Evidence map›Paper›PMID 26419482›Full record

Trial reportZeitschrift fur Gerontologie und Geriatrie2016

Outcome after operative treatment of proximal humeral fractures in elderly patients.

Markus Muhm, Julia Bott, Christoph Lahr, Hartmut Winkler, Thomas Ruffing

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Zeitschrift fur Gerontologie und Geriatrie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 37% 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.

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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Review
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 1 institution in 1 country.

Markus MuhmDepartment for Trauma and Orthopedic Surgery I, Westpfalz-Klinikum Kaiserslautern, Academic Educational Hospital, Heidelberg University and Mainz University, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Germany. mmuhm@westpfalz-klinikum.de.
Julia BottDepartment for Trauma and Orthopedic Surgery, Municipal Hospital, Pirmasens, Germany.
Christoph LahrDepartment for Trauma and Orthopedic Surgery I, Westpfalz-Klinikum Kaiserslautern, Academic Educational Hospital, Heidelberg University and Mainz University, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Germany.
Hartmut WinklerDepartment for Trauma and Orthopedic Surgery I, Westpfalz-Klinikum Kaiserslautern, Academic Educational Hospital, Heidelberg University and Mainz University, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Germany.
Thomas RuffingDepartment for Trauma and Orthopedic Surgery I, Westpfalz-Klinikum Kaiserslautern, Academic Educational Hospital, Heidelberg University and Mainz University, Hellmut-Hartert-Str. 1, 67655, Kaiserslautern, Germany.
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe proximal humeral fracture (PHF) (5 %) of the elderly is the third most common fracture after proximal femoral and distal radius fractures. Proximal femoral fractures often lead to a loss of autonomy.

objectivesThe aim of this study is to show how PHF changes the patient's autonomy and the coping with everyday life as well as which factors influence the outcome 1 year (y) after surgery. MATERIALS AND

methodsData of 62 patients with surgical treatment of a PHF ≥ 60 y was prospectively collected. With a telephone interview Short Form (SF) 12 (physical and mental health; PH, MH), Barthel Index (BI), range of motion, pain, and satisfaction was observed after 3 and 12 months. The dependence of outcome on different factors was investigated.

resultsThe mean age was 73.3 y (median 73, 60-94). Mortality after 3 months was 3 % and after 1 y 11 %. The PH before the injury (47.9) was significantly better than after 3 months (37.1) and after 1 y (42.6). The MH showed no difference. The BI before the injury (92) was significantly better than after 3 months (86), but the same after 1 y (91). After 1 y > 50 % were able to abduct and flex the arm > 90°. More than two-thirds were able to perform everyday life activities for body care and nutrition after 1 y. Approximately, 73 % of the patients had little or no pain, and 84 % were satisfied with the result after 1 y. Good score values before the fracture resulted in better outcome. Higher severity in fracture led to a higher level of pain. DISCUSSION: A surgically treated PHF in the elderly does not lead to a relevant impairment in quality of life. Despite the lack of complete retrieval of range of motion patients achieve a good to very good result in coping with everyday life.

Indexed as

AgedAged, 80 and overComorbidityFemaleFracture Fixation, InternalFracture HealingGeriatric AssessmentGermanyHumansMaleMiddle AgedPostoperative PainPrevalenceQuality of LifeRange of Motion, ArticularRisk FactorsCoping with everyday lifeOutcomeProximal humeral fractureQuality of lifeSatisfaction

Identifiers

PMID26419482
OpenAlexW2146995825

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.