Evidence map›Paper›PMID 33492491›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021

Diabetes mellitus effect on rates of perioperative complications after operative treatment of distal radius fractures.

Chapman Wei, Nisha Kapani, Theodore Quan, Alex Gu, Safa C Fassihi, Michael-Alexander Malahias, Victoria Haney, Melina Recarey, Sam Moghtaderi

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In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 22% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. 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

9 authors at 3 institutions in 1 country.

Chapman WeiGeorge Washington School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA. cwei@gwu.edu.ORCID http://orcid.org/0000-0001-8730-0804
Nisha KapaniGeorge Washington School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.
Theodore QuanGeorge Washington School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.
Alex GuDepartment of Orthopedic Surgery, George Washington Hospital, 2300 M St, Washington, DC, 20037, USA.
Safa C FassihiDepartment of Orthopedic Surgery, George Washington Hospital, 2300 M St, Washington, DC, 20037, USA.
Michael-Alexander MalahiasAdult Reconstruction and Joint Replacement Division, Department of Orthopaedic Surgery, Hospital for Special Surgery, 535 E 70th St, New York, NY, 10021, USA.
Victoria HaneyDepartment of Surgery, George Washington Hospital, 2300 M St, Washington, DC, 20037, USA.
Melina RecareyGeorge Washington School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.
Sam MoghtaderiDepartment of Orthopedic Surgery, George Washington Hospital, 2300 M St, Washington, DC, 20037, USA.
Washington Hospital · USGeorge Washington University · USHospital for Special Surgery · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study focuses on distal radius fractures that require surgical treatment. Patients with diabetes mellitus (DM) are at increased risk of bone fracture despite normal areal bone mineral density. The aim of this study is to identify the impact of DM on perioperative complications for patients undergoing operative treatment of distal radius fracture.

methodsA retrospective cohort study was conducted using data collected through the National Surgical Quality Improvement Program database. All patients who underwent operative treatments for distal radius fractures from 2007 through 2018 were identified. Data collected include demographic information, comorbidities, and complications occurring within 30 days of initial surgical intervention. The incidence of adverse events following surgery was evaluated with univariate and multivariate analyses where appropriate.

resultsPatients with DM were found to have a low rate of complications postsurgical repair of distal radius fractures. Preoperative comorbidity analysis showed that the diabetic group had significantly higher rates of chronic obstructive pulmonary disease, hypertension, congestive heart failure, renal failure, steroid use, bleeding disorders, dyspnea, and poorer functional status. Diabetes was found to be an independent predictor for unplanned intubation, sepsis, and septic shock. Diabetes was not found to be an independent predictor of other postoperative complications.

conclusionComplications after surgical repair of distal radius fracture are low except when it comes to reintubation, sepsis, and septic shock. While the risks of independent complications remain relatively low, diabetes remains an important factor to consider when selecting surgical candidates and to ensure appropriate pre-operative risk assessment.

Indexed as

Diabetes MellitusRadius FracturesFracture Fixation, InternalHumansPostoperative ComplicationsRetrospective StudiesRisk FactorsComorbidityComplicationsDiabetes mellitusDistal radius fracture

Identifiers

PMID33492491
OpenAlexW3124326444

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.