ArticleJournal of children's orthopaedics2017
Increasing rates of surgical treatment for paediatric diaphyseal forearm fractures: a National Database Study from 2000 to 2012.
Article in Journal of children's orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Intramedullary versus plate fixation of both bone forearm fractures in skeletally immature patients: a systematic review and meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Can Personalized 3D Kinematic Modeling Predict Loss of Pronation and Supination in Diaphyseal Forearm Malunions? A Clinical Validation Study.Clinical orthopaedics and related research · 2026Article
- Influence of elastic stable intramedullary nailing on fracture reduction of paediatric diaphyseal forearm fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Consumer product-related fractures among children younger than 18 years old treated in United States emergency departments, 1990-2023.Injury epidemiology · 2025Article
- Epidemiology and treatment of forearm fractures in Swedish children and adolescents.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Surgical and Conservative Management are Both Effective for Pediatric Both Bone Forearm Fractures: A Systematic Review and Meta-Analysis.Journal of the Pediatric Orthopaedic Society of North America · 2025Review
- Cast Wedging to Correct Fracture Angulation: Tips and Tricks.Journal of the Pediatric Orthopaedic Society of North America · 2025Review
- Recommended Treatment for Pediatric Upper Extremity Fractures Varies Among Orthopaedic Surgeons and Trainees.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- The risk of refracture and malunion in children treated for diaphyseal forearm fractures: a retrospective cohort study.Acta orthopaedica · 2025Article
- Clinical consequence of the 4-week X-ray control after ESIN osteosynthesis of forearm fractures in children.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Trends and Economic Implications of Operative Management for Pediatric Forearm Fractures: A Retrospective Study.Cureus · 2025Article
- Pediatric Forearm Fractures: Investigating the Functional Outcomes of Titanium Elastic Nailing for Unstable Both-Bone Fractures.Journal of orthopaedic case reports · 2024Article
- Acceptable angulation criteria in pediatric midshaft forearm fractures: A systematic review and meta-analysis.Journal of the Pediatric Orthopaedic Society of North America · 2024Article
- Girl predominance in trampoline-related forearm shaft fractures and their increasing incidence since 2000.BMC musculoskeletal disorders · 2023Article
- Change in treatment preferences in pediatric diaphyseal forearm fractures: a Danish nationwide register study of 36,244 fractures between 1997 and 2016.Acta orthopaedica · 2023Article
- Article
- Prolonged Operative Time Associated with Increased Healthcare Utilization after Open Reduction and Internal Fixation of Intra-Articular and Extra-Articular Distal Radial Fractures: An Analysis of 17,482 Cases.Journal of wrist surgery · 2022Article
- Pediatric Orthopedic Trauma Care During the COVID-19 Pandemic: A Survey of the Pediatric Orthopedic Society of North America.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2022Article
- Management of pediatric forearm fractures: what is the best therapeutic choice? A narrative review of the literature.Musculoskeletal surgery · 2021Review
- Inequalities in Pediatric Fracture Care Timeline Based on Insurance Type.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
forearmPurpose fractures are one of the most commonly sustained injuries in children and are often treated non-operatively. The purpose of this study was to estimate the rate of inpatient surgical treatment of paediatric forearm fractures over time using a large, publicly available, national database.
methodsThe Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID) was evaluated between 2000 and 2012. Forearm fractures and surgeries were identified using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9 CM) diagnosis and procedure codes. Univariable and multivariable logistic regression were used to determine variables associated with greater proportion of surgical treatment. All statistical analyses were performed using SAS statistical software v.9.4 (SAS Institute Inc., Cary, NC, USA). Statistical significance was set at p < 0.05.
resultsThe database identified 30 936 forearm fracture admissions. Overall, 19 837 of these patients were treated surgically (64.12%). The percentage of patients treated with surgery increased from 59.3% in 2000 to 70.0% in 2012 (p < 0.001). Multivariable regression analysis found increased age (p < 0.001), more recent year (p < 0.001), male gender (p = 0.003) and admission to a children's hospital (p < 0.001) were associated with an increased proportion of patients receiving surgical treatment. Medicaid payer status was associated with a lower proportion of surgical treatment (p < 0.001).
conclusionsThe rate of operative treatment for paediatric forearm fractures admitted to the hospital increased over time. Increased surgical rates were associated with older age, male gender, treatment at a children's hospital and non-Medicaid insurance status.
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