Personalized medicine should guide treatment of forearm fracture in older adults, not X-rays: Study
The results show that the interaction between the surgeon, the patient, and the patient's family is key because the satisfaction of the patient demands a much more personal approach than the singular interest of fixing a broken bone.
USA: Personalized medicine catering to a patient's individual needs and environment, not age or X-rays, should guide treatment options in older adults with distal radius fracture (broken wrist) -- a common forearm fracture, show results from a decade-long study. The findings of the study are published in the JAMA Network Open.
Led by a Michigan Medicine physician, the research team examined treatment outcomes over two years for patients who fractured their distal radius, the larger of two bones in the forearm. They found no one-size-fits-all method for treating the fracture, which more than 85,000 Medicare beneficiaries sustain annually.
"Traditionally, surgeons look at these broken bones on X-rays, and they have to assess various ways of fixing it based off fracture anatomy and patient age," said Kevin Chung, M.D., study lead, and Charles B. G. De Nancrede Professor of Surgery at Michigan Medicine. "However, in older patients, we determined that the patient-centered care in tailoring particular treatments to their needs, social environment and risk tolerance for surgery are all considerations in prescribing treatment."
Reference:
The study titled, "Comparison of 24-Month Outcomes After Treatment for Distal Radius Fracture: The WRIST Randomized Clinical," is published in JAMA Network Open.
DOI: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2781183
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