Evidence map›Paper›PMID 34423090›Full record

ArticleThe archives of bone and joint surgery2021

Skin Tenting in Displaced Midshaft Clavicle Fractures.

Dafang Zhang, Brandon E Earp, George S M Dyer

Open access · greenAbstract read
In one paragraph

Article in The archives of bone and joint surgery, 2021. 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
0.3field-weighted citation impact, top 43% 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, 5 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Dafang ZhangDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Brandon E EarpDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
George S M DyerDepartment of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Brigham and Women's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe objectives of this study were to (1) identify factors associated with skin tenting in displaced midshaft clavicle fractures and (2) analyze individual surgeon variation in this diagnosis.

methodsA retrospective cohort study was performed at two Level I trauma centers of 396 patients with displaced midshaft clavicle fractures treated by 47 surgeons with open reduction internal fixation from January 2010 to March 2019. Our main outcome measure was skin tenting, as diagnosed by the treating surgeon and used as an indication for surgical treatment.

resultsSkin tenting was diagnosed by the treating surgeon in 34 out of 396 patients (9%) with displaced midshaft clavicle fractures. Multivariable logistic regression analyses showed that lower BMI (

conclusionAlthough lower BMI and greater fracture shortening were associated with skin tenting, the diagnosis is subjective. We found wide variation in the diagnosis of skin tenting, even among surgeons within a single metropolitan area.

Indexed as

Body mass indexDisplaced clavicle fractureMidshaft clavicle fractureSkin tentingSurgeon variation

Identifiers

PMID34423090
PMCPMC8359666
OpenAlexW3092989117

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.