Evidence map›Paper›PMID 38503460›Full record

ReviewCanadian journal of surgery. Journal canadien de chirurgie

Position statement: management of proximal humerus fractures.

Peter Lapner, Ujash Sheth, Diane Nam, Emil Schemitsch, Pierre Guy, Robin Richards, Canadian Shoulder and Elbow Society (CSES) and the Canadian Orthopedic Trauma Society (COTS)

Open access · diamondAbstract readReviewConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Review in Canadian journal of surgery. Journal canadien de chirurgie. 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
1.1field-weighted citation impact, top 24% 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, 2 citations in OpenAlex.

  1. Review
  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

7 authors at 5 institutions in 1 country.

Peter LapnerFrom the Division of Orthopaedic Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, Ont. (Lapner); Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre (Sheth, Nam, Richards); Department of Surgery, University of Toronto, Toronto, Ont. (Sheth, Nam, Richards); Department of Surgery, University Hospital, Western University, London, Ont. (Schemitsch); and Department of Orthopaedics, Vancouver General Hospital, University of British Columbia, Vancouver, BC (Guy) plapner@toh.ca.
Ujash ShethFrom the Division of Orthopaedic Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, Ont. (Lapner); Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre (Sheth, Nam, Richards); Department of Surgery, University of Toronto, Toronto, Ont. (Sheth, Nam, Richards); Department of Surgery, University Hospital, Western University, London, Ont. (Schemitsch); and Department of Orthopaedics, Vancouver General Hospital, University of British Columbia, Vancouver, BC (Guy).
Diane NamFrom the Division of Orthopaedic Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, Ont. (Lapner); Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre (Sheth, Nam, Richards); Department of Surgery, University of Toronto, Toronto, Ont. (Sheth, Nam, Richards); Department of Surgery, University Hospital, Western University, London, Ont. (Schemitsch); and Department of Orthopaedics, Vancouver General Hospital, University of British Columbia, Vancouver, BC (Guy).
Emil SchemitschFrom the Division of Orthopaedic Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, Ont. (Lapner); Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre (Sheth, Nam, Richards); Department of Surgery, University of Toronto, Toronto, Ont. (Sheth, Nam, Richards); Department of Surgery, University Hospital, Western University, London, Ont. (Schemitsch); and Department of Orthopaedics, Vancouver General Hospital, University of British Columbia, Vancouver, BC (Guy).
Pierre GuyFrom the Division of Orthopaedic Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, Ont. (Lapner); Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre (Sheth, Nam, Richards); Department of Surgery, University of Toronto, Toronto, Ont. (Sheth, Nam, Richards); Department of Surgery, University Hospital, Western University, London, Ont. (Schemitsch); and Department of Orthopaedics, Vancouver General Hospital, University of British Columbia, Vancouver, BC (Guy).
Robin RichardsFrom the Division of Orthopaedic Surgery, The Ottawa Hospital, University of Ottawa, Ottawa, Ont. (Lapner); Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre (Sheth, Nam, Richards); Department of Surgery, University of Toronto, Toronto, Ont. (Sheth, Nam, Richards); Department of Surgery, University Hospital, Western University, London, Ont. (Schemitsch); and Department of Orthopaedics, Vancouver General Hospital, University of British Columbia, Vancouver, BC (Guy).
Canadian Shoulder and Elbow Society (CSES) and the Canadian Orthopedic Trauma Society (COTS)
University of British Columbia · CAHealth Sciences Centre · CAUniversity of Ottawa · CAVancouver General Hospital · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We sought to compare outcomes and reoperation rates for the surgical treatment of proximal humerus fractures (excluding head-splitting fractures, fracture-dislocations, and isolated greater-tuberosity fractures) in men and women older than 60 years. We searched MEDLINE, Embase, and Cochrane through to Feb. 1, 2022, and included all English-language randomized trials comparing operative versus nonoperative treatment; open reduction and internal fixation (ORIF) with locking plate versus intramedullary nail; arthroplasty versus ORIF; and reverse shoulder arthroplasty versus hemiarthroplasty. Outcomes of interest were functional outcomes (e.g., Constant score), pain outcomes (visual analogue scale scores), and reoperation rates for the interventions of interest when available. We rated the quality of the evidence and strength of recommendations using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach. This guideline will benefit patients considering surgical intervention for fractures of the proximal humerus by improving counselling on surgical treatment options and possible outcomes. It will also benefit surgical providers by improving their knowledge of various surgical approaches. Data presented could be used to develop frameworks and tools for shared decision-making.Nous avons cherché à comparer les résultats et les taux de réintervention à la suite d'un traitement chirurgical pour une fracture de l'humérus proximal (excluant les fractures de la tête humérale, les fractures-luxations et les fractures isolées de la grande tubérosité) chez les hommes et les femmes âgés de plus de 60 ans. Nous avons effectué des recherches dans les bases de données MEDLINE, Embase, et Cochrane jusqu'au 1

Indexed as

Humeral FracturesFemaleHumansMale

Identifiers

PMID38503460
PMCPMC10959448
OpenAlexW4392954422

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.