{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:22:37Z","timestamp":1787008957124,"version":"build-2736575974"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T00:00:00Z","timestamp":1661126400000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was \u2018does surgical stabilization of rib fractures improve pain and quality of life in patients with non-flail rib fractures?\u2019. Altogether &amp;gt;300 papers were found using the reported search, of which 6 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers were tabulated. Whilst several non-randomized cohort studies demonstrate superior pain and quality of life outcomes with surgical fixation as compared to conservative management, this is not replicated by the findings of a recent randomized trial which found worse pain, but early return to work in those treated with surgical stabilization of rib fractures. Given this, clinicians will need to carefully consider the indications for treating painful non-flail rib fractures as surgical fixation represents a reasonable treatment option in only appropriately selected candidates.<\/jats:p>","DOI":"10.1093\/icvts\/ivac214","type":"journal-article","created":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T10:10:36Z","timestamp":1661163036000},"source":"Crossref","is-referenced-by-count":6,"title":["Does surgical fixation improve pain and quality of life in patients with non-flail rib fractures? A best evidence topic review"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2198-7580","authenticated-orcid":false,"given":"Samad","family":"Raza","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Prince Charles Hospital , Chermside, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jazmin","family":"Eckhaus","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, St Vincent\u2019s Hospital Melbourne , Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,8,22]]},"reference":[{"key":"2022082613483369200_ivac214-B1","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/S1569-9293(03)00191-9","article-title":"Towards evidence-based medicine in cardiothoracic surgery: best BETS","volume":"2","author":"Dunning","year":"2003","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2022082613483369200_ivac214-B2","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1093\/icvts\/ivr028","article-title":"Does surgical stabilization improve outcomes in patients with isolated multiple distracted and painful non-flail rib fractures?","volume":"14","author":"Girsowicz","year":"2012","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2022082613483369200_ivac214-B3","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1097\/TA.0000000000003549","article-title":"Rib fixation in non-ventilator dependent chest wall injuries: a prospective randomized trial","volume":"92","author":"Marasco","year":"2022","journal-title":"J Trauma Acute Care Surg"},{"key":"2022082613483369200_ivac214-B4","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1097\/TA.0000000000002559","article-title":"A multicenter, prospective, controlled clinical trial of surgical stabilization of rib fractures in patients with severe, nonflail fracture patterns (Chest Wall Injury Society NONFLAIL)","volume":"88","author":"Pieracci","year":"2020","journal-title":"J Trauma Acute Care Surg"},{"key":"2022082613483369200_ivac214-B5","doi-asserted-by":"crossref","first-page":"3706","DOI":"10.21037\/jtd-19-2586","article-title":"Comparison of minimally invasive surgery for non-flail chest rib fractures: a prospective cohort study","volume":"12","author":"Li","year":"2020","journal-title":"J Thorac Dis"},{"key":"2022082613483369200_ivac214-B6","doi-asserted-by":"crossref","first-page":"3718","DOI":"10.12998\/wjcc.v7.i22.3718","article-title":"Surgical treatment of patients with severe non-flail chest rib fractures","volume":"7","author":"Zhang","year":"2019","journal-title":"World J Clin Cases"},{"key":"2022082613483369200_ivac214-B7","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1007\/s12262-015-1409-2","article-title":"Potential benefits of rib fracture fixation in patients with flail chest and multiple non-flail rib fractures","volume":"78","author":"Qiu","year":"2016","journal-title":"Indian J Surg"},{"key":"2022082613483369200_ivac214-B8","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1186\/s13017-019-0258-x","article-title":"Early fixation versus conservative therapy of multiple, simple rib fractures (FixCon): protocol for a multicenter randomized controlled trial","volume":"14","author":"Wijffels","year":"2019","journal-title":"World J Emerg Surg"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivac214\/45494067\/ivac214.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/35\/3\/ivac214\/45576715\/ivac214.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/35\/3\/ivac214\/45576715\/ivac214.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T09:48:59Z","timestamp":1661507339000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivac214\/6673147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,3]]},"references-count":8,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,8,3]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivac214","relation":{},"ISSN":["1569-9285"],"issn-type":[{"value":"1569-9285","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,9,1]]},"published":{"date-parts":[[2022,8,3]]},"article-number":"ivac214"}}