Evidence map›Paper›PMID 36834390›Full record

ReviewInternational journal of environmental research and public health2023

Effectiveness and Safety of Different Treatment Modalities for Patients Older Than 60 Years with Distal Radius Fracture: A Network Meta-Analysis of Clinical Trials.

Héctor Gutiérrez-Espinoza, Felipe Araya-Quintanilla, Iván Cuyul-Vásquez, Rodrigo Gutiérrez-Monclus, Sara Reina-Gutiérrez, Iván Cavero-Redondo, Sergio Núñez de Arenas-Arroyo

Abstract readReviewNetwork Meta-Analysis
In one paragraph

Review in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. ESTES recommendations regarding distal radius fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Review
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Observational
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

7 authors.

Héctor Gutiérrez-EspinozaEscuela de Fisioterapia, Universidad de las Americas, Quito 170504, Ecuador.ORCID 0000-0002-4650-3426
Felipe Araya-QuintanillaEscuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago 7510157, Chile.
Iván Cuyul-VásquezFaculty of Health, Therapeutic Process Department, Temuco Catholic University, Temuco 4780000, Chile.
Rodrigo Gutiérrez-MonclusTraumatology Institute of Santiago, Santiago 7501241, Chile.
Sara Reina-GutiérrezHealth and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain.ORCID 0000-0003-4310-3715
Iván Cavero-RedondoHealth and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain.ORCID 0000-0003-2617-0430
Sergio Núñez de Arenas-ArroyoHealth and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain.ORCID 0000-0001-7774-8437

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to compare the clinical effectiveness and complications of different treatment modalities for elderly patients with distal radius fracture (DRF).

methodsWe performed a network meta-analysis (NMA) of randomized clinical trials (RCTs). Eight databases were searched. The eligibility criteria for selecting studies were RCTs that compared different treatment modalities (surgical or nonoperative) in patients older than 60 years with displaced or unstable intra-articular and/or extra-articular DRFs.

resultsTwenty-three RCTs met the eligibility criteria (2020 patients). For indirect comparisons, the main findings of the NMA were in volar locking plate (VLP) versus cast immobilization, with the mean differences for the patient-rated wrist evaluation (PRWE) questionnaire at -4.45 points (

conclusionsCompared with other treatment modalities, VLP showed statistically significant differences for some functional outcomes; however, most differences were not clinically relevant. For complications, although most differences were not statistically significant, VLP was the treatment modality that reported the lowest rate of minor and overall complications but also showed one of the highest rates of major complications in these patients.

Indexed as

Radius FracturesWrist FracturesAgedClinical Trials as TopicFracture FixationHumansRange of Motion, ArticularTreatment Outcomecast immobilizationdistal radius fractureelderly patientsnetwork meta-analysisrandomized controlled trialsurgical intervention

Identifiers

PMID36834390
PMCPMC9965012

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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.