Evidence map›Paper›PMID 28720041›Full record

ArticleHand (New York, N.Y.)2018

Burden of Hand Maladies in US Emergency Departments.

David L Colen, Justin P Fox, Benjamin Chang, Ines C Lin

Open access · greenAbstract read
In one paragraph

Article in Hand (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Emergency department visits for traumatic hand and wrist injuries in Ontario, Canada: a population-based study.Canadian journal of public health = Revue canadienne de sante publique · 2026
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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

4 authors at 1 institution in 1 country.

David L Colen1 Hospital of the University of Pennsylvania, Division of Plastic and Reconstructive Surgery, Philadelphia, USA.
Justin P Fox1 Hospital of the University of Pennsylvania, Division of Plastic and Reconstructive Surgery, Philadelphia, USA.
Benjamin Chang1 Hospital of the University of Pennsylvania, Division of Plastic and Reconstructive Surgery, Philadelphia, USA.
Ines C Lin1 Hospital of the University of Pennsylvania, Division of Plastic and Reconstructive Surgery, Philadelphia, USA.
Hospital of the University of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHand conditions commonly present to the emergency department (ED), yet data are lacking regarding the magnitude of hand-related conditions in the emergency setting. The purpose of this study is to describe the burden and quantify the health care resource utilization of hand conditions seen in EDs across the United States.

methodsUsing the National Emergency Department Sample, we identified all ED encounters by patients at least 18 years of age that were associated with a hand condition in 2009 to 2012. The primary outcomes were prevalence, etiology, and associated health care charges for specific categories of hand conditions.

resultsThe final sample included 34.4 million ED encounters associated with a common hand condition generating $180.4 billion in health care charges. The volume of hand-related presentations varied in a predictable and cyclical manner, peaking in July and waning in December of each year. Trauma was the most common etiology (77.5%) predominantly due to falls (26.2%) and lacerations (19.7%). Over 4 years, the volume of ED encounters rose (5% increase, P < .001) and as did the resulting health care charges (24.6% increase, P < .001).

conclusionsOur study confirms that hand-related conditions contribute significantly to ED volume and consume a growing quantity of health care resources in the United States. The volume of patients presenting to EDs with hand-related conditions fluctuates cyclically throughout the year. Open wounds are the most common cause of presentation and mostly occur in young adults, followed by joint pain, contusions, and fractures.

Indexed as

Accidental FallsAccidents, TrafficAdolescentAdultAgedAge DistributionAmputation, TraumaticContusionsCross-Sectional StudiesDatabases, FactualEmergency Service, HospitalFemaleFractures, BoneHand InjuriesHumansLacerationsemergency departmentepidemiologyhandhand traumaHCUPhealth careNEDS

Identifiers

PMID28720041
PMCPMC5950962
OpenAlexW2592765224

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.