Evidence map›Paper›PMID 29946740›Full record

ArticleInternational orthopaedics2019

Patient-related quality of life after pelvic ring fractures in elderly.

Paul Schmitz, Stephan Lüdeck, Florian Baumann, Rainer Kretschmer, Michael Nerlich, Maximilian Kerschbaum

Abstract read
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In one paragraph

Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Predictors of long- term survival after pelvic ring fractures in geriatric patients - five-year results of a prospective observational study of 134 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
  8. Article
  9. Clinical outcomes in fragility fractures of the pelvis; what can we tell our patients?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  10. Porous threaded titanium implant screws have higher insertional torque compared to standard screws.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Prospective assessment of key factors influencing treatment strategy and outcome of fragility fractures of the pelvis (FFP).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  17. Operative treatment of fragility fractures of the pelvis: a critical analysis of 140 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  18. Pelvic fractures in severely injured elderly: a double-adjustment propensity score matched analysis from a level I trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  19. Article
  20. Self-rated health status and activities of daily living in the first 12 months after fragility fractures of the pelvis-a prospective study on 134 patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    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

6 authors at 2 institutions in 1 country.

Paul SchmitzClinic of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
Stephan LüdeckClinic of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
Florian BaumannClinic of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
Rainer KretschmerCaritas-Krankenhaus St. Josef, Landshuter Straße 65, 93053, Regensburg, Germany.
Michael NerlichClinic of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.
Maximilian KerschbaumClinic of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany. maximilian.kerschbaum@ukr.de.
University Hospital Regensburg · DECaritas-Krankenhaus St. Josef · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePelvic ring fractures, occurring in elderly patients are a challenging problem. Little known is about the patient-related outcome after these injuries. The primary objective of this study is to evaluate the quality of life after pelvic ring injuries in patients aged over 60 years.

methodsPatients (≥ 60 years) with pelvic ring fractures treated in our trauma department between 2004 and 2014 were included. Next to patient data, injury-related details as well as treatment details were assessed. After a follow-up of at least two years, the survival rate and the patient-related outcome were evaluated using the SF-36 and the EQ-5D score.

resultsOne hundred ninety-six patients (138 women; 58 men; mean age 75.3 ± 7.8 years) were identified. Ninety-six patients were treated operatively, 100 patients conservatively. The overall complication rate was significantly lower for conservatively compared to operatively treated patients (conservatively 18% vs. operatively 33%; p = 0.014). The total mortality rate over 2 years is 29% with no significant difference of the two-year survival rate (2-year survival rate: operatively 77% vs. non-operatively 65%; p = 0.126). Fifty-five patients completed the SF-36 and EQ-5D score after a mean follow-up of 4.2 ± 2.9 years. The mean physical component score of the SF-36 is 33.6 ± 8.3, and the mean mental component score is 45.3 ± 8.4. The mean EQ-5D VAS reached 62.5 ± 27.9.

conclusionElderly patients with pelvic ring fractures show a high mortality rate and a limited patient-related outcome. While the complication rate of conservatively treated patients is lower compared to operated patients, the two year survival rate is steady.

Indexed as

Quality of LifeAgedAged, 80 and overConservative TreatmentFemaleFractures, BoneHumansMalePelvic BonesPelvisSurvival RateElderly patientsEQ-5DPatient-related outcomePelvic ring fracturesSF-36

Identifiers

PMID29946740
OpenAlexW2810558073

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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.