Evidence map›Paper›PMID 35846398›Full record

ArticleShoulder & elbow2022

Plate fixation of midshaft clavicle fractures for delayed union and non-union is a cost-effective intervention but functional deficits persist at long-term follow-up.

Ben Fox, Nicholas David Clement, Deborah J MacDonald, Michael Robinson, Jamie A Nicholson

Abstract read
In one paragraph

Article in Shoulder & elbow, 2022. 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
–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. Article
  2. Article
  3. [Clavicle nonunion].Unfallchirurgie (Heidelberg, Germany) · 2024
    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.

Ben FoxDepartment of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-2949-6236
Nicholas David ClementDepartment of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.
Deborah J MacDonaldDepartment of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.
Michael RobinsonDepartment of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.
Jamie A NicholsonDepartment of Trauma and Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0003-3640-8254

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The primary aim of this study was to compare the long-term functional outcome of midshaft clavicle fracture fixation for delayed (≥3 month) and non-union (≥6 month) compared to a matched cohort of patients that achieved union with non-operative management. The secondary aim was to assess cost-effectiveness of fixation. Methods: A consecutive series of patients over 10-years were retrospectively reviewed using the QuickDASH, Oxford Shoulder Score and EuroQol five-dimension summary index (EQ-5D). These patients were compared to a matched cohort that achieved union after non-operative management using propensity score matching. Results: Sixty patients (follow-up 79%, Conclusions: Clavicle fixation for delayed and non-union is a cost-effective intervention but outcomes are worse compared to patients that unite with non-operative management.

Indexed as

Claviclecost-effectivenessnon-union

Identifiers

PMID35846398
PMCPMC9284296

What OpenQuestion holds

Textmetadata
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.