Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

353 questions · 368 findings · 26 reviews · Bone, Joint and Muscle Trauma

No studies found 70 · 19%GRADE not reported 19 · 5.2%Very low 166 · 45.1%Low 86 · 23.4%Moderate 20 · 5.4%High 7 · 1.9%

Surgical vs non‐surgical treatment

Complications requiring unplanned return to theatre Subtalar arthrodesis · people aged over 14 years with displaced intra‐articular calcaneal fractures

Surgical showed no clear difference in complications requiring unplanned return to theatre Subtalar… compared with non‐surgical management (low certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

Falls · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

Home fall‐hazard reduction probably leads to lower rate of falls (falls per person‐years) compared with control (e.g. usual care) (moderate certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

Number of people who experienced one or more falls · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

Home fall‐hazard reduction probably leads to lower number of people who experienced 1 or more falls compared with control (e.g. usual care) (moderate certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

Number of people sustaining one or more fall‐related fractures · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

It is very uncertain whether home fall‐hazard reduction changes number of people who experienced 1 or more fall‐related fractures compared with control (e.g. usual care) (very low certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

Number of people who experience a fall that required hospital admission · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

Home fall‐hazard reduction showed no clear difference in number of people who experienced 1 or more falls that resulted in… compared with control (e.g. usual care) (low certainty).

1 finding from 1 review

Home fall‐hazard reduction vs control (e.g. usual activities)

QoL · older people living in the community (included trials conducting pre‐ and/or post‐hospital discharge home visits focusing on fall…

Home fall‐hazard reduction showed no clear difference in health‐related quality of life SMD was calculated from 4 studies… compared with control (e.g. usual care) (moderate certainty).

1 finding from 1 review

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 trials)

It is very uncertain whether early changes self‐reported shoulder function: Croft Shoulder Disability Score (1… compared with delayed mobilisation (very low certainty).

2 findings from 1 review

Surgical vs non‐surgical treatment

Functional outcomes · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials)

Surgical showed no clear difference in functional scoresf(higher = better outcome) compared with non‐surgical treatment (high certainty).

3 findings from 1 review

Surgical vs non‐surgical treatment

Quality of life: EQ‐5D (0: dead to 1: best quality of life) · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials)

Surgical showed no clear difference in quality of life: EQ‐5D (0: dead to 1: best quality of life) compared with non‐surgical treatment (high certainty).

1 finding from 1 review

Surgical vs non‐surgical treatment

Adverse events / complications ‐ Number of participants with complications · (mainly older) adults with most types of displaced proximal humeral fracturesa (10 trials)

Surgical showed no clear difference in adverse events / complications ‐ Number of participants with… compared with non‐surgical treatment (low certainty).

1 finding from 1 review