Evidence map›Paper›PMID 34868722›Full record

ArticleGeriatric orthopaedic surgery & rehabilitation2021

The Quality of Life, Patient Satisfaction and Rehabilitation in Patients With a Low Energy Fracture-Part III of an Observational Study.

Puck C R van der Vet, Jip Q Kusen, Manuela Rohner-Spengler, Bjoern-Christian Link, Egbert-Jan M M Verleisdonk, Matthias Knobe, Christoph Henzen, Lukas Schmid, Reto Babst, Frank J P Beeres

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Geriatric orthopaedic surgery & rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

10 authors.

Puck C R van der VetDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.ORCID https://orcid.org/0000-0003-1577-1660
Jip Q KusenDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Manuela Rohner-SpenglerDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Bjoern-Christian LinkDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Egbert-Jan M M VerleisdonkDepartment of Orthopaedic and Trauma Surgery, Diakonessenhuis Utrecht Zeist Doorn, Utrecht, The Netherlands.
Matthias KnobeDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Christoph HenzenDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Lukas SchmidDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Reto BabstDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.
Frank J P BeeresDepartment of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Lucerne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDue to the aging population the incidence of Low Energy Fractures (LEF) increases. LEF have high mortality and morbidity rates and often cause elderly to lose independence. Patient-reported outcomes, such as Quality of Life (QoL) and patient satisfaction (PS) are needed to evaluate treatment, estimate cost-benefit analyses, and to improve clinical decision-making and patient-centered care.

objectiveThe primary goal was to evaluate QoL and PS in patients with LEF, and to compare QoL scores to the community dwelling population. Second, we observed the amount and type of physiotherapy (PT) sessions the patients conducted.

methodsA single-center cohort study was conducted in Switzerland. Patients between 50 and 85 years, who were treated in the hospital for LEF, were followed 1 year after initial fracture. Data on QoL were obtained through the Euroqol-5-Dimension questionnaire-3-Level (EQ-5D-3L) and the EQ VAS (visual analog scale). PS was measured by a VAS on satisfaction with treatment outcome. Data on PT sessions, mobility and use of analgesics were collected by telephone interviews and written surveys. Results were compared between the different fracture locations and subgroup analyses were performed for age categories.

results411 patients were included for analysis. The median scores of the EQ-5D-3L index-VAS and PS were 0.90 (0.75-1.0), 90 (71.3-95) and 100 (90-100). Significant differences in all scores were found between fracture location (

conclusionAt follow-up, QoL throughout all patients with a LEF was comparable to a normal population. Remarkably, though hip fracture patients seem to suffer from a clinically relevant loss of QoL, they received fewer PT sessions and performed fewer long-lasting home training than patients with a humerus fracture. Intensive, progressive rehabilitation with a high frequency of supervised training is recommended after hip fracture. The low frequency of PT sessions found in this study is unsatisfying. In hip fracture patients and in patients with a malleolar fracture, especially when aged over 75 years, more efforts are required to improve rehabilitation and subsequently QoL.

Indexed as

low energy fracturepatient satisfactionQuality of liferehabilitation

Identifiers

PMID34868722
PMCPMC8642119

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.