Evidence map›Paper›PMID 38850291›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2024

Factors that influence surgical decision-making for geriatric displaced femoral neck fractures: Bullet Health Analysis (BHA) I : Worldwide Orthopaedic Research Collaboration: Leveraging Big Data (WORLD) I.

Clary J Foote, Chirag Soni, Shaun P Patel, Derek Moore, Jan Szatkowski

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Clary J FooteMcMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0001-5481-1798
Chirag SoniDepartment of Orthopedics, Indiana University Health, Indianapolis, IN, USA.ORCID http://orcid.org/0009-0003-7191-8425
Shaun P PatelDepartment of Orthopedics, Southern California Permanente Medical Group, Irvine, CA, USA.
Derek MooreOrthobullets, Santa Barbara, CA, USA.
Jan SzatkowskiDepartment of Orthopedics, Indiana University Health, Indianapolis, IN, USA. szatkowski@gmail.com.ORCID http://orcid.org/0000-0002-6421-9736

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe management of geriatric femoral neck fractures, which includes options like hemiarthroplasty (HA), total hip arthroplasty (THA), and fixation, exhibits regional and healthcare setting variations. However, there is a lack of information on global variations in practice patterns and surgical decision factors for this injury.

methodsSurvey data were collected from April 2020 to June 2023 via Orthobullets Case Studies, a global clinical case collaboration platform hosted on a prominent orthopedic educational website. Collaboratively developed standardized polls, based on the best available evidence and a comprehensive, peer-reviewed, evidence-based item list, were used to capture surgeons' treatment preferences worldwide. Subsequent analyses explored preferences within subspecialties and practice settings. Multivariable regression analysis identified associations between subspecialty, practice type, the likelihood of choosing THA, and the preferred femoral fixation method.

resultsOur study encompassed 2595 respondents from 76 countries. Notably, 51.5% of participants (n = 1328; 51.5%, 95% CI 49.6-53.4%) leaned towards THA and 44.9% for HA, while 3.6% favoured surgical fixation. Respondents affiliated with academic institutions and large non-university-affiliated hospitals were 1.74 times more likely to favour THA, and arthroplasty specialists exhibited a 1.77-fold preference for THA. There was a 19-fold variation for cemented femoral fixation between the United Kingdom (UK) and USA with the UK favouring cemented fixation.

conclusionOur study reveals a significant shift towards THA preference for managing geriatric femoral neck fractures, influenced by subspecialty and practice settings. We also observed a pronounced predominance of cement fixation in specific geographic locations. These findings highlight the evolving fracture management landscape, emphasizing the need for standardization and comprehensive understanding across diverse healthcare settings.

Indexed as

Arthroplasty, Replacement, HipFemoral Neck FracturesHemiarthroplastyAgedAged, 80 and overClinical Decision-MakingFemaleGlobal HealthHumansMalePractice Patterns, Physicians'Surveys and QuestionnairesCemented femoral fixationGeriatric femoral neck fracturesGlobal survey analysisOrthopaedic practice patternsSubspecialty influenceSurgical decision determinantsTotal hip arthroplasty

Identifiers

PMID38850291

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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.