Evidence map›Paper›PMID 29619275›Full record

ArticleGeriatric orthopaedic surgery & rehabilitation2018

Operative Trends in the Treatment of Hip Fractures and the Role of Arthroplasty.

Luis Grau, Spencer Summers, Dustin H Massel, Samuel Rosas, Alvin Ong, Victor Hugo Hernandez

Abstract read
In one paragraph

Article in Geriatric orthopaedic surgery & rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  4. Review
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  7. Article
  8. Merits of Surgical Comanagement of Patients With Hip Fracture by Dedicated Orthopaedic Hospitalists.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021
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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.

Luis GrauDepartment of Orthopaedics and Rehabilitation, University of Miami, Miami, FL, USA.
Spencer SummersDepartment of Orthopaedics and Rehabilitation, University of Miami, Miami, FL, USA.
Dustin H MasselDepartment of Orthopaedics and Rehabilitation, University of Miami, Miami, FL, USA.ORCID 0000-0002-8147-5555
Samuel RosasDepartment of Orthopaedics and Rehabilitation, University of Miami, Miami, FL, USA.
Alvin OngArthroplasty Service, Rothman Institute of Orthopaedics, Egg Harbor Township, NJ, USA.
Victor Hugo HernandezDepartment of Orthopaedics and Rehabilitation, University of Miami, Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is a projected exponential increase in the number of hip fractures in the United States. Trends in patient demographics and the role of total hip arthroplasty (THA) and its associated outcomes following hip fractures surgery have not been well studied.

methodsPatients with proximal femur fractures between 1990 and 2007 were identified in the National Hospital Discharge Survey database. Demographics, comorbidities, perioperative complications, and discharge status for patients undergoing THA, hemiarthroplasty, or internal fixation were examined. Multivariable regression was performed to determine independent risk factors for perioperative complications.

resultsBetween 1990 and 2007, there was a statistically significant increase in patient age, adverse events, medical comorbidities, surgical complications, medical complications, and nonroutine discharge across all surgical treatment modalities. In the same time period, the utilization of THA for all fracture types decreased significantly. DISCUSSION: Total hip arthroplasty was found to be an independent risk factor for perioperative complications. Orthopedic surgeons should be aware that the hip fracture population continues to get older, with more medical comorbidities and are at higher risk for perioperative complications.

conclusionTotal hip arthroplasty is associated with a higher rate of perioperative complications in the hip fracture population.

Indexed as

adult reconstructive surgeryfragility fracturesgeriatric medicinegeriatric traumatrauma surgery

Identifiers

PMID29619275
PMCPMC5871053

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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.