ArticleCureus2025
Patient-Reported Outcome Measures in the Elderly: Do These Reflect Healing Post-Fragility Fracture of the Pelvis?
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
The trial behind it
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background and objective Fragility fractures of the pelvis (FFPs) have become increasingly common in the geriatric population. The prolonged healing process associated with current non-operative management of FFPs has a significant negative impact on patient mobility, independence, and quality of life (QoL). This study aimed to document functional outcomes and QoL measures in individuals with non-operatively treated FFPs and examine if a relationship exists between these parameters and healing status. Methods This was a prospective case series involving a cohort from a single level 1 trauma center. Fifty-three elderly patients (age ≥65 years) who, after a fall from less than 5 feet, sustained a non-operative FFP as diagnosed on X-ray between 2008 and 2019. Functional outcomes using Musculoskeletal Function Assessment (MFA) and QoL measures based on 36-Item Short Form Health Survey (SF-36) were collected over two years. Healing was assessed per available follow-up X-ray imaging by four orthopaedic surgeons. Results Health status and function did not improve in elderly patients with stable FFPs treated non-operatively from reported baseline levels, with many MFA and SF-36 categories demonstrating a steady decline out to approximately 24 months. Follow-up X-ray imaging was only available for a subset of these individuals (n = 35). Substantial agreement was found between all four surgeon raters (Fleiss Kappa = 0.65) with respect to their evaluation of healing status. Confirmation of bone healing on X-ray (level 3) was found for only seven individuals. There was no association found between any MFA or SF-36 category and healing status for patients with coincident reporting (n = 16). Conclusions Overall, patient function and QoL decrease post-stable FFP, with no relationship evident between these measures and healing status. Worsening patient-reported outcome measures (PROMs) regardless of healing status should prompt discussions and further investigations regarding the need for continued monitoring of non-operative FFPs post-injury.
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