Evidence map›Paper›PMID 34847888›Full record

ArticleBMC musculoskeletal disorders2021

Core set of unfavorable events of proximal humerus fracture treatment defined by an international Delphi consensus process.

Laurent Audigé, Stig Brorson, Holger Durchholz, Simon Lambert, Fabrizio Moro, Alexander Joeris

Registry-linked trialOpen access · goldAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06416618 (Surgical Versus Non-surgical Treatment of Displaced Proximal Humerus Fracture in Adults Aged 50 to 65 Years), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 30% 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.

NCT06416618 narecruitingnot on this mapstarted 2024, after this paper: background citation

Surgical Versus Non-surgical Treatment of Displaced Proximal Humerus Fracture in Adults Aged 50 to 65 Years: a Pragmatic Randomized Controlled Trial

TypeinterventionalSponsorZealand University HospitalRan2024 to 2028Enrolled60ConditionsProximal Humeral Fracture, Shoulder FracturesArmsSurgical, Non surgical
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
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

6 authors at 4 institutions in 3 countries.

Laurent AudigéResearch and Development (L.A. and H.D) and Shoulder and Elbow, Surgery (L.A. and F.M.), Schulthess Clinic, Zurich, Switzerland. laurent.audige@kws.ch.
Stig BrorsonDepartment of Orthopedic Surgery, Centre for Evidence-Based Orthopaedics, Zealand University Hospital, Køge, Denmark.
Holger DurchholzResearch and Development (L.A. and H.D) and Shoulder and Elbow, Surgery (L.A. and F.M.), Schulthess Clinic, Zurich, Switzerland.
Simon LambertUniversity College London Hospital, London, UK.
Fabrizio MoroResearch and Development (L.A. and H.D) and Shoulder and Elbow, Surgery (L.A. and F.M.), Schulthess Clinic, Zurich, Switzerland.
Alexander JoerisAO Innovation Translation Center, AO Foundation, Dübendorf, Switzerland.
Schulthess-Klinik · CHAO Foundation · CHUniversity College London · GBUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProximal humerus fracture (PHF) complications, whether following surgery or nonoperative management, require standardization of definitions and documentation for consistent reporting. We aimed to define an international consensus core event set (CES) of clinically-relevant unfavorable events of PHF to be documented in clinical routine practice and research.

methodsA Delphi exercise was implemented with an international panel of experienced shoulder trauma surgeons selected by survey invitation of AO Trauma members. An organized list of PHF events after nonoperative or operative management was developed and reviewed by panel members using on-line surveys. The proposed core set was revised regarding event groups along with definitions, specifications and timing of occurrence. Consensus was reached with at least a two-third agreement.

resultsThe PHF consensus panel was composed of 231 clinicians worldwide who responded to at least one of two completed surveys. There was 93% final agreement about three intraoperative local event groups (device, osteochondral, soft tissue). Postoperative or nonoperative event terms and definitions organized into eight groups (device, osteochondral, shoulder instability, fracture-related infection, peripheral neurological, vascular, superficial soft tissue, deep soft tissue) were approved with 96 to 98% agreement. The time period for documentation ranged from 30 days to 24 months after PHF treatment depending on the event group and specification. The resulting consensus was presented on a paper-based PHF CES documentation form.

conclusionsInternational consensus was achieved on a core set of local unfavorable events of PHF to foster standardization of complication reporting in clinical research and register documentation.

trial registrationNot applicable.

Indexed as

Joint InstabilityShoulder FracturesShoulder JointDelphi TechniqueHumansHumerusComplicationsCore event setDelphi processProximal humerus fracturesShoulder fracturesStandardizationUnfavorable events

Identifiers

PMID34847888
PMCPMC8630858
OpenAlexW3214824033

What OpenQuestion holds

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Registered trials

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.