دورية أكاديمية
Buckling Down on Torus Fractures - Assessing Treatment Preferences and Perceived Management Barriers at a Single Institution.
| العنوان: | Buckling Down on Torus Fractures - Assessing Treatment Preferences and Perceived Management Barriers at a Single Institution. |
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| المؤلفون: | Williams BA; Department of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA., Phillips SA; Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA., Matthias RC; Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA., Blakemore LC; Department of Orthopaedics and Rehabilitation, University of Florida, Gainesville, FL, USA. |
| المصدر: | The Iowa orthopaedic journal [Iowa Orthop J] 2020; Vol. 40 (2), pp. 12-20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Residents and Faculty of the Dept. of Orthopaedics, University of Iowa Country of Publication: United States NLM ID: 8908272 Publication Model: Print Cited Medium: Internet ISSN: 1555-1377 (Electronic) Linking ISSN: 15415457 NLM ISO Abbreviation: Iowa Orthop J Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Iowa City, IA] : Residents and Faculty of the Dept. of Orthopaedics, University of Iowa, |
| مواضيع طبية MeSH: | Casts, Surgical* , Clinical Decision-Making*, Radius Fractures/*therapy , Wrist Injuries/*therapy, Humans ; Patient Compliance ; Surveys and Questionnaires |
| مستخلص: | Background: Pediatric buckle fractures of the wrist can be safely managed in 'minimalist' fashion with splinting and limited follow-up; however, traditional means of treatment remain prevalent. The purpose of this study was to 1) evaluate preferences for buckle fracture management among providers at a single institution and 2) identify factors influencing clinical decision-making and barriers to implementation of minimalist practices. Methods: A 13 question survey was developed split into three sections: 1) Demographics, 2) Preferred management, and 3) Influential factors. The survey was distributed to 32 providers within our hospital system involved in buckle fracture management via email over a 1 year period. Descriptive statistics of responses were performed to address study aims. Results: The survey participation rate was 72%. Respondents had 12.2+/-12.5 (Range: 1-41) years of experience. Casting of buckle fractures was preferred by 56.5% of providers. Most (77%) were aware of literature supporting minimalist strategies. Family preferences (59.1%) and compliance concerns (54.5%) were cited as the biggest barriers to implementing these practices. Colleague recommendations and patient and caregiver preferences had the strongest influence on providers' practice. Following completion, 88.2% of providers stated they would change or consider changing their practices. Discussion: Despite awareness of the evidence base, a casting preference still exists. While other aspects of the minimalist approach were popular, prior work suggests this does not necessarily translate into practice. Commonly cited barriers include family preferences and compliance concerns; however, awareness of these issues may enable change. Level of Evidence: III . Competing Interests: Disclosures: The authors report no potential conflicts of interest related to this study. (Copyright © The Iowa Orthopaedic Journal 2020.) |
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| فهرسة مساهمة: | Keywords: buckle fracture; cast; splint; torus fracture; treatment preference survey |
| تواريخ الأحداث: | Date Created: 20210226 Date Completed: 20210928 Latest Revision: 20220716 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC7894062 |
| PMID: | 33633503 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1555-1377 |
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