FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2113284934> ?p ?o ?g. }

• W2113284934 endingPage "2093" @default.
• W2113284934 startingPage "2086" @default.
• W2113284934 abstract "Background: In the treatment of distal radial fractures, physicians often advocate internal fixation over cast treatment for potentially unstable fracture patterns, citing the difficulties of successful nonoperative treatment and a decrease in patient tolerance for functional deficiencies. This study was performed to evaluate whether early internal fixation or nonoperative treatment would be preferred for displaced, potentially unstable distal radial fractures that initially had an adequate reduction. Methods: A decision analytic model was created to compare early internal fixation with use of a volar plate and nonoperative management of a displaced, potentially unstable distal radial fracture with an acceptable closed reduction. To identify the optimal treatment, quality-adjusted life expectancy was estimated for each management approach. Data from the literature were used to estimate rates of treatment complications (e.g., fracture redisplacement with nonoperative treatment) and of treatment outcomes. Mean health-state utilities for treatment outcomes of painless malunion, functional deficit, and painful malunion were derived by surveying fifty-one adult volunteers with use of the time trade-off method. Sensitivity analysis was used to determine which model parameters would change the treatment decision over a plausible range of values. Results: Early internal fixation with volar plating was the preferred strategy in most scenarios over the ranges of parameters available, but the margins were small. The older patient (mean age, 57.8 years) who sustains a distal radial fracture can expect 0.08 more quality-adjusted life years (29.2 days) with internal fixation compared with nonoperative treatment. Sensitivity analysis revealed no single factor that changed the preferred option within the reported ranges in the base case. However, the group of patients sixty-five years or older, who had lower disutility for painful malunion, derived a very small benefit from operative treatment (0.01 quality-adjusted life year or 3.7 days) and would prefer cast treatment in some scenarios. Conclusions: Internal fixation with use of a volar plate for potentially unstable distal radial fractures provided a higher probability of painless union on the basis of available data in the literature. This long-term gain in quality-adjusted life years outweighed the short-term risks of surgical complications, making early internal fixation the preferred treatment in most cases. However, the difference was quite small. Patients, especially those over sixty-four years old, who have lower disutility for the malunion and painful malunion outcome states may prefer nonoperative treatment. Level of Evidence: Economic and decision analysis Level II. See Instructions to Authors for a complete description of levels of evidence." @default.
• W2113284934 created "2016-06-24" @default.
• W2113284934 creator A5003977330 @default.
• W2113284934 creator A5028099073 @default.
• W2113284934 creator A5038929684 @default.
• W2113284934 creator A5041564982 @default.
• W2113284934 creator A5054013633 @default.
• W2113284934 date "2009-09-01" @default.
• W2113284934 modified "2023-09-27" @default.
• W2113284934 title "Is Early Internal Fixation Preferred to Cast Treatment for Well-Reduced Unstable Distal Radial Fractures?" @default.
• W2113284934 cites W1963814186 @default.
• W2113284934 cites W1971344203 @default.
• W2113284934 cites W1979871017 @default.
• W2113284934 cites W2023924336 @default.
• W2113284934 cites W2030850718 @default.
• W2113284934 cites W2039361292 @default.
• W2113284934 cites W2056476307 @default.
• W2113284934 cites W2062637516 @default.
• W2113284934 cites W2075322424 @default.
• W2113284934 cites W2094185296 @default.
• W2113284934 cites W2119203482 @default.
• W2113284934 cites W2119442551 @default.
• W2113284934 cites W2121040707 @default.
• W2113284934 cites W2187653576 @default.
• W2113284934 cites W2238753017 @default.
• W2113284934 doi "https://doi.org/10.2106/jbjs.h.01111" @default.
• W2113284934 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/19723984" @default.
• W2113284934 hasPublicationYear "2009" @default.
• W2113284934 type Work @default.
• W2113284934 sameAs 2113284934 @default.
• W2113284934 citedByCount "38" @default.
• W2113284934 countsByYear W21132849342012 @default.
• W2113284934 countsByYear W21132849342013 @default.
• W2113284934 countsByYear W21132849342014 @default.
• W2113284934 countsByYear W21132849342015 @default.
• W2113284934 countsByYear W21132849342016 @default.
• W2113284934 countsByYear W21132849342017 @default.
• W2113284934 countsByYear W21132849342018 @default.
• W2113284934 countsByYear W21132849342019 @default.
• W2113284934 countsByYear W21132849342020 @default.
• W2113284934 countsByYear W21132849342021 @default.
• W2113284934 countsByYear W21132849342022 @default.
• W2113284934 countsByYear W21132849342023 @default.
• W2113284934 crossrefType "journal-article" @default.
• W2113284934 hasAuthorship W2113284934A5003977330 @default.
• W2113284934 hasAuthorship W2113284934A5028099073 @default.
• W2113284934 hasAuthorship W2113284934A5038929684 @default.
• W2113284934 hasAuthorship W2113284934A5041564982 @default.
• W2113284934 hasAuthorship W2113284934A5054013633 @default.
• W2113284934 hasConcept C141071460 @default.
• W2113284934 hasConcept C146249460 @default.
• W2113284934 hasConcept C2778216619 @default.
• W2113284934 hasConcept C2779330695 @default.
• W2113284934 hasConcept C2779779000 @default.
• W2113284934 hasConcept C2780660378 @default.
• W2113284934 hasConcept C2908647359 @default.
• W2113284934 hasConcept C2909523310 @default.
• W2113284934 hasConcept C71924100 @default.
• W2113284934 hasConcept C99454951 @default.
• W2113284934 hasConceptScore W2113284934C141071460 @default.
• W2113284934 hasConceptScore W2113284934C146249460 @default.
• W2113284934 hasConceptScore W2113284934C2778216619 @default.
• W2113284934 hasConceptScore W2113284934C2779330695 @default.
• W2113284934 hasConceptScore W2113284934C2779779000 @default.
• W2113284934 hasConceptScore W2113284934C2780660378 @default.
• W2113284934 hasConceptScore W2113284934C2908647359 @default.
• W2113284934 hasConceptScore W2113284934C2909523310 @default.
• W2113284934 hasConceptScore W2113284934C71924100 @default.
• W2113284934 hasConceptScore W2113284934C99454951 @default.
• W2113284934 hasIssue "9" @default.
• W2113284934 hasLocation W21132849341 @default.
• W2113284934 hasLocation W21132849342 @default.
• W2113284934 hasOpenAccess W2113284934 @default.
• W2113284934 hasPrimaryLocation W21132849341 @default.
• W2113284934 hasRelatedWork W1479871144 @default.
• W2113284934 hasRelatedWork W2040176006 @default.
• W2113284934 hasRelatedWork W2066020116 @default.
• W2113284934 hasRelatedWork W2095358859 @default.
• W2113284934 hasRelatedWork W2113284934 @default.
• W2113284934 hasRelatedWork W2233408974 @default.
• W2113284934 hasRelatedWork W2367328649 @default.
• W2113284934 hasRelatedWork W2431044021 @default.
• W2113284934 hasRelatedWork W3032124713 @default.
• W2113284934 hasRelatedWork W4285414060 @default.
• W2113284934 hasVolume "91" @default.
• W2113284934 isParatext "false" @default.
• W2113284934 isRetracted "false" @default.
• W2113284934 magId "2113284934" @default.
• W2113284934 workType "article" @default.