Findings

What do systematic reviews say?

8 questions · 8 findings · 2 reviews · Bone, Joint and Muscle Trauma

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No studies found 0 · 0%GRADE not reported 0 · 0%Very low 3 · 37.5%Low 5 · 62.5%Moderate 0 · 0%High 0 · 0%

Surgical vs non‐surgical treatment

All‐cause mortality · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials)

Surgical showed no clear difference in mortality compared with non‐surgical treatment (low certainty).

1 finding from 1 review

Interventions for treating proximal humeral fractures in adults 2022 · Cochrane Headline outcomes only
RR 1.35 [0.7, 2.62]
8 studies · 646 participants
Low

Early vs delayed mobilisation

All‐cause mortality · adults with minimally displaced or displaced (2‐part or 3‐part) proximal humeral fractures treated non‐surgically (5 trials)

1 finding from 1 review

Interventions for treating proximal humeral fractures in adults 2022 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 92 participants
Very low

Supported discharge and multidisciplinary home rehabilitation vs (Optimised) usual care

Mortality (at 4 months) · Older people undergoing hip fracture aftercare

It is very uncertain whether supported discharge and multidisciplinary home rehabilitation changes mortality (at 4 months) compared with usual care: mainly (very low certainty).

1 finding from 1 review

Multidisciplinary rehabilitation for older people with hip fractures 2021 · Cochrane Headline outcomes only
RR 0.77 [0.34, 1.76]
2 studies · 275 participants
Very low

Supported discharge and multidisciplinary home rehabilitation vs usual care: people living

Mortality (at 4 months) · older people from nursing homes undergoing rehabilitation after surgically treated hip fracture

Supported discharge and multidisciplinary home rehabilitation showed no clear difference in mortality (at 4 months) compared with usual care: people living (low certainty).

1 finding from 1 review

Multidisciplinary rehabilitation for older people with hip fractures 2021 · Cochrane Headline outcomes only
RR 1.05 [0.7, 1.56]
1 study · 240 participants
Low

Multidisciplinary inpatient rehabilitation vs usual care

Death at hospital discharge · older people undergoing rehabilitation soon after surgically treated hip fracture

Multidisciplinary inpatient rehabilitation showed no clear difference in mortality (at discharge) compared with usual care (low certainty).

1 finding from 1 review

Multidisciplinary rehabilitation for older people with hip fractures 2021 · Cochrane Headline outcomes only
RR 0.77 [0.58, 1.04]
11 studies · 2455 participants
Low

Supported discharge and multidisciplinary home rehabilitation vs (Optimised) usual care

Death by the end of scheduled · Older people undergoing hip fracture aftercare

It is very uncertain whether supported discharge and multidisciplinary home rehabilitation changes mortality (end of scheduled compared with usual care: mainly (very low certainty).

1 finding from 1 review

Multidisciplinary rehabilitation for older people with hip fractures 2021 · Cochrane Headline outcomes only
RR 1 [0.61, 1.63]
3 studies · 377 participants
Very low

Supported discharge and multidisciplinary home rehabilitation vs usual care: people living

Death by the end of scheduled · older people from nursing homes undergoing rehabilitation after surgically treated hip fracture

Supported discharge and multidisciplinary home rehabilitation showed no clear difference in mortality (end of scheduled compared with usual care: people living (low certainty).

1 finding from 1 review

Multidisciplinary rehabilitation for older people with hip fractures 2021 · Cochrane Headline outcomes only
RR 1.13 [0.86, 1.49]
1 study · 240 participants
Low

Multidisciplinary inpatient rehabilitation vs usual care

Death by the end of scheduled · older people undergoing rehabilitation soon after surgically treated hip fracture

Multidisciplinary inpatient rehabilitation showed no clear difference in mortality (end of scheduled compared with usual care (low certainty).

1 finding from 1 review

Multidisciplinary rehabilitation for older people with hip fractures 2021 · Cochrane Headline outcomes only
RR 0.91 [0.8, 1.05]
18 studies · 3973 participants
Low