Evidence map›Paper›PMID 39473735›Full record

ArticleTurkish journal of medical sciences2024

Trend shift in proximal humeral fracture treatment: a detailed review of national shoulder arthroplasty data.

İbrahim Bozkurt, İbrahim Kaya, Umut Öktem, Sinan Yilmaz, Naim Ata, Mustafa Mahir Ülgü, Şuayip Birinci, Fatih Karaaslan, İzzet Bingöl, Durmuş Ali Öçgüder

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Article in Turkish journal of medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

İbrahim BozkurtDepartment of Orthopaedics and Traumatology, Ankara City Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-2232-3129
İbrahim KayaDepartment of Orthopaedics and Traumatology, Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-8205-6515
Umut ÖktemDepartment of Orthopaedics and Traumatology, Ankara City Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-8436-8934
Sinan YilmazDepartment of Orthopaedics and Traumatology, Memorial Ankara Hospital, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-6683-8178
Naim AtaMinistry of Health, General Directorate of Health Information Systems, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-6947-2821
Mustafa Mahir ÜlgüMinistry of Health, General Directorate of Health Information Systems, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-0825-1851
Şuayip BirinciMinistry of Health, Deputy Minister, Ankara, Turkiye.ORCID https://orcid.org/0000-0001-8104-6198
Fatih KaraaslanDepartment of Orthopaedics and Traumatology, Memorial Kayseri Hospital, Kayseri, Turkiye.ORCID https://orcid.org/0000-0002-8283-3051
İzzet BingölDepartment of Orthopaedics and Traumatology, Ankara Yıldırım Beyazıt University, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-0097-3905
Durmuş Ali ÖçgüderDepartment of Orthopaedics and Traumatology, Ankara Yıldırım Beyazıt University, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-3610-0938

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: This study aimed to scrutinize nationwide utilization trends of shoulder arthroplasty for proximal humerus fractures (PHFs) using a comprehensive national surgical database. Materials and methods: A retrospective study was conducted with 4181 patients who underwent shoulder arthroplasty due to PHF between 2016 and 2022 using national health records. They are grouped as hemiarthroplasty (HA), anatomical total shoulder arthroplasty (TSA), and reverse shoulder arthroplasty (RSA). The patients' demographic data, length of hospital stay, revision histories, transfusion rates, mortality data, trends in arthroplasty methods over the years, the distribution of cases by hospital characteristics and geographical regions were analyzed. Results: Treatment with HA was administered to 22.1% of patients, TSA to 30.2%, and RSA to 47.7%. The lowest revision rate was observed after HA (4.3%), while higher rates were recorded after TSA (7.9%) and RSA (7.4%) (p = 0.019). It was observed that there was a significant increasing trend in RSA rates and a decreasing trend in HA and TSA rates over time (p < 0.001). Conclusion: From 2016 to 2022, there appears to have been a significant increase in the utilization of RSA for the arthroplasty treatment of proximal humeral fractures in Türkiye, and it is used more frequently than HA. However, revision rates after RSA are still higher than those after HA. Level of evidence: Level III, retrospective cohort study.

Indexed as

Arthroplasty, Replacement, ShoulderShoulder FracturesAgedAged, 80 and overFemaleHemiarthroplastyHumansMaleMiddle AgedRetrospective StudiesTurkeyhemiarthroplastynational trendsProximal humerus fracturereverse shoulder arthroplastytotal shoulder arthroplasty

Identifiers

PMID39473735
PMCPMC11518356

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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.