ArticleCureus2025
Revisiting Conservative Approaches to Fracture Care Such As Close Contact Casting in the Elderly Co-morbid Patient: A Technical Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Close contact casting (CCC) is a non-surgical treatment for certain types of fractures, using tight moulding to achieve anatomical alignment. During the COVID-19 pandemic, when healthcare systems globally were under severe strain, conservative management such as CCC was a more widely used alternative to surgical management. However, it has since been considered that a large cohort of patients over 60 may have similar functional outcomes, fewer complications, and lower associated costs when comparing CCC to surgical management. Currently, there is no validated tool to determine which patients could be more suitable for CCC. This technical report proposes the surgical risk vs benefit assessment of fracture management in the elderly (SAFME) scoring tool. The SAFME scoring tool uses thirteen parameters of patient demographics to objectively evaluate conservative management against surgery, and guide clinicians' decision-making for treatment. Furthermore, a fracture clinic protocol (FCP) being incorporated into practice would allow for the careful multidisciplinary monitoring of elderly patients with fractures who have followed the CCC pathway, ensuring safe and effective care. The SAFME scoring tool would require testing through retrospective analysis and prospective trials to refine scoring thresholds, evaluate safety, and assess its cost-effectiveness before implementation. If validated, the scoring tool could be used to support more individualised, evidence-based, and resource-efficient fracture management in elderly adults.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.