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Outcome measures reported for the management of proximal humeral fractures: A systematic review

Journal of Shoulder and Elbow Surgery Aug 07, 2020

Richard GJ, Denard PJ, Kaar SG, et al. - Researchers examined the recent literature for determining the most commonly reported outcome measures for proximal humerus fracture management. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, they identified 655 articles on proximal humerus fractures from 2008 to 2018; of those, 74 met inclusion criteria. Inclusion of Neer type 1, 2, 3, and 4 fractures was done in 8%, 51%, 81%, and 88% of studies, respectively. Use of 22 patient-reported outcome instruments was observed, including the Constant-Murley score (65%), Disabilities of the Arm, Shoulder, and Hand score (31%), visual analog scale pain (27%), and American Shoulder and Elbow Surgeons score (18%). Observations revealed existence of substantial variability in the use of outcome measures across the proximal humerus fracture literature, making treatment comparison challenging. They emphasize use at least 3 outcomes measures and 1 general health score in future literature on proximal humerus fractures until the optimal scores are determined.

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