Evidence map›Paper›PMID 40622581›Full record

ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025

Nonoperative treatment of proximal humerus fractures in the elderly.

Sam Razaeian, Christian Krettek

Abstract readReview
In one paragraph

Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Sam RazaeianDepartment of Trauma Surgery, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. Sam.Razaeian@uks.eu.ORCID http://orcid.org/0000-0003-2559-4274
Christian KrettekDepartment of Trauma Surgery, Hannover Medical School, Hannover Humerus Registry (HHR), TraumaStiftung gGmbH, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.ORCID http://orcid.org/0000-0001-9807-0020

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proximal humerus fractures are common and occur in approximately 70% of the cases beyond the age of 60 with a peak incidence over the age of 80. A number of randomized studies and meta-analyses have so far failed to demonstrate the superiority of surgery over nonoperative treatment in the elderly. In addition, according to the latest systematic Cochrane Review, evidence still reveals that surgery might be associated with higher complication, and revision surgery rates. However, it remains unclear how exactly this evidence out of "controlled" trial conditions can be incorporated into a decision aid suitable for everyday clinical practice. The following review article aims to present a possible treatment algorithm that takes current best evidence into account, and provides guidance on how this steadily increasing type of injury might be successfully treated nonoperatively in the elderly in daily clinical practice.

Indexed as

Shoulder FracturesAgedAged, 80 and overAlgorithmsHumansConservativeElderlyEvidence-basedNonoperative treatmentProximal humerus fractureTreatment algorithm

Identifiers

PMID40622581
PMCPMC12234611

What OpenQuestion holds

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LicenceCC BY
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.