Evidence map›Paper›PMID 23273247›Full record

ArticleBMC musculoskeletal disorders2012

Trends in the surgical treatment of proximal humeral fractures - a nationwide 23-year study in Finland.

Tuomas T Huttunen, Antti P Launonen, Harri Pihlajamäki, Pekka Kannus, Ville M Mattila

Abstract readComparative Study
In one paragraph

Article in BMC musculoskeletal disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Displaced proximal humeral fractures: operative versus non-operative treatment--a 2-year extension of a randomized controlled trial.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2014
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  6. Trends in the surgical management of proximal humerus fractures over the last 20 years from Australian registry databases.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
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  12. How do surgeons decide when to treat proximal humerus fractures with operative versus nonoperative management?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tuomas T HuttunenDepartment of Anesthesia, Valkeakoski Regional Hospital, Valkeakoski, Finland. tuomas.huttunen@uta.fi
Antti P Launonen
Harri Pihlajamäki
Pekka Kannus
Ville M Mattila

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProximal humeral fractures are common osteoporotic fractures. Most proximal humeral fractures are treated non-surgically, although surgical treatment has gained popularity. The purpose of this study was to determine changes in the surgical treatment of proximal humeral fractures in Finland between 1987 and 2009.

methodsThe study covered the entire adult (>19 y) population in Finland over the 23-year period from 1st of January 1987 to 31st of December 2009. We assessed the number and incidence of surgically treated proximal humeral fractures in each year of observation and recorded the type of surgery used. The cohort study was based on data from Finnish National Hospital Discharge Register.

resultsDuring the 23-year study period, a total of 10,560 surgical operations for proximal humeral fractures were performed in Finland. The overall incidence of these operations nearly quadrupled between 1987 and 2009. After the year 2002, the number of patients treated with plating increased.

conclusionAn increase in the incidence of the surgical treatment of proximal humeral fractures was seen in Finland in 1987-2009. Fracture plating became increasingly popular since 2002. As optimal indications for each surgical treatment modality in the treatment of proximal humeral fractures are not known, critical evaluation of each individual treatment method is needed.

Indexed as

AdultArthroplastyBone NailsBone PlatesBone ScrewsFemaleFinlandFracture Fixation, InternalHumansIncidenceMaleRegistriesShoulder FracturesTime FactorsTreatment OutcomeYoung Adult

Identifiers

PMID23273247
PMCPMC3537526

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.