Evidence map›Paper›PMID 32655961›Full record

ArticleCase reports in orthopedics2020

Novel Conservative Approach to High Surgical Risk Frail Proximal Femur Fractures.

Alexander Koizia, Ala Abuown, Julie Vowles, Damien Smith, Louis J Koizia

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in orthopedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

5 authors at 4 institutions in 1 country.

Alexander KoiziaEast Suffolk and North Essex NHS Foundation Trust, UK.
Ala AbuownImperial College Healthcare NHS Trust, UK.
Julie VowlesThe Hillingdon Hospitals NHS Foundation Trust, UK.
Damien SmithThe Hillingdon Hospitals NHS Foundation Trust, UK.
Louis J KoiziaCutrale Perioperative and Ageing Research Group, Department of Bioengineering, Imperial College London, UK.ORCID https://orcid.org/0000-0003-4074-6926
Hillingdon Hospitals NHS Foundation Trust · GBEast Suffolk and North Essex NHS Foundation Trust · GBImperial College Healthcare NHS Trust · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the major impacts following a neck of femur fracture is pain. Most patients (nearly all) undergo an operation. This usually includes the frailest terminal patients and deemed a palliative procedure to reduce ongoing pain. The operation comes with risks and can reduce life expectancy in these patients and result in prolonged hospital admission, delirium, and postoperative complications. This case highlights a novel approach to managing the frailest end-of-life patients that does not require them to undergo a conventional operation. The case resulted in a quick discharge from hospital and for the patient and family to maximise the time out of hospital, with a reduced analgesic burden and a peaceful passing away. We feel that this could be an alternative, more humane option for such patients.

Identifiers

PMID32655961
PMCPMC7330637
OpenAlexW3036137122

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.