ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2014
Social deprivation influences the epidemiology and outcome of proximal humeral fractures in adults for a defined urban population of Scotland.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 23 citations in OpenAlex.
- Area Deprivation Index as a proxy for socioeconomic status in outpatient orthopaedic surgery patients - A prospective registry cross sectional study.Journal of orthopaedics · 2025Article
- Social determinants of outcomes in nonoperatively treated proximal humerus fractures.JSES international · 2023Article
- The impact of social deprivation on patient satisfaction in physical medicine and rehabilitation outpatient interventional spine and musculoskeletal medicine using the press Ganey® outpatient medical practice survey.Interventional pain medicine · 2023Article
- Assessing the ability of an instrumental variable causal forest algorithm to personalize treatment evidence using observational data: the case of early surgery for shoulder fracture.BMC medical research methodology · 2022Article
- The epidemiology of Achilles tendon re-rupture and associated risk factors: male gender, younger age and traditional immobilising rehabilitation are risk factors.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Non-medical patient-related factor influence in proximal humeral fracture outcomes: a multicentric study.Archives of orthopaedic and trauma surgery · 2021Article
- Evaluating the impact of social deprivation on Press Ganey® Outpatient Medical Practice Survey Scores.Health and quality of life outcomes · 2021Article
- Normative data for the lower extremity functional scale (LEFS).Acta orthopaedica · 2017Article
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3 authors at 1 institution in 1 country.
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Abstract
We present the epidemiology and incidence of proximal humeral fractures over a 17-year period for a defined urban population that represents approximately 13% of the population in Scotland, and functional outcome in relation to the socio-economic status of the patient. The incidence of proximal humeral fractures significantly increased during the study period from 47.9/10(5)/year to 98.7/10(5)/year in 2008 (p < 0.0001), which was greatest for the most socially deprived patients reaching 274.2/10(5)/year in 2008 (p < 0.0001). The most deprived patients sustained their fracture 4 years earlier than the most affluent patients (p = 0.026). Social deprivation was an independent predictor, after adjusting for other confounding variables using multivariable regression analysis, of a significantly worse functional outcome according to the Constant score at 1 year (p = 0.046). Preventative measures, especially for the most socially deprived patients within society, need to be instigated urgently to address the increasing incidence of proximal humeral fractures and alleviate the burden of these morbid fractures in the future. Whether the observed increased incidence is generalisable to a national population would need to be confirmed in future studies.
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