Priority 13 from the Broken Bones of the Upper Limb in People over 50
| UNCERTAINTY: When is the best time to operate on an upper limb fracture in people over 50 and does a delay in surgery influence outcomes? (JLA PSP Priority 13) | |
|---|---|
| Overall ranking | 13 |
| JLA question ID | 0093/13 |
| Explanatory note | Some upper limb fractures require an operation, however, we do not know what is the best time to perform this surgery to ensure a patient has the best chance of full recovery. There can be many reasons why this surgery can be delayed but does this delay lead to a patient having a worse recovery? |
| Evidence |
National Institute for Health and Care Excellence. Fractures (non-complex): assessment and management (NG38). London: NICE, 2016. The British Society of Surgery for the Hand. Best Practice for management of Distal Radius Fractures (DRFs). BSSH, 2018 |
| Health Research Classification System category | Injuries and Accidents |
| Extra information provided by this PSP | |
|---|---|
| Original uncertainty examples | How early on is surgery most effective? ~ Processes involved reducing time from injury to intervention ~ What will happen if the operation is delayed? ~ What is the optimal timing (as determined by clinical outcome) for surgery for displaced intra- articular fractures of the distal radius. |
| Submitted by | 9 x Healthcare Professionals, 14 Patients, 3 x Carers/Relatives |
| PSP information | |
|---|---|
| PSP unique ID | 0093 |
| PSP name | Broken Bones of the Upper Limb in People over 50 PSP |
| Total number of uncertainties identified by this PSP. | 50 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website) |
| Date of priority setting workshop | 3 December 2018 |