Journal article
Geographic variation in the treatment of proximal humerus fracture: an update on surgery rates and treatment consensus
Journal of orthopaedic surgery and research, Vol.14(1), pp.22-22
01/21/2019
DOI: 10.1186/s13018-018-1052-2
PMCID: PMC6341604
PMID: 30665430
Abstract
Background: Using a larger, more comprehensive sample, and inclusion of the reverse shoulder arthroplasty as a primary surgical approach for proximal humerus fracture, we report on geographic variation in the treatment of proximal humerus fracture in 2011 and comment on whether treatment consensus is being reached.
Methods: This was a retrospective cohort study of Medicare patients with an x-ray-confirmed diagnosis of proximal humerus fracture in 2011. Patients receiving reverse shoulder arthroplasty, hemiarthroplasty, or open reduction internal fixation within 60 days of their diagnosis were classified as surgical management patients. Unadjusted observed surgery rates and area treatment ratios adjusted for patient demographic and clinical characteristics were calculated at the hospital referral region level.
Results: Among patients with proximal humerus fracture (N = 77,053), 15.4% received surgery and 84.6% received conservative management. Unadjusted surgery rates varied from 1.7 to 33.3% across hospital referral regions. Among patients receiving surgery, 22.3% received hemiarthroplasty, 65.8% received open reduction internal fixation, and 11.8% received reverse shoulder arthroplasty. Patients that were female, were younger, had fewer medical comorbidities, had a lower frailty index, were white, or were not dual-eligible for Medicaid during the month of their index fracture were more likely to receive surgery (p < .0001). Geographic variation in the treatment of proximal humerus fracture persisted after adjustment for patient demographic and clinical differences across local areas. Average surgery rates ranged from 9.9 to 21.2% across area treatment ratio quintiles.
Conclusions: Persistent geographic variation in surgery rates for proximal humerus fracture across the USA suggests no treatment consensus has been reached.
Details
- Title: Subtitle
- Geographic variation in the treatment of proximal humerus fracture: an update on surgery rates and treatment consensus
- Creators
- Sarah B. Floyd - University of South CarolinaJoel Campbell - Prisma HealthCole G. Chapman - University of South CarolinaCharles A. Thigpen - ATI Physical TherapyMichael J. Kissenberth - Prisma HealthJohn M. Brooks - Ctr Effectiveness Res Orthopaed, POB 25571, Greenville, SC 29616 USA
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic surgery and research, Vol.14(1), pp.22-22
- DOI
- 10.1186/s13018-018-1052-2
- PMID
- 30665430
- PMCID
- PMC6341604
- NLM abbreviation
- J Orthop Surg Res
- ISSN
- 1749-799X
- eISSN
- 1749-799X
- Publisher
- Springer Nature
- Number of pages
- 11
- Grant note
- Center for Effectiveness Research in Orthopaedics
- Language
- English
- Date published
- 01/21/2019
- Academic Unit
- Pharmacy Practice and Science
- Record Identifier
- 9984365885502771
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