Evidence map›Paper›PMID 31782295›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2019

Stable rates of operative treatment of distal radius fractures in Ontario, Canada: a population-based retrospective cohort study (2004–2013)

Kathleen A. Armstrong, Herbert P. von Schroeder, Nancy N. Baxter, Toni Zhong, Anjie Huang, Steven J. McCabe

Registry-linked trialAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05580848 (Wrist Arthroscopy During Surgical Treatment of Distal Radius Fractures Improves Functional Outcome), which is not on this map. Cited by 13 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 4 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.

NCT05580848 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Wrist Arthroscopy During Surgical Treatment of Distal Radius Fractures Improves Functional Outcome: a Randomized Controlled Trial

TypeinterventionalSponsorClinic for Orthopedics LovranRan2022 to 2024Enrolled56ConditionsFracture, Radius Fracture DistalArmsWrist arthroscopy
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Efficacy of cast immobilization versus surgical treatment for distal radius fractures in adults: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
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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.

Kathleen A. ArmstrongFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Armstrong, von Schroeder, Baxter, Zhong, McCabe); and ICES, Toronto, Ont. (Huang).
Herbert P. von SchroederFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Armstrong, von Schroeder, Baxter, Zhong, McCabe); and ICES, Toronto, Ont. (Huang).
Nancy N. BaxterFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Armstrong, von Schroeder, Baxter, Zhong, McCabe); and ICES, Toronto, Ont. (Huang).
Toni ZhongFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Armstrong, von Schroeder, Baxter, Zhong, McCabe); and ICES, Toronto, Ont. (Huang).
Anjie HuangFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Armstrong, von Schroeder, Baxter, Zhong, McCabe); and ICES, Toronto, Ont. (Huang).
Steven J. McCabeFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Armstrong, von Schroeder, Baxter, Zhong, McCabe); and ICES, Toronto, Ont. (Huang).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rates of surgical management of distal radius fractures are increasing internationally despite the higher cost and limited outcome evidence to support this shift. This study examines the epidemiology of distal radius fractures and asks if the same shift has occurred in Ontario, Canada (population 13.9 million). Methods: This population-based, retrospective cohort study examined distal radius fractures in people aged 18 years and older over a 10-year period (2004–2013). The incidence analyses were based on the first occurrence of a fracture within a 2-year time period. The number of fractures, age-adjusted incidence rates and frequency of fracture treatment type by year were assessed. We used a Poisson regression with robust standard errors to determine if there was a statistically significant change in the frequency of fracture treatment type over time. Results: There were 25 355 distal radius fractures among Ontarians 18 years of age and older in 2013. Between 2004 and 2013, the age-adjusted incidence rate for people 35 years of age and older was stable, between 2.32 and 2.70 per 1000 population. Rates of cast immobilization remained stable between 82% and 84%. Of those patients treated surgically, the rate of open reduction and internal fixation rose from 7% in 2004 to 13% in 2013 at the expense of other types of surgical management. Conclusion: In Ontario, rates of cast immobilization are stable and there has been a movement toward open reduction and internal fixation among patients treated surgically.

Indexed as

AdolescentAdultAgedAged, 80 and overCasts, SurgicalFemaleFracture Fixation, InternalHumansIncidenceMaleMiddle AgedOntarioOpen Fracture ReductionProcedures and Techniques UtilizationRadius FracturesRetrospective Studies

Identifiers

PMID31782295
PMCPMC6877376

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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.