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BACKGROUND Accurate prediction of likelihood of reoperation in patients with tibial shaft fractures would facilitate optimal management. Previous studies were limited by small sample sizes and noncomprehensive examination of possible risk factors. OBJECTIVE We conducted an observational study to determine which prognostic factors were associated with an(More)
BACKGROUND Hip fractures occur in 280,000 North Americans each year. Although surgeons have reached consensus with regard to the treatment of undisplaced fractures of the hip, the surgical treatment of displaced fractures remains controversial. Identifying surgeons' preferences in techniques, and the rationale for their choices, may aid in focusing(More)
In designing a study protocol relating to hip fracture treatment and outcomes, it is important to select appropriate outcome instruments. Before beginning the process of instrument selection, investigators must gain a comprehensive understanding of the condition of interest and have a thorough knowledge of the expected benefits and harms of the proposed(More)
BACKGROUND Although surgeons acknowledge the importance of irrigating open fracture wounds, the choice of irrigating fluid and delivery pressure remains controversial. Our objective was to clarify current opinion with regard to the irrigation of open fracture wounds. METHODS We used a cross-sectional survey and a sample-to-redundancy strategy to examine(More)
It is unclear whether current practice reflects current evidence on predictors of clinically important outcomes like mortality and fixation failure. Knowledge of predictors of outcome can and should influence treatment decisions and can subsequently improve outcomes. We hypothesized that there is evidence about the significance of predictors of outcome not(More)
BACKGROUND Metatarsal fractures are common injuries; however little has been written regarding their epidemiology in an adult population. METHODS All patients with metatarsal fractures during a 1-year time period were included in the study. Demographic information, grade, and mechanism of injury, associated injuries, and fracture location and type were(More)
OBJECTIVE To compare quality of care in for-profit and not-for-profit nursing homes. DESIGN Systematic review and meta-analysis of observational studies and randomised controlled trials investigating quality of care in for-profit versus not-for-profit nursing homes. RESULTS A comprehensive search yielded 8827 citations, of which 956 were judged(More)
BACKGROUND Tibial shaft fractures are the most common long bone fracture and are prone to complications such as nonunion requiring reoperations to promote fracture healing. We aimed to determine the fracture characteristics associated with tibial fracture nonunion, and their predictive value on the need for reoperation. We further aimed to evaluate the(More)
INTRODUCTION Intimate partner violence (IPV) is a serious global issue that results in a large number of injuries and deaths among women. Educating clinicians about IPV can help providers identify, prevent, and treat victims, and, ultimately, improve care for victims of abuse. We sought to determine the effect of a half-day educational course on IPV for(More)