Evidence map›Paper›PMID 28245852›Full record

Trial reportTrials2017

Reverse Shoulder Arthroplasty for the treatment of Proximal humeral fractures in the Elderly (ReShAPE trial) : study protocol for a multicentre combined randomised controlled and observational trial.

Geoffrey C S Smith, Ed Bateman, Ben Cass, Maurizio Damiani, Wade Harper, Hugh Jones, David Lieu, Jeff Petchell, Minas Petrelis, Kalman Piper and 5 more

Open access · goldAbstract readMulticenter StudyObservational StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Interventions for treating proximal humeral fractures in adults.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Outcomes following arthroplasty for proximal humeral fractures.Journal of clinical orthopaedics and trauma · 2020
    Review
  11. High-Energy Proximal Humerus Fractures in Geriatric Patients: A Review.Geriatric orthopaedic surgery & rehabilitation · 2020
    Review
  12. Article
  13. Article
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

15 authors at 11 institutions in 1 country.

Geoffrey C S SmithSt. George and Sutherland Hospitals, Grey St, Kogarah, NSW, Australia. gcssmith@icloud.com.
Ed BatemanGosford District Hospital, Holden St, Gosford, NSW, Australia.
Ben CassRoyal North Shore Hospital, Reserve Rd, St. Leonards, NSW, Australia.
Maurizio DamianiThe Canberra Hospital, 51 Jardine St, Kingston ACT, Australia.
Wade HarperPrince of Wales Hospital, Barker St, Randwick, NSW, Australia.
Hugh JonesSt. George and Sutherland Hospitals, Grey St, Kogarah, NSW, Australia.
David LieuLiverpool Hospital, Locked Bag 7103, Liverpool, NSW, Australia.
Jeff PetchellRoyal Prince Alfred Hospital, Missenden Rd, Camperdown, NSW, Australia.
Minas PetrelisJohn Hunter Hospital, Lookout Rd, New Lambton Heights, NSW, Australia.
Kalman PiperWestmead Hospital, Hawkesbury Rd and Darcy Rd, Westmead, NSW, Australia.
Doron SherConcord Hospital, Hospital Road, Concord, NSW, Australia.
Christopher J SmithersRoyal Prince Alfred Hospital, Missenden Rd, Camperdown, NSW, Australia.
John TrantalisConcord Hospital, Hospital Road, Concord, NSW, Australia.
Sindy VrancicThe Canberra Hospital, 51 Jardine St, Kingston ACT, Australia.
Ian A HarrisWhitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSW Australia, Liverpool, NSW, Australia.
Canberra Hospital · AUConcord Repatriation General Hospital · AURoyal Prince Alfred Hospital · AUSutherland Hospital · AUGosford Hospital · AUIngham Institute · AUJohn Hunter Hospital · AULiverpool Hospital · AUPrince of Wales Hospital · AURoyal North Shore Hospital · AUWestmead Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProximal humeral fractures are common in older patients. The majority are minimally displaced and are associated with good outcomes after nonoperative treatment. Poorer outcomes are associated with displaced, multipart fractures. There is no clear benefit from surgical fracture fixation compared to nonoperative treatment. Replacement of the fractured humeral head with a hemiarthroplasty is another treatment option, but has not been shown to be clearly superior to nonoperative treatment or internal fixation. Recently, reverse total shoulder arthroplasty has been used to treat these fractures, particularly in the older population with several case series demonstrating good outcomes. No comparative trial has been performed to test the effectiveness of reverse total shoulder arthroplasty against nonoperative treatment. METHODS/

designReShAPE (Reverse Shoulder Arthroplasty for the treatment of Proximal humeral fractures in the Elderly) is a multicenter combined randomized and observational study. The primary objective is to compare pain and function 12 months post fracture using the American Shoulder and Elbow Society (ASES) score in patients aged 70 years or older with three- and four-part proximal humeral fractures treated by either reverse shoulder arthroplasty or nonoperative treatment. Secondary outcome measures will include the DASH (Disability of the Arm, Shoulder and Hand) score, the EQ-5D (EuroQol Health Survey), the EQ-VAS, pain, radiological parameters and complications. DISCUSSION: The study will assess the effectiveness of reverse shoulder arthroplasty for complex proximal humeral fractures and thereby guide treatment of a common injury in the older population.

trial registrationWorld Health Organization Universal Trial Number (WHO UTN): U1111-1180-5452 . Registered on 10 March 2016. Australian and New Zealand Clinical Trials Registry (ANZCTR): 12616000345482 . Registered on 16 March 2016.

Indexed as

Arthroplasty, Replacement, ShoulderHumerusShoulder FracturesAgedAge FactorsAustraliaDisability EvaluationFemaleHumansMalePain MeasurementRecovery of FunctionResearch DesignShoulder PainSurveys and QuestionnairesTime FactorsArthroplastyFractureProximal humerusReverse shoulder arthroplastySurgeryTreatment

Identifiers

PMID28245852
PMCPMC5331653
OpenAlexW2591650885

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.