Evidence map›Paper›PMID 28770273›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2017

Atypical femur fractures: a survey of current practices in orthopedic surgery.

P S Schneider, M Wall, J P Brown, A M Cheung, E J Harvey, S N Morin

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

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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

6 authors.

P S SchneiderDepartment of Surgery, Division of Orthopaedic Trauma, Foothills Medical Centre, University of Calgary, McCaig Tower, 3134 Hospital, Drive NW, Calgary, AB, T2N 5A1, Canada. prism.schneider@gmail.com.
M WallResearch Institute of the McGill University Health Center, Montreal, Canada.
J P BrownDepartment of Medicine, Laval University, Quebec City, Canada.
A M CheungDepartment of Medicine, University of Toronto, Toronto, Canada.
E J HarveyResearch Institute of the McGill University Health Center, Montreal, Canada.
S N MorinResearch Institute of the McGill University Health Center, Montreal, Canada.

Funding

CIHR 2010.09.15; #230833
6 · The paper itself

Abstract

The results of a self-administered online survey demonstrate that orthopedic surgeons' management practices for AFF are variable. These data will inform the development of clinical practice guidelines.

introductionWe aimed to determine current AFF treatment practices of orthopedic surgeons to inform clinical practice guideline development.

methodsA self-administered online survey was developed and sequentially posted on the Orthopaedic Trauma Association (OTA) website from July to August 2015 and the Canadian Orthopaedic Association (COA) website from December 2015 to January 2016. Level of confidence in diagnosis and treatment as well as treatment preferences between respondents who self-identified as trauma surgeons vs. non-trauma surgeons were compared.

resultsA total of 172 completed surveys were obtained (OTA, N = 100, 58%; COA, N = 72, 8%). Seventy-eight percent of respondents had treated ≥1 AFF in the previous 6 months. Seventy-six percent reported feeling extremely or very confident in diagnosing AFF (trauma 84% vs. non-trauma surgeons 70%, p = 0.04), and 63% reported feeling extremely or very confident in treating AFF (trauma 82%, non-trauma surgeons 50%, p < 0.01). Preferred management for complete and symptomatic incomplete AFFs was surgical fixation with a cephalomedullary nail (CMN) by 88 and 79%, respectively, while close follow-up was preferred for asymptomatic incomplete AFFs in 72% of respondents. Trauma surgeons used the CMN more frequently than non-trauma surgeons (90 vs. 76% p = 0.03). In patients with bilateral AFFs, with one side surgically treated, 56% were extremely likely to surgically treat the contralateral side, if symptomatic. Most felt guidelines (81%) and educational resources (73%) would be valuable.

conclusionsCurrent orthopedic treatment practices for AFFs are variable. The results of this survey will inform the development of practice guidelines and educational resources.

Indexed as

Attitude of Health PersonnelBone Density Conservation AgentsCanadaClinical CompetenceDiphosphonatesEducation, Medical, ContinuingFemoral FracturesFractures, SpontaneousHealth Care SurveysHumansOrthopedic ProceduresPractice Guidelines as TopicProfessional PracticeTraumatologyBone Density Conservation AgentsDiphosphonatesAtypical femur fracturesClinical practice guidelinesOrthopedic surgeonsSurvey

Identifiers

PMID28770273

What OpenQuestion holds

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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.