Data
 sources/measurement
8For each variable of interest, give sources of data and details of methods of assessment (measurement). Describe comparability of assessment methods if there is more than one group.No NoNoYes
 Bias9Describe any efforts to address potential sources of bias.NoNo No Yes
 Study size10Explain how the study size was arrived at.NoNo NoNo
 Quantitative variables11Explain how quantitative variables were handled in the analyses. If applicable, describe which groupings were chosen and why.YesNo YesYes




 Statistical methods



12
(a) Describe all statistical methods, including those used to control for confounding.YesYes YesYes
(b) Describe any methods used to examine subgroups and interactions.n/an/an/an/a
(c) Explain how missing data were addressed.Non/aNoNo
(d) Cohort study—if applicable, explain how loss to follow-up was addressed.
Case-control study—if applicable, explain how matching of cases and controls was addressed.
Cross-sectional study—if applicable, describe analytical methods taking account of sampling strategy.
Non/aNon/a
(e) Describe any sensitivity analyses.n/an/an/an/a
13(a) Report numbers of individuals at each stage of study—for example, numbers of potentially eligible, examined for eligibility, confirmed eligible, included in the study, completing follow-up, and analysed.NoNo YesYes
(b) Give reasons for nonparticipation at each stage.Non/aYes Yes
(c) Consider use of a flow diagram.NoNo NoNo
 Descriptive data 14(a) Give characteristics of study participants (e.g., demographic, clinical, and social) and information on exposures and potential confounders.NoYesYes Yes
(b) Indicate number of participants with missing data for each variable of interest.NoNoNo No
(c) Cohort study—summarise follow-up time (e.g., average and total amount).YesYes Yes
 Outcome data 15Cohort study—report numbers of outcome events or summary measures over time.No No No No
Case-control study—report numbers in each exposure category, or summary measures of exposure.
Cross-sectional study—report numbers of outcome events or summary measures.
 Main results 16(a) Give unadjusted estimates and, if applicable, confounder-adjusted estimates and their precision (e.g., 95% confidence interval). Make clear which confounders were adjusted for and why they were included.No No No No
(b) Report category boundaries when continuous variables were categorized.n/an/an/an/a
(c) If relevant, consider translating estimates of relative risk into absolute risk for a meaningful time period.n/an/an/an/a
 Other analyses17Report other analyses done—for example, analyses of subgroups and interactions and sensitivity analyses.n/an/an/an/a

Discussion
 Key results18Summarise key results with reference to study objectives.YesYesYes Yes
 Limitations19Discuss limitations of the study, taking into account sources of potential bias or imprecision. Discuss both direction and magnitude of any potential bias.YesNoYesYes
 Interpretation20Give a cautious overall interpretation of results considering objectives, limitations, multiplicity of analyses, results from similar studies, and other relevant lines of evidence.Yes NoYesYes
 Generalisability21Discuss the generalisability (external validity) of the study results.No NoNo No

Other information
 Funding22Give the source of funding and the role of the funders in the present study and, if applicable, in the original study on which the present paper is based.NoNoNo Yes