Evidence map›Paper›PMID 33240558›Full record

ArticleGeriatric orthopaedic surgery & rehabilitation2020

Hip Fracture Volume Does Not Change at a New York City Level 1 Trauma Center During a Period of Social Distancing.

Jonathan D Haskel, Charles C Lin, Daniel J Kaplan, John F Dankert, David Merkow, Alexander Crespo, Omar Behery, Abhishek Ganta, Sanjit R Konda

Abstract read
In one paragraph

Article in Geriatric orthopaedic surgery & rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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.

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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Epidemiology of osteoporotic ankle fractures in South Korea: a nationwide retrospective cohort study (2006-2022).Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Hip fracture care during the COVID-19 pandemic: retrospective cohort and literature review.OTA international : the open access journal of orthopaedic trauma · 2022
    Article
  15. Observational
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

9 authors.

Jonathan D HaskelDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.ORCID https://orcid.org/0000-0002-1518-8718
Charles C LinDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Daniel J KaplanDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
John F DankertDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.ORCID https://orcid.org/0000-0003-1443-9527
David MerkowDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Alexander CrespoDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Omar BeheryDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Abhishek GantaDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Sanjit R KondaDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo characterize the volume and variation in orthopedic consults and surgeries that took place during a period of social distancing and pandemic.

methodsAll orthopedic consults and surgeries at an urban level 1 trauma center from 3/22/20-4/30/2020 were retrospectively reviewed (the social distancing period). Data from the same dates in 2019 were reviewed for comparison. Age, gender, Score for Trauma Triage in the Geriatric and Middle Aged (STTGMA) score and injury type were queried. Operating room data collected included: type of surgery performed, inpatient or outpatient status, and if the cases were categorized as elective, trauma or infectious cases.

resultsCompared to 2019, there was a 48.3% decrease in consult volume in 2020. The 2020 population was significantly older (44.0 vs 52.6 years-old, p = 0.001) and more male (65% vs 35%, p = 0.021). There were 23 COVID positive patients, 10 of which died within the collection period. Consult distribution dramatically changed, with decreases in ankle fractures, distal radius fractures and proximal humerus fractures of 76.5%, 77.4% and 55.0%, respectively. However, there was no significant difference in volume of hip, tibial shaft and femoral shaft fractures (p > 0.05). In 2020, there was a 41.4% decrease in operating room volume, no elective cases were performed, and cases were primarily trauma related.

conclusionsDuring a period of pandemic and social distancing, the overall volume of orthopedic consults and surgeries significantly declined. However, hip fracture volume remained unchanged. Patients presenting with orthopedic injuries were older, and at higher risk for inpatient mortality.

Indexed as

economics of medicinefragility fracturesgeriatric traumasystems of caretrauma surgery

Identifiers

PMID33240558
PMCPMC7672735

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.