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Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.
775 questions in 58 reviews · Bone, Joint and Muscle Trauma
current versionsNo studies 166 · 21.4%Ungraded 24 · 3.1%Very low 356 · 45.9%Low 162 · 20.9%Moderate 47 · 6.1%High 20 · 2.6%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Reverse total shoulder arthroplasty (RTSA) vs hemiarthroplasty Self‐reported shoulder function: QuickDASH (0 to 55: worst disability); % of normal shoulder function based on WOOS score (higher = better outcome) · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials) Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | no estimate extracted | 1 study · 61 participants | Very low |
Reverse total shoulder arthroplasty (RTSA) vs hemiarthroplasty Quality of life: EQ‐5D (0: dead to 1: best quality of life) · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials) Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | no estimate extracted | 1 study · 83 participants | Very low |
Reverse total shoulder arthroplasty (RTSA) vs hemiarthroplasty Mortality · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials) Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | no estimate extracted | 2 studies · 161 participants | Very low |
Reverse total shoulder arthroplasty (RTSA) vs hemiarthroplasty Adverse events: number of participants with complications · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials) Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | RR 0.36 [0.14, 0.94] | 2 studies · 160 participants | Very low |
Reverse total shoulder arthroplasty (RTSA) vs hemiarthroplasty Additional surgery (reoperation or secondary surgery) · adults undergoing surgery for displaced proximal humeral fracturesa (2 trials) Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | no estimate extracted | 2 studies · 161 participants | Very low |
Early vs delayed mobilisation Self‐reported shoulder function: Croft Shoulder Disability Score (1 or more problems) · adults with minimally displaced or displaced (2‐part or 3‐part) proximal humeral fractures treated non‐surgically (5… Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | RR 0.73 [0.46, 1.15] | 1 study · 74 participants | Very low |
Early vs delayed mobilisation Quality of life: EQ‐5D (0: dead to 1: best quality of life) · adults with minimally displaced or displaced (2‐part or 3‐part) proximal humeral fractures treated non‐surgically (5… Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | no estimate extracted | 1 study · 39 participants | Very low |
Early vs delayed mobilisation Mortality · adults with minimally displaced or displaced (2‐part or 3‐part) proximal humeral fractures treated non‐surgically (5… Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | no estimate extracted | 2 studies · 92 participants | Very low |
Early vs delayed mobilisation Adverse events: shoulder complications · adults with minimally displaced or displaced (2‐part or 3‐part) proximal humeral fractures treated non‐surgically (5… Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | no estimate extracted | 4 studies · 259 participants | Very low |
Early vs delayed mobilisation Additional surgery or substantive treatment · adults with minimally displaced or displaced (2‐part or 3‐part) proximal humeral fractures treated non‐surgically (5… Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | no estimate extracted | 4 studies · 259 participants | Very low |
Surgical vs non‐surgical treatment Functional scoresb(higher = better outcome) · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials) Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | SMD 0.1 | 7 studies · 552 participants | High |
Surgical vs non‐surgical treatment Functional scoresd(higher = better outcome) · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials) Interventions for treating proximal humeral fractures in adults (2022) · Cochrane | SMD 0.17 | 3 studies · 347 participants | Moderate |
Intervention NR Mobilityd ‐ overall analysis Using different mobility scales: MILA (range 0 to 36), EMS (range 0 to 20), BBS (range 0 to 56), PPME (range 0 to 12), Koval (range 1 to 7). Higher values indicate better mobility (except MILA and Koval, where scale wa... · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.53 [0.1, 0.96] | 7 studies · 507 participants | Low |
Intervention NR Mobility scales, using EMS (range 0 to 20). Higher values indicate better mobility · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | MD 1 | 1 study · 44 participants | Low |
Intervention NR TUG (lower score = faster) · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | no estimate extracted | 1 study · 74 participants | Low |
Intervention NR Mobilityd ‐ overall analysis Using different mobility scales: mPPT (range 0 to 36), POMA (range 0 to 30), SPPB (range 0 to 12), PPME (range 0 to 12). A higher score indicates better mobility. · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.32 [0.11, 0.54] | 7 studies · 761 participants | High |
Intervention NR Walking speedg ‐ overall analysis Measured using metres/second (m/s) and metres/minute (m/min). A higher score indicates faster walking. · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.16 [0.04, 0.29] | 14 studies · 1067 participants | High |
Intervention NR Functioningi ‐ overall analysis Using different functioning scales: FSQ (range 0 to 36), BI (range 0 to 100), AM‐PAC daily activity (range 9 to 101), COPM (range 0 to 20), LEFS (range 0 to 80), NEADL (range 0 to 66). A higher score indicates bette... · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.23 [0.1, 0.36] | 9 studies · 936 participants | High |
Intervention NR HRQoL using EQ‐ 5D (range 0 to 1), SF‐36 (range 0 to 100), SF‐12 (range 0 to 100), and WHOQOL‐BREF (range 0 to 130). A higher score indicates better quality of life. · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.14 [0, 0.29] | 10 studies · 785 participants | Moderate |
Intervention NR Mortality · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | RR 1.01 [0.49, 2.06] | 8 studies · 737 participants | Moderate |
Intervention NR Adverse event: number of people who were re‐admitted · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | RR 0.86 [0.52, 1.42] | 2 studies · 206 participants | Low |
Intervention NR Mobility outcome · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | no estimate extracted | NR | No studies |
Intervention NR Mobility scales, using different scales: SPPB (range 0 to 12), PPME (range 0 to 12). A higher score indicates better mobility. · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.2 [0.05, 0.36] | 5 studies · 621 participants | High |
Intervention NR Walking speedg ‐ overall analysis Measured using metres/second (m/s) and metres/minute (m/min). A higher score indicates faster walking. · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.16 | 6 studies · 360 participants | Moderate |
Intervention NR TUG (lower score = faster) · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | no estimate extracted | 1 study · 128 participants | Very low |
Intervention NR Minute Walk Test · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | no estimate extracted | 0 participants | Ungraded |
Intervention NR Mobility scales · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | no estimate extracted | 0 participants | Ungraded |
Intervention NR TUG · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | no estimate extracted | 1 study · 96 participants | Low |
Intervention NR 6MWT · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | MD 55.65 [28.58, 82.72] | 3 studies · 198 participants | Low |
Intervention NR All · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | no estimate extracted | 0 participants | Ungraded |
Intervention NR Mobility scales, using different mobility scales: mPPT (range 0 to 36), POMA (range 0 to 30). · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.94 [0.53, 1.34] | 2 studies · 104 participants | Moderate |
Intervention NR Functioningi ‐ overall analysis Using different scales: mBI (range 0 to 20), BI (range 0 to 100), FIM (range 18 to 126), NEADL (range 0 to 66). A higher score indicates better functioning. · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.75 [0.24, 1.26] | 7 studies · 379 participants | Very low |
Intervention NR HRQoL Using EQ‐5D (range 0 to 1) and HOOS (range 0 to 100). A higher score indicates better quality of life. · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.39 | 4 studies · 314 participants | Very low |
Intervention NR Mortality · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | RR 1.06 [0.48, 2.3] | 6 studies · 489 participants | Low |
Intervention NR Adverse event: number of people who were re‐admitted · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | RR 0.7 [0.44, 1.11] | 4 studies · 322 participants | Low |
Intervention NR Number of people who returned to living at pre‐fracture residence · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | RR 1.07 [0.73, 1.56] | 2 studies · 240 participants | Low |
Intervention NR Mobility outcome · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | no estimate extracted | NR | No studies |
Intervention NR Mobility scales, using different mobility scales: MILA (range 0 to 36), EMS (range 0 to 20), BBS (range 0 to 56), PPME (range 0 to 12), Koval (range 1 to 7). Higher values indicate better mobility (except MILA and Koval, where scale was inverted f... · adults following hip fracture surgery Interventions for improving mobility after hip fracture surgery in adults (2022) · Cochrane | SMD 0.57 [0.07, 1.06] | 6 studies · 463 participants | Moderate |
Retrograde intramedullary nail (RIMN) vs locking plate PROMs (short term) Measurements: DRI (range 0–100, where lower values indicate less disability) · adults with fractures of the distal femur Interventions for treating fractures of the distal femur in adults (2022) · Cochrane | no estimate extracted | 1 study · 12 participants | Very low |
Retrograde intramedullary nail (RIMN) vs locking plate PROMs (long term) Measurements: SMFA (range 0–100, higher values indicate worse function) KSS (range 0–100, where higher values indicate better function) · adults with fractures of the distal femur Interventions for treating fractures of the distal femur in adults (2022) · Cochrane | no estimate extracted | 2 studies · 198 participants | Low |
Retrograde intramedullary nail (RIMN) vs locking plate Direct adverse events (reoperation): we report reoperation for removal of implant as this is the most clinically relevant. Other adverse events with data included: loss of fixation, superficial infection, deep infection, haematoma formation, impla... · adults with fractures of the distal femur Interventions for treating fractures of the distal femur in adults (2022) · Cochrane | RR 1.48 [0.55, 4] | 1 study · 114 participants | Very low |
Retrograde intramedullary nail (RIMN) vs locking plate QoL (short term): using EQ‐5D (range 0–1, where higher values indicate higher QoL) · adults with fractures of the distal femur Interventions for treating fractures of the distal femur in adults (2022) · Cochrane | no estimate extracted | 1 study · 14 participants | Very low |
Retrograde intramedullary nail (RIMN) vs locking plate QoL (long term): using EQ‐5D (range 0–1, where higher values indicate higher QoL) · adults with fractures of the distal femur Interventions for treating fractures of the distal femur in adults (2022) · Cochrane | no estimate extracted | 1 study · 156 participants | Very low |
Retrograde intramedullary nail (RIMN) vs locking plate Pain · adults with fractures of the distal femur Interventions for treating fractures of the distal femur in adults (2022) · Cochrane | no estimate extracted | NR | No studies |
Neutral / cushioned vs minimalist running shoes Number of runners sustaining a lower‐limb running injurya ( · healthy adults participating in recreational running Running shoes for preventing lower limb running injuries in adults (2022) · Cochrane | RR 0.77 [0.59, 1.01] | 5 studies · 766 participants | Low |
Motion control vs neutral / cushioned running shoes Runner satisfaction with footwear · healthy adults participating in recreational running Running shoes for preventing lower limb running injuries in adults (2022) · Cochrane | no estimate extracted | NR | No studies |
Motion control vs neutral / cushioned running shoes Adverse events (e.g. skin complaints) other than musculoskeletal injuries · healthy adults participating in recreational running Running shoes for preventing lower limb running injuries in adults (2022) · Cochrane | no estimate extracted | NR | No studies |
Motion control vs neutral / cushioned running shoes Number of runners requiring hospital admission or surgery, or both, for musculoskeletal injury or adverse event · healthy adults participating in recreational running Running shoes for preventing lower limb running injuries in adults (2022) · Cochrane | no estimate extracted | NR | No studies |
Soft vs hard running shoes Number of runners sustaining a lower‐limb running injurya ( · healthy adults participating in recreational running Running shoes for preventing lower limb running injuries in adults (2022) · Cochrane | RR 0.82 | 2 studies · 1095 participants | Low |
Soft vs hard running shoes Number of lower‐limb running injuries · healthy adults participating in recreational running Running shoes for preventing lower limb running injuries in adults (2022) · Cochrane | no estimate extracted | NR | No studies |