ArticleArchives of orthopaedic and trauma surgery2021
Non-medical patient-related factor influence in proximal humeral fracture outcomes: a multicentric study.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Reverse total shoulder arthroplasty for proximal humerus fractures as an outpatient procedure.Journal of shoulder and elbow arthroplasty · 2026Article
- Impact of clinical and sociodemographic variables in development of acute compartment syndrome requiring fasciotomy after tibia fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Associations between food insecurity, neighborhood-level socioeconomic disadvantage, and humeral shaft fracture healing: a retrospective study.BMC musculoskeletal disorders · 2026Article
- Examining the underreporting of social determinants of health in randomized controlled trials published in spine journals.Archives of orthopaedic and trauma surgery · 2026Article
- Return to work after proximal humeral fractures: a single center study comparing conservative versus operative treatment.Orthopedic reviews · 2025Article
- Rehabilitation protocols in proximal humerus fracture management: A systematic review.Shoulder & elbow · 2024Review
- Ankle fracture surgery in patients experiencing homelessness: a national evaluation of one-year rates of reoperation.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Conservative Treatment of Proximal Humerus Fractures: When, How, and What to Expect.Current reviews in musculoskeletal medicine · 2023Review
- Therapeutic and prognostic predictive value of the Control Volume severity grade on proximal humerus fractures due to bone fragility.Orthopedic reviews · 2022Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAge, sex, and type of fracture have traditionally been described as prognostic factors for proximal humeral fractures (PHFs). Some non-medical patient-related factors may play a role in the outcome. This paper evaluates the association of comorbidities and socioeconomic factors with clinical outcomes for PHF.
methodsA total of 217 patients with PHF were evaluated according to Neer's classification with X-ray. Comorbidities were assessed through the Charlson comorbidity index and, non-medical patient-related factors were determined with a 52-item questionnaire concerning personal behaviors such as social activities, family support, economic solvency, and leisure-time activities. The clinical outcome was assessed with the Constant-Murley Score (CMS), with a minimum 1-year follow-up. The minimal clinically relevant difference for the CMS was set at 10 points. A multivariable analysis was performed to adjust for comorbidities and non-medical patient-related factors, such as age, sex, fracture classification, and treatment.
resultsOne hundred and eighty-three patients completed the initial research protocol, while 126 of them completed the 1-year follow-up. The mean age was 71.6 years (SD ± 13.3), and 79.3% of the patients were women. In the bivariable analysis, age and comorbidities were correlated with the CMS (correlation coefficient: - 0.34 [- 0.49, 0.17] and 0.35 [0.18, 0.50], respectively), as well as non-medical patient-related factors and the fracture pattern (p value ANOVA < 0.001). In the multivariable regression model, the effects of considering oneself socially active, without economic problems, and self-sufficient were associated with a higher CMS than the effect of the fracture pattern (beta coefficient: 11.69 [6.09-17.30], 15.54 [8.32-22.75], and 10.61 [3.34-17.88], respectively).
conclusionSocioeconomic status had a higher impact on functional outcomes than fracture pattern in patients with PHF.
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