ArticlePlastic and reconstructive surgery2019
Variation in the Treatment of Distal Radius Fractures in the United States: 2010 to 2015.
Article in Plastic and reconstructive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.
- Effectiveness of manual therapy in patients with distal radius fracture: a systematic review and meta-analysis.The Journal of manual & manipulative therapy · 2022Pooled it
- Nonoperative treatment versus volar locking plate fixation for elderly patients with distal radial fracture: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- Percutaneous pinning for treating distal radial fractures in adults.The Cochrane database of systematic reviews · 2020Pooled it
- Non-operative treatment or volar locking plate fixation for dorsally displaced distal radius fractures in patients over 70 years - a three year follow-up of a randomized controlled trial.BMC musculoskeletal disorders · 2022Trial
- Does Surgical-site Multimodal Drug Injection After Palmar Plating of Distal Radius Fractures Improve Pain Scores?Clinical orthopaedics and related research · 2020Trial
- Cerebral Palsy and Postoperative Outcomes After Distal Radius Fracture Repair: A Retrospective Analysis.Journal of hand surgery global online · 2026Article
- Article
- Predictors of Extended Length of Stay Following Open Reduction and Internal Fixation for Distal Radius Fractures.Journal of wrist surgery · 2025Article
- The Effect of Proximal Cortical Screw Length of Volar Locking Plates on Clinical Outcomes in Distal Radius Fractures.Cureus · 2025Article
- Outcomes in Patients with Bilateral Distal Radius Fractures.Journal of wrist surgery · 2025Article
- Impact of Socioeconomic Factors on Time to Surgery for Distal Radius Fractures.Plastic and reconstructive surgery. Global open · 2024Article
- Comparison of Sociodemographic and Radiographic Features in Distal Radio Fracture Treatment: Hand Surgeons versus Non-specialists.Revista brasileira de ortopedia · 2024Article
- 3D-assisted corrective osteotomies of the distal radius: a comparison of pre-contoured conventional implants versus patient-specific implants.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Medicare Eligibility and Racial and Ethnic Disparities in Operative Fixation for Distal Radius Fracture.JAMA network open · 2023Article
- Variations in Treatment and Costs for Distal Radius Fractures in Patients Over 55 Years of Age: A Population-Based Study.Journal of hand and microsurgery · 2023Article
- Chronic Steroid Use, Complications, and Readmission Following Open Reduction Internal Fixation of Distal Radius Fracture.Journal of hand surgery global online · 2023Article
- Baseline predictors related to functional outcomes in patients older than sixty years with complex regional pain syndrome type 1 after distal radius fracture treated conservatively: a prospective observational study.International orthopaedics · 2023Observational
- The Primary Cost Drivers of Outpatient Distal Radius Fracture Fixation: A Cost-Minimalization Analysis of 15,379 Cases.Journal of wrist surgery · 2023Article
- Disparities in Treatment of Closed Distal Radius Fractures in Patients Aged 18-64 Years and ≥65 Years by Insurance Type.The Journal of hand surgery · 2023Article
- Functional Outcomes After a Physiotherapy Program in Elderly Patients With Complex Regional Pain Syndrome Type I After Distal Radius Fracture: A Prospective Observational Study.Hand (New York, N.Y.) · 2022Observational
Corrections and comments
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Authors and funding
5 authors at 1 institution in 2 countries.
Funding
Abstract
backgroundIt remains unknown whether treatment trends for distal radius fracture have changed in light of value-based care initiatives during recent years. The authors aimed to characterize modern practice patterns for distal radius fracture management.
methodsTruven MarketScan databases from 2009 to 2015 were used to extract demographic characteristics, geographic location, and comorbidities for patients receiving treatment for a distal radius fracture. Regression modeling and Joinpoint analysis were used to assess treatment trends and the association of patient factors with treatment provided.
resultsAmong 499,766 eligible encounters, the rate of internal fixation fluctuated around 13 percent. Casting/splinting remained the most frequent treatment across all populations. Treatment trends varied by age; children and adolescents almost exclusively received closed treatment (mean, 97 percent), yet rates of internal fixation increased among adults and elderly patients. Patients aged 55 to 64 years were most likely to undergo internal fixation (OR, 1.89; 95 percent CI, 1.82 to 1.96). Higher median household income also significantly increased odds of receiving internal fixation (p < 0.001). Despite declining rates of external fixation and percutaneous pinning, regional variations among surgical modalities persist.
conclusionsThe increased use of internal fixation for distal radius fractures may be slowing. Treatment type continues to differ widely across demographic groups, underscoring the need for standardization. In accordance with value-based care initiatives, treatment decisions should be made to combine patient needs with financial implications on the health system. Comparative effectiveness data to derive optimal management strategies are still warranted.
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Registered trials
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.