Evidence map›Paper›PMID 41787346›Full record

ArticleBMC geriatrics2026

Treatment and prognosis of proximal humerus fracture in older adults: a retrospective cohort study using health insurance claims database.

Akihiro Saitsu, Hayato Yamana, Yusuke Sasabuchi, Hiroki Matsui, Hideyuki Sasanuma, Tomohiro Matsumura, Yoshimitsu Wada, Takeshi Kanno, Hitoaki Okazaki, Takahide Kohro and 3 more

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In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Akihiro SaitsuData Science Center, Jichi Medical University, Tochigi, Japan.
Hayato YamanaData Science Center, Jichi Medical University, Tochigi, Japan.
Yusuke SasabuchiData Science Center, Jichi Medical University, Tochigi, Japan.
Hiroki MatsuiData Science Center, Jichi Medical University, Tochigi, Japan.
Hideyuki SasanumaDepartment of Orthopedics, Jichi Medical University, Tochigi, Japan.
Tomohiro MatsumuraDepartment of Orthopedics, Jichi Medical University, Tochigi, Japan.
Yoshimitsu WadaData Science Center, Jichi Medical University, Tochigi, Japan.
Takeshi KannoMedical Education Center, Jichi Medical University, Tochigi, Japan.
Hitoaki OkazakiMedical Education Center, Jichi Medical University, Tochigi, Japan.
Takahide KohroData Science Center, Jichi Medical University, Tochigi, Japan.
Katsushi TakeshitaDepartment of Orthopedics, Jichi Medical University, Tochigi, Japan.
Hideo YasunagaData Science Center, Jichi Medical University, Tochigi, Japan.
Kazuhiko KotaniDivision of Community and Family Medicine, Center for Community Medicine, Jichi Medical University, 3311-1, Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan. kazukotani@jichi.ac.jp.

Funding

Cross-ministerial Strategic Innovation Promotion Program (SIP) on "Integrated Health Care System" JPJ012425Ministry of Health, Labour and Welfare, Japan 23AA2003
6 · The paper itself

Abstract

backgroundThe underlying general condition of older adults before proximal humerus fracture (PHF) and outcomes after PHF have not been described in detail. Furthermore, there is no consensus regarding the treatment of PHF in older adults requiring long-term care (LTC). This study assessed the LTC status and treatment in older adults with PHF and examined the changes in LTC status and death after PHF.

methodsWe conducted a retrospective cohort study using the medical and LTC insurance claims databases of a prefecture from 2014 to 2019. We included patients ≥ 65 years old with PHF and evaluated their LTC status and mortality, excluding those with an observation period of < 6 months before PHF. A survival time analysis was performed using the Kaplan-Meier method.

resultsWe identified 887 eligible patients, including 452 (51%) in the surgical group and 435 (49%) in the non-surgical group. The proportions of patients requiring LTC were 42% and 52% in the surgical and non-surgical groups, respectively. In patients who did not require LTC, the proportion for surgery decreased with age, whereas in patients who required LTC, the proportion for surgery was highest in the 75- to 84-year-old group. The mortality rate was lower in the surgical group than in the non-surgical group among patients 75–84 years old who required LTC (log-rank p = 0.001; hazard ratio 0.16, 95% CI 0.04–0.56). In contrast, there was no significant association between treatment methods and mortality in the LTC status in the other age groups. The overall 1-year mortality after PHF was 7%, and an additional 20% of patients with PHF had worsening LTC 1 year after injury.

conclusionsAmong the older adults with PHF, 47% required LTC before the injury, and 26% had a worsening LTC status or died 1 year after PHF. The prognoses after surgery for PHF differed according to age and LTC status.

Indexed as

Shoulder FracturesAgedAged, 80 and overCohort StudiesDatabases, FactualFemaleHumansJapanLong-Term CareMalePrognosisRetrospective StudiesComorbiditiesElderly peopleFractureHumerusLong-term careMortalityProximalShoulder

Identifiers

PMID41787346
PMCPMC13072490

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LicenceCC BY-NC-ND
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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.