Distal radius fractures-Regional variation in treatment regimens
| Autor: | Sari Ponzer, Cecilia Mellstrand Navarro, Anders Enocson, Jenny Saving |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Critical Care and Emergency Medicine External Fixators Medical Doctors medicine.medical_treatment Health Care Providers Cancer Treatment Orthopedic Surgery Social Sciences lcsh:Medicine Wrist Geographical locations External fixation Fracture Fixation Internal 0302 clinical medicine Cognition Fracture Fixation Fracture fixation Epidemiology Medicine and Health Sciences Psychology 030212 general & internal medicine Medical Personnel lcsh:Science Musculoskeletal System Trauma Medicine 030222 orthopedics Multidisciplinary Incidence (epidemiology) Incidence Europe Professions Arms medicine.anatomical_structure Surgical Oncology Oncology Bone Fracture Female Anatomy Traumatic Injury Research Article Adult Clinical Oncology medicine.medical_specialty Decision Making Surgical and Invasive Medical Procedures 03 medical and health sciences Musculoskeletal System Procedures Physicians medicine Internal fixation Humans European Union Sweden Surgeons business.industry lcsh:R Cognitive Psychology Biology and Life Sciences Bone fracture medicine.disease Internal Fixators Surgery Health Care Body Limbs Orthopedic surgery Cognitive Science Population Groupings lcsh:Q People and places Clinical Medicine business Radius Fractures Neuroscience |
| Zdroj: | PLoS ONE, Vol 13, Iss 11, p e0207702 (2018) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Objectives After recent technical innovations of fracture surgery implants, treatment traditions are changing for distal radius fractures, the most common orthopaedic injury. The aim of this study was to determine if the choice of surgical method for treatment of distal radius fractures differ between healthcare regions in Sweden. Method The study was based on all (n = 22 378) adult patients who were registered with a surgical procedure due to a distal radius fracture during 2010–2013 in Sweden. Consecutive data was collected from the Swedish National Patient Registry. Results The proportions of use of surgical method varied among the 21 healthcare regions between 41% and 95% for internal fixation, between 2.3% and 44% for percutaneous fixation and between 0.6% and 19% for external fixation. Differences between regions were statistically significant in all but 6 comparisons when controlled for age and gender. Incidence rates of surgical treatment of a distal radius fracture varied between 4.2 and 9.2/10 000 person-years. Conclusion We conclude that there is a large variation in operative management of distal radius fractures between Swedish healthcare regions. |
| Databáze: | OpenAIRE |
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