Evidence map›Paper›PMID 30615662›Full record

ArticlePloS one2019

Strict adherence to evidence-based protocol in choice of implants and surgical technique leads to fewer hip fracture reoperations.

Elvira R Flikweert, Ronald L Diercks, Gerbrand J Izaks, Klaus W Wendt, Martin Stevens, Inge H F Reininga

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Elvira R FlikweertDepartment of Surgery-Traumatology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.ORCID 0000-0001-8226-6109
Ronald L DiercksDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Gerbrand J IzaksUniversity Center for Geriatric Medicine, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Klaus W WendtDepartment of Surgery-Traumatology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Martin StevensDepartment of Orthopedics, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Inge H F ReiningaDepartment of Surgery-Traumatology, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeSurgery for hip fractures is frequently followed by complications that hinder the rehabilitation. Only part of the complications are surgery-related, however these, including reoperation may have the highest impact. Operative protocols are designed to treat all patients equally, according to evidence based guidelines. Aim of this study was to investigate the association between strict adherence to an operative protocol and postoperative complications, especially reoperations. MATERIALS AND

methodsA retrospective analyses of a prospective cohort. The cohort included all patients aged ≥60 treated for a hip fracture at University Medical Center Groningen between July 2009 and June 2013. The files of the patients were searched for complications, including reoperations. To evaluate adherence to the operative protocol all X-rays were retrospectively reviewed and the fracture type was reclassified. This retrospective fracture classification was compared with the treatment method used. Logistic regression analyses were used to assess whether patients that were not treated strictly according to the operative protocol have higher odds of developing a complication or of undergoing a reoperation.

resultsThe study population consisted of 479 patients with a mean age of 78.4 (SD 9.5) years. Reoperation was performed in 11% of the patients during the follow-up period. The operative protocol was not followed strictly in 12% of the patients. When the operative protocol was not followed, the odds of having a reoperation was 2.41 times higher (p = 0.02). The overall complication rate was 75% and did not differ in both groups.

conclusionStrict adherence to an evidence-based operative protocol is of major importance toward preventing implant-related problems and reoperations.

Indexed as

AgedAged, 80 and overArthroplasty, Replacement, HipFemaleFracture Fixation, InternalHipHip FracturesHumansMaleMiddle AgedPostoperative ComplicationsRegression AnalysisReoperationRisk Factors

Identifiers

PMID30615662
PMCPMC6322738

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.