Evidence map›Paper›PMID 38964758›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Time to surgical management of distal radius fractures: effects on health care utilization and functional outcomes.

Kathy Liu, Emma J M Grigor, Daniel Antflek, George Ho, Heather L Baltzer, Ryan Paul

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Kathy LiuFrom the School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland (Liu); the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Grigor); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Grigor); Schroeder Arthritis Institute, University Health Network, Toronto, Ont. (Antflek); the Division of Plastic and Reconstructive Surgery, Toronto Western Hand Program, University of Toronto, Toronto, Ont. (Ho, Baltzer, Paul).
Emma J M GrigorFrom the School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland (Liu); the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Grigor); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Grigor); Schroeder Arthritis Institute, University Health Network, Toronto, Ont. (Antflek); the Division of Plastic and Reconstructive Surgery, Toronto Western Hand Program, University of Toronto, Toronto, Ont. (Ho, Baltzer, Paul).
Daniel AntflekFrom the School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland (Liu); the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Grigor); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Grigor); Schroeder Arthritis Institute, University Health Network, Toronto, Ont. (Antflek); the Division of Plastic and Reconstructive Surgery, Toronto Western Hand Program, University of Toronto, Toronto, Ont. (Ho, Baltzer, Paul).
George HoFrom the School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland (Liu); the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Grigor); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Grigor); Schroeder Arthritis Institute, University Health Network, Toronto, Ont. (Antflek); the Division of Plastic and Reconstructive Surgery, Toronto Western Hand Program, University of Toronto, Toronto, Ont. (Ho, Baltzer, Paul).
Heather L BaltzerFrom the School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland (Liu); the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Grigor); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Grigor); Schroeder Arthritis Institute, University Health Network, Toronto, Ont. (Antflek); the Division of Plastic and Reconstructive Surgery, Toronto Western Hand Program, University of Toronto, Toronto, Ont. (Ho, Baltzer, Paul) heather.baltzer@uhn.ca.
Ryan PaulFrom the School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland (Liu); the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont. (Grigor); the Faculty of Medicine, University of Ottawa, Ottawa, Ont. (Grigor); Schroeder Arthritis Institute, University Health Network, Toronto, Ont. (Antflek); the Division of Plastic and Reconstructive Surgery, Toronto Western Hand Program, University of Toronto, Toronto, Ont. (Ho, Baltzer, Paul).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDistal radius fractures are common injuries. Open reduction and internal fixation with volar locking plates is the most common approach for surgical fixation. This study investigated the association between time to surgery and health care utilization, income, and functional outcomes among patients undergoing open reduction and internal fixation for distal radius fracture.

methodsWe conducted a retrospective review of patients who underwent open reduction and internal fixation for isolated acute distal radius fracture between 2009 and 2019. Time to surgery was grouped as early (≤ 14 d) and delayed (> 14 d). We performed χ

resultsWe included 106 patients, with 36 (34.0%) in the group receiving early treatment and 70 (66.0%) in the group receiving delayed treatment. Patients in the delayed-treatment group attended significantly more clinic visits and postoperative hand therapy sessions. The group with delayed treatment demonstrated significantly lower degrees of wrist flexion at the first follow-up, but this difference did not persist. Patients with higher estimated income (> $39 405 per annum) had lower odds of delayed surgery than those with lower estimated income (≤ $39 405).

conclusionDelayed time to surgery was associated with greater health care utilization and lower degrees of early wrist flexion. Access to care for lower-income patients warrants further evaluation.

Indexed as

Fracture Fixation, InternalPatient Acceptance of Health CareRadius FracturesTime-to-TreatmentAdultAgedFemaleHumansMaleMiddle AgedOpen Fracture ReductionRecovery of FunctionRetrospective StudiesTreatment OutcomeWrist Fractures

Identifiers

PMID38964758
PMCPMC11233172

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.