一级证据对锁骨和肱骨远端骨折治疗的影响：一项基于2005年至2014年全国记录的比较研究。
Influence of Level 1 Evidence on Management of Clavicle and Distal Humerus Fractures: A Nationwide Comparative Study of Records From 2005 to 2014.
作者信息
Kurowicki Jennifer, Triplet Jacob J, Rosas Samuel, Yee Law Tsun, Niedzielak Timothy, Momoh Enesi, Levy Jonathan C
机构信息
Department of Orthopedic Surgery, School of Health and Medical Sciences, Seton Hall University, South Orange, New Jersey; e-mail:
OhioHealth Doctors Hospital, Orthopedic Residency Program, Columbus, Ohio.
出版信息
J Surg Orthop Adv. 2018 Fall;27(3):219-225.
The purpose of this study was to examine alterations in national trends managing midshaft clavicle fractures (MCF) and intra-articular distal humerus fractures (DHF) surrounding recent level 1 publications. A retrospective review of the PearlDiver supercomputer for DHF and MCF was performed. Using age limits defined in the original level 1 studies, total use and annual use rates were examined. Nonoperative management and open reduction and internal fixation (ORIF) were reviewed for MCF. ORIF and total elbow arthroplasty (TEA) were reviewed for DHF. A query yielded 4929 MCF and 106,535 DHF patients. A significant increase in ORIF use for MCF following the publication of the level 1 study ( = .002) and a strong, positive correlation ( = .007) were evident. Annual TEA ( = .515) use for DHF was not observed. (Journal of Surgical Orthopaedic Advances 27(3):219-225, 2018).
本研究的目的是围绕近期的一级出版物，研究锁骨中段骨折（MCF）和肱骨远端关节内骨折（DHF）的全国治疗趋势变化。对PearlDiver超级计算机中有关DHF和MCF的数据进行了回顾性分析。根据一级研究中定义的年龄限制，对总使用量和年使用率进行了研究。对MCF的非手术治疗以及切开复位内固定术（ORIF）进行了评估。对DHF的ORIF和全肘关节置换术（TEA）进行了评估。一项查询得出了4929例MCF患者和106535例DHF患者。在一级研究发表后，MCF的ORIF使用量显著增加（P = 0.002），且存在强正相关（P = 0.007）。未观察到DHF的年TEA使用量有变化（P = 0.515）。（《外科骨科进展杂志》27(3):219 - 225, 2018）
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