{
  "date" : "2007-01-15",
  "identifier_doecontract" : "",
  "subject" : "62 RADIOLOGY AND NUCLEAR MEDICINE; BONE FRACTURES; IMAGES; MULTIVARIATE ANALYSIS; PATIENTS; REGRESSION ANALYSIS; THERAPY",
  "description" : "Aim: To investigate whether radiographic deformities suggesting inadequate reduction would be associated with adverse clinical outcomes. Materials and methods: Consecutive patients over 50 years of age (n = 74) with non-operatively managed distal radius fractures were enrolled in a prospective cohort study. They had radiographs at cast removal ({approx}6 weeks) and completed DASH (Disabilities of the Arm, Shoulder and Hand), SF-12 (health-related quality of life), and satisfaction surveys 6-months post-fracture. A reference-standard musculoskeletal radiologist, blinded to outcomes status, measured palmar (dorsal) tilt, radial angle, radial height, ulnar height, and intra-articular step and gap. Radiographic indices were correlated to each other and to the various patient-reported outcomes in univariate and multivariate regression analyses. DASH score was the primary study outcome. Results: Of the cohort studied (n = 74, mean age 68.5 years, primarily white women), 71% had at least one 'unacceptable' radiographic deformity by traditional criteria. Acceptable reduction varied from 60-99% depending on which single index was reported, and 44% of patients had more than two indices reported as unacceptable. Despite these radiographic findings, 6-months post-reduction, self-reported disability was low (DASH = 24 {+-} 17), health-related quality of life was near normal, and 72% were satisfied with their care. No radiographic index of wrist deformity (alone or in combination) was significantly correlated to any of the patient-reported outcomes. Conclusion: Self-reported outcomes in older adults with conservatively managed wrist fractures were not related to the 'acceptability' of radiographic fracture reduction. The proportion of acceptable reductions varied by 40% depending on which index was reported. Consequently, detailed reporting of these indices in older adults with distal radius fracture may be inefficient or perhaps even unnecessary.",
  "language" : "English",
  "identifier_report" : "",
  "publisher_sponsor" : "",
  "publisher_country" : "United Kingdom",
  "source" : "GBN",
  "purl" : "",
  "title" : "Do radiographic indices of distal radius fracture reduction predict outcomes in older adults receiving conservative treatment?",
  "type" : "Journal Article",
  "subject_related" : "",
  "relation" : "Journal Name: Clinical Radiology; Journal Volume: 62; Journal Issue: 1; Other Information: DOI: 10.1016/j.crad.2006.08.013; PII: S0009-9260(06)00304-7; Copyright (c) 2006 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved; Country of input: International Atomic Energy Agency (IAEA)",
  "entry_date" : "2010-12-31",
  "subject_list" : [ "62 RADIOLOGY AND NUCLEAR MEDICINE", "BONE FRACTURES", "IMAGES", "MULTIVARIATE ANALYSIS", "PATIENTS", "REGRESSION ANALYSIS", "THERAPY" ],
  "publisher_availability" : "",
  "rights" : "",
  "announced_date" : "2007-03-26",
  "type_qualifier" : "",
  "has_fulltext" : false,
  "coverage" : "",
  "identifier" : "",
  "journal_volume" : "62",
  "creator" : "Jaremko, J L [Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta (Canada)]; Lambert, R G.W. [Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta (Canada)]; Rowe, B H [Department of Emergency Medicine, University of Alberta, Edmonton, Alberta (Canada)]; Department of Public Health Sciences, University of Alberta, Edmonton, Alberta (Canada)]; Johnson, J A [Department of Public Health Sciences, University of Alberta, Edmonton, Alberta (Canada)]; Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta (Canada)]; Majumdar, S R [Department of Public Health Sciences, University of Alberta, Edmonton, Alberta (Canada) and Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta (Canada)]",
  "site_ownership_code" : "GBN",
  "osti_id" : "20839637",
  "journal_issue" : "1",
  "resource_type" : "JOUR",
  "format" : "Medium: X; Size: page(s) 65-72",
  "journal_name" : [ ],
  "contributing_organizations" : "",
  "citation_location" : "https://www.osti.gov/etdeweb/biblio/20839637",
  "publication_year" : 2007,
  "subject_list_commas" : "62 RADIOLOGY AND NUCLEAR MEDICINE, BONE FRACTURES, IMAGES, MULTIVARIATE ANALYSIS, PATIENTS, REGRESSION ANALYSIS, THERAPY",
  "publisher" : "",
  "identifier_other" : "Journal ID: ISSN 0009-9260; CLRAAG; TRN: GB07R1097012894",
  "publisher_research" : "",
  "creators_list" : [ "Jaremko, J L [Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta (Canada)]", "Lambert, R G.W. [Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta (Canada)]", "Rowe, B H [Department of Emergency Medicine, University of Alberta, Edmonton, Alberta (Canada)]", "Department of Public Health Sciences, University of Alberta, Edmonton, Alberta (Canada)]", "Johnson, J A [Department of Public Health Sciences, University of Alberta, Edmonton, Alberta (Canada)]", "Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta (Canada)]", "Majumdar, S R [Department of Public Health Sciences, University of Alberta, Edmonton, Alberta (Canada) and Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta (Canada)]" ],
  "doi" : "https://doi.org/10.1016/j.crad.2006.08.013"
}