Evidence map›Paper›PMID 41327023›Full record

ArticleBMC geriatrics2025

Centenarians with proximal humeral fracture.

Jeanette Koeppe, Julia Sußiek, J Christoph Katthagen, Karen Fischhuber, Jan P Happe, Janette Iking, Ursula Marschall, Andreas Faldum, Michael J Raschke, Josef Stolberg-Stolberg

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 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

10 authors.

Jeanette Koeppe *Institute of Biostatistics and Clinical Research, University of Muenster, Schmeddingstrasse 56, Muenster, 48149, Germany. jeanette.koeppe@ukmuenster.de.
Julia Sußiek *Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, Building W1, Muenster, 48149, Germany.
J Christoph KatthagenResearch group "Mathematical Surgery", University Hospital Muenster, University of Muenster, Muenster, Germany.
Karen FischhuberInstitute of Biostatistics and Clinical Research, University of Muenster, Schmeddingstrasse 56, Muenster, 48149, Germany.
Jan P HappeResearch group "Mathematical Surgery", University Hospital Muenster, University of Muenster, Muenster, Germany.
Janette IkingResearch group "Mathematical Surgery", University Hospital Muenster, University of Muenster, Muenster, Germany.
Ursula MarschallBARMER Institute for Health System Research, Lichtscheider Strasse 89 12, Wuppertal, 42285, Germany.
Andreas FaldumInstitute of Biostatistics and Clinical Research, University of Muenster, Schmeddingstrasse 56, Muenster, 48149, Germany.
Michael J RaschkeDepartment of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, Building W1, Muenster, 48149, Germany.
Josef Stolberg-StolbergResearch group "Mathematical Surgery", University Hospital Muenster, University of Muenster, Muenster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe demographic change in Germany leads to an increased number of centenarians. Within this population fragility fractures, such as the proximal humeral fracture (PHF), are not well investigated. This study aims to evaluate the epidemiology, treatment and outcome after a PHF in patients ≥ 100 years of age in Germany.

methodsRetrospective claims data of the BARMER health insurance were analyzed. All in- and outpatient cases of insurance holders ≥ 65 years from 01/2011 to 09/2022, with coded diagnosis of PHF were analyzed. The patients aged 65-99 years were used as a comparison group for the centenarians. Primary endpoints were overall survival, major adverse events (MAEs) and thrombo-embolic events.

resultsIn total, 100,482 patients with PHF were included in the study, with 230 aged 100 years and older. Centenarians with a PHF were more often female with several age-associated comorbidities, but less life-style associated risk factors. Centenarians were less often treated surgically. The outcome after PHF was worse with increasing age, 59.2% of the centenarians died one year after the PHF.

conclusionThe majority of centenarians sustaining a proximal humeral fracture was female. The most common treatment was the non-operative therapy. Nevertheless, also the operative therapy is associated with a low complication rate. As expected, the mortality rate is high, with almost 60% of deceased patients after one year. It remains unclear, if the mortality was related to proximal humeral fractures. LEVEL OF EVIDENCE: Level III, retrospective comparative study.

Indexed as

Shoulder FracturesAgedAged, 80 and overFemaleGermanyHumansMaleRetrospective StudiesRisk FactorsCentenariansGeriatric surgeryHealth service researchLevel of careProximal humeral fracture

Identifiers

PMID41327023
PMCPMC12777488

What OpenQuestion holds

Textmetadata
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.