Evidence map›Paper›PMID 26318178›Full record

SynthesisLangenbeck's archives of surgery2015

Comparison of treatment outcomes between nonsurgical and surgical treatment of distal radius fracture in elderly: a systematic review and meta-analysis.

Ji-Hui Ju, Guang-Zhe Jin, Guan-Xing Li, Hai-Yang Hu, Rui-Xing Hou

Registry-linked trialAbstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Langenbeck's archives of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05580848 (Wrist Arthroscopy During Surgical Treatment of Distal Radius Fractures Improves Functional Outcome), which is not on this map. Cited by 45 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 9 pooled it
3.8field-weighted citation impact, top 7% of its field
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.

NCT05580848 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Wrist Arthroscopy During Surgical Treatment of Distal Radius Fractures Improves Functional Outcome: a Randomized Controlled Trial

TypeinterventionalSponsorClinic for Orthopedics LovranRan2022 to 2024Enrolled56ConditionsFracture, Radius Fracture DistalArmsWrist arthroscopy
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 9 syntheses or guidelines pooled it, 118 citations in OpenAlex.

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  14. ESTES recommendations regarding distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Review
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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 at 2 institutions in 1 country.

Ji-Hui JuDepartment of Hand Surgery, Ruihua Affiliated Hospital of Soochow University, 5st Ta Yun Street, Suzhou, 215104, China.
Guang-Zhe JinDepartment of Hand Surgery, Ruihua Affiliated Hospital of Soochow University, 5st Ta Yun Street, Suzhou, 215104, China.
Guan-Xing LiDepartment of Hand Surgery, Ruihua Affiliated Hospital of Soochow University, 5st Ta Yun Street, Suzhou, 215104, China.
Hai-Yang HuDepartment of Hand Surgery, Ruihua Affiliated Hospital of Soochow University, 5st Ta Yun Street, Suzhou, 215104, China.
Rui-Xing HouDepartment of Hand Surgery, Ruihua Affiliated Hospital of Soochow University, 5st Ta Yun Street, Suzhou, 215104, China. gkswk2013@163.com.
Ruihua Affiliated Hospital of Soochow University · CNSoochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe best treatment of distal radius fractures (DRFs) in the elderly is uncertain. The purpose of this meta-analysis was to compare the outcomes of surgical and nonsurgical management of DRFs in persons 65 years of age or older.

methodsMedline, Cochrane, EMBASE, and Google Scholar databases were searched until April 27, 2015 using the following search terms: distal radius fracture, conservative treatment, nonoperative treatment, nonsurgical treatment, surgical treatment, operative, elderly, and older. The primary outcome measure was DASH score, and secondary outcomes were functional and radiological assessments. The standard difference in post-treatment means was calculated for the outcomes to compare the two groups.

resultsOf 59 articles identified, eight studies with a total of 440 patients in the surgical groups and 449 in the control groups were included in the analysis. No significant differences in DASH score, VAS pain score, grip strength, wrist extension, pronation, or supination, and ulnar deviation were noted between the groups. The nonsurgical group had significantly greater wrist flexion, radial deviation, and ulnar variance and less radial inclination than the surgical group.

conclusionsSurgical and nonsurgical methods produce similar results in the treatment of DRFS in the elderly, and minor objective functional differences did not result an impact on subjective function outcome and quality of life.

Indexed as

Casts, SurgicalAgedAged, 80 and overAge FactorsFemaleFracture Fixation, InternalFracture HealingGeriatric AssessmentHumansInjury Severity ScoreMalePain MeasurementRadiographyRadius FracturesRandomized Controlled Trials as TopicRange of Motion, ArticularDistal radius fractureElderlyInternal fixationMeta-analysisNonsurgicalOpen reduction

Identifiers

PMID26318178
OpenAlexW1838286791

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.