Evidence map›Paper›PMID 33349040›Full record

ArticleHand (New York, N.Y.)2022

Treatment Patterns for Distal Radius Fractures Before and After Appropriate Use Criteria Adoption.

Richard Samade, Omar Zaki, Nolan Farrell, Nicholas Farrar, Kanu S Goyal

Abstract read
In one paragraph

Article in Hand (New York, N.Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Richard SamadeThe Ohio State University Wexner Medical Center, Columbus, USA.
Omar ZakiThe Ohio State University Wexner Medical Center, Columbus, USA.
Nolan FarrellThe Ohio State University Wexner Medical Center, Columbus, USA.
Nicholas FarrarThe Ohio State University Wexner Medical Center, Columbus, USA.
Kanu S GoyalThe Ohio State University Wexner Medical Center, Columbus, USA.ORCID 0000-0002-5507-0351

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to determine agreement with the American Academy of Orthopaedic Surgery Appropriate Use Criteria (AUC) for distal radius fractures (DRFs), before and after their adoption, and secondarily determine predictors of operative management.

methodsA single-institution retrospective cohort study comparing patients treated either nonoperatively (115 patients) or operatively (767 patients) for DRFs between May 1, 2008, and May 1, 2018, by 8 hand surgeons was performed. Data included demographics, injury characteristics, DRF radiographic measurements, treatment rendered, and their appropriateness according to the AUC. Statistical testing used the Fisher and χ

resultsOverall, there was a significant increase in AUC agreement for operatively treated DRFs (82.7%-89.3%,

conclusionAgreement with AUC for DRFs increased after its adoption for operatively treated, but not for nonoperatively treated, fractures. In addition, a predictive model for operative treatment was developed and validated. Future studies may benefit from further model refinement and testing in other patient cohorts.

Indexed as

OrthopedicsRadius FracturesAged, 80 and overFracture Fixation, InternalHumansRadiusRetrospective StudiesUnited StatesAppropriate Use Criteriadistal radius fracturenonoperativeopen reduction and internal fixationoperative

Identifiers

PMID33349040
PMCPMC9608299

What OpenQuestion holds

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Registered trials

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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.