Evidence map›Paper›PMID 24447846›Full record

ArticleThe Journal of hand surgery2014

Contribution of functional parameters to patient-rated outcomes after surgical treatment of distal radius fractures.

Melissa J Shauver, Kate Wan-Chu Chang, Kevin C Chung

Abstract read
In one paragraph

Article in The Journal of hand surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 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

12 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Temporary spanning plate wrist fixation of complex distal radius fractures: a systematic review of 353 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Pooled it
  3. Pooled it
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  5. Article
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  7. Article
  8. Functional outcome measures for distal radius fractures: A systematic review.Hong Kong journal of occupational therapy : HKJOT · 2022
    Review
  9. Article
  10. Article
  11. Article
  12. Distal Radius Fracture Outcomes and Rehabilitation.Geriatric orthopaedic surgery & rehabilitation · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Melissa J ShauverSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI.
Kate Wan-Chu ChangSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI.
Kevin C ChungSection of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI. Electronic address: kecchung@umich.edu.

Funding

A Clinical Trial for the Surgical Treatment of Elderly Distal Radius FracturesR01AR062066 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2011 to 2016
$3.8M
Evidence-Based Research in Hand SurgeryK24AR053120 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHUNG, KEVIN C · 2008 to 2018
$1.6M
NIAMS NIH HHS K24 AR053120NIAMS NIH HHS R01 AR062066
6 · The paper itself

Abstract

purposeOutcomes of distal radius fractures can be measured radiographically, functionally, or via patient-rated questionnaires, but previous studies report conflicting results regarding the relationship between these outcomes. Our specific aim was to explore the role that functional outcomes have in the score of the Michigan Hand Outcomes Questionnaire (MHQ), a patient-rated hand instrument.

methodsWe obtained data for 207 patients. Demographic information was collected as part of the MHQ. Function (wrist motion and grip and pinch strength) was assessed 3 and 6 months after fracture fixation. We applied linear regression analysis to determine each item's contribution to the total MHQ score.

resultsAfter we applied linear regression analysis, we determined that 3 months after fixation, all included factors contributed 37% of the MHQ score. Only the grip strength difference between the injured and uninjured hands was significantly associated, contributing 22% of the MHQ score. Six weeks and 6 months after fixation, all included factors contributed 43% and 34%, respectively, of the MHQ score. No individual factors were significant contributors.

conclusionsMeasured functional outcomes variables account for less than 40% of the total MHQ score. Identifying the unmeasured factors that make up the additional 60% of the total MHQ score would be beneficial in the continued examination of patient-rated outcomes. Furthermore, the use of multiple outcomes assessment modalities should be considered in any study measuring patient-rated outcomes. TYPE OF STUDY/LEVEL OF EVIDENCE: Prognostic II.

Indexed as

Recovery of FunctionAdolescentAdultAgedAged, 80 and overBiomechanical PhenomenaBone PlatesDisability EvaluationFemaleFracture Fixation, InternalHand StrengthHumansMaleMiddle AgedRadius FracturesRange of Motion, ArticularDistal radius fracturespatient-rated outcomes

Identifiers

PMID24447846
PMCPMC4155537

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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.