ArticleJournal of orthopaedic trauma2019
Mortality Rates of Humerus Fractures in the Elderly: Does Surgical Treatment Matter?
Article in Journal of orthopaedic trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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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
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Cement-augmented locked plate fixation proximal humerus fractures in elderly patient: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2024Pooled it
- Operative versus conservative management of distal humerus fractures in patients aged 65 years and older: a target-trial-informed retrospective cohort study of five-year mortality.Archives of orthopaedic and trauma surgery · 2026Article
- Trends in Osteoporotic Humerus Fractures and Refractures, and Mortality Rates: Analysis of NHIS Claims Data From 2006-2022.Journal of Korean medical science · 2026Article
- Major Upper-Extremity Fractures in Older Adults: Predictors of 5-Year Mortality.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Humerus Shaft Fracture in Adult Managed with Elastic Nails: A Case Report and Literature Review of Management Options.Journal of orthopaedic case reports · 2025Article
- [Augmentation techniques for the treatment of osteoporosis-associated fractures of the extremities].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Comparison of clinical efficacy of different internal fixation methods in older adult patients with osteoporotic fractures of proximal humerus.Frontiers in surgery · 2024Article
- Is early mobilization a viable option after intramedullary nailing of 4-parts proximal humerus fractures?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Treatment Reality of Proximal Humeral Fractures in the Elderly-Trending Variants of Locking Plate Fixation in Germany.Journal of clinical medicine · 2023Article
- Proximal humerus fractures - epidemiology, comparison of mortality rates after surgical versus non-surgical treatment, and analysis of risk factors based on Medicare registry data.Bone & joint research · 2023Article
- Feasibility and Radiological Outcome of Minimally Invasive Locked Plating of Proximal Humeral Fractures in Geriatric Patients.Journal of clinical medicine · 2022Article
- Outcomes for type C proximal humerus fractures in the adult population: comparison of nonoperative treatment, locked plate fixation, and reverse shoulder arthroplasty.JSES international · 2022Article
- Orthogeriatric co-management: differences in outcome between major and minor fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Outcomes of AO/OTA C-type fractures of the distal humerus after open reduction and internal fixation with locking plate constructs in patients at least 65 years old.BMC musculoskeletal disorders · 2022Article
- The impact of full-thickness rotator cuff tear on shoulder function and quality of life in patients who sustain a proximal humerus fracture-a prospective cohort study.JSES international · 2022Article
- Distal humerus fracture in patients over 70 years of age: results of open reduction and internal fixation.Archives of orthopaedic and trauma surgery · 2022Article
- Analysis of predictors of mortality after surgical and non-surgical management in proximal humerus fractures.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Article
- Comparison of Treatment Options of Three- and Four-Part Humerus Proximal Fractures in Patients Over 50 Years of Age.Cureus · 2021Article
- Angle-stable polyaxial locked plating with and without polymethylmethacrylate cement augmentation for proximal humeral fractures in elderly.Joint diseases and related surgery · 2021Article
- Can We Stratify Quality and Cost for Older Patients With Proximal and Midshaft Humerus Fractures?Geriatric orthopaedic surgery & rehabilitation · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
introductionMultiple studies have shown the impact of hip fractures on geriatric mortality. Few evaluate mortality after proximal humerus (PH) or distal humerus (DH) fractures, and fewer determine differences in mortality based on management. We aim to evaluate a statewide cohort of elderly patients with PH or DH fractures to evaluate mortality, length of stay, discharge data, readmission, and differences based on management.
methodsThe New York Statewide Planning and Research Cooperative System database was used to identify patients 60 years and older admitted with a PH or DH fracture. Patient demographics, including age, gender, sex, race, weight, and insurance status, along with comorbid conditions using the Charlson Comorbidity Index, were determined. Seven-day, 30-day, and 1-year mortality was determined for operative and nonoperative cohorts. Logistic regression determined the competing risk of mortality when controlling for patient demographics, comorbid conditions, and treatment.
resultsForty-two thousand five hundred eleven PH and 7654 DH fractures were evaluated. PH fractures had higher mortality than DH. Nonoperative treatment occurred in 76.2% of PH fractures and 53% of DH fractures. There were more comorbid conditions, longer length of stay, and higher mortality at 7 days, 30 days, and 1 year in patients treated nonoperatively. After controlling for patient demographics and comorbid conditions, there was no difference in mortality between PH and DH fractures, but operative treatment for either PH or DH was associated with lower mortality at all time points. DISCUSSION: Fewer PH than DH fractures were treated operatively. Operative treatment was associated with improved survival in patients hospitalized with PH or DH fracture even after controlling for patient demographic and comorbid factors. LEVEL OF EVIDENCE: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
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