{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:53:25Z","timestamp":1780361605050,"version":"3.54.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2014,10,22]],"date-time":"2014-10-22T00:00:00Z","timestamp":1413936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>The purpose of this study was to evaluate surgeon, patient, and radiographic factors influencing the recommendation for operative treatment in distal radius fractures. In a web-based study 252 orthopaedic surgeons from a variety of countries reviewed 30 consecutive sets of radiographs of patients that presented to our emergency department with a fracture of the distal radius. Surgeons were randomly assigned to receive either \u2018Radiographs only\u2019 or \u2018Radiographs and clinical information\u2019. Surgery was recommended on average 52% of the time whether or not surgeons received clinical information. Female surgeons, surgeons with less than 21\u2009years of experience, and hand surgeons were more likely to recommend operative treatment, but these factors explained only 1% of the variation. Radiographic criteria (intra-articular fractures, ulnar styloid fractures, dorsal comminution, dorsal tilt, and ulnar variance) explained 49% of the variation. The overall agreement on treatment was moderate and slightly higher among surgeons that received radiographs alone.<\/jats:p>\n                  <jats:p>Level of Evidence: Level II, therapeutic; not a clinical study<\/jats:p>","DOI":"10.1177\/1753193414555284","type":"journal-article","created":{"date-parts":[[2014,10,24]],"date-time":"2014-10-24T00:26:18Z","timestamp":1414110378000},"page":"796-804","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Influence of surgeon, patient and radiographic factors on distal radius fracture treatment"],"prefix":"10.1177","volume":"40","author":[{"given":"V.","family":"Neuhaus","sequence":"first","affiliation":[{"name":"Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA, USA"},{"name":"Division of Trauma Surgery, University Hospital Zurich, Zurich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. G.","family":"Bot","sequence":"additional","affiliation":[{"name":"Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. G.","family":"Guitton","sequence":"additional","affiliation":[{"name":"Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. C.","family":"Ring","sequence":"additional","affiliation":[{"name":"Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,10,22]]},"reference":[{"key":"bibr1-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80006-2"},{"key":"bibr2-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31819b24e9"},{"key":"bibr3-1753193414555284","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01597"},{"key":"bibr4-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1177\/1753193412468266"},{"key":"bibr5-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"bibr6-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61460-4"},{"key":"bibr7-1753193414555284","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01297"},{"key":"bibr8-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.05.028"},{"key":"bibr9-1753193414555284","doi-asserted-by":"crossref","unstructured":"Court-Brown CM, Caesar B. Epidemiology of adult fractures: A review. Injury. 2006, 37: 691\u20137.","DOI":"10.1016\/j.injury.2006.04.130"},{"key":"bibr10-1753193414555284","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00448"},{"key":"bibr11-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1177\/1753193412445144"},{"key":"bibr12-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.24.3137"},{"key":"bibr13-1753193414555284","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00711"},{"key":"bibr14-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.02.032"},{"key":"bibr15-1753193414555284","doi-asserted-by":"crossref","unstructured":"Hallgren KA. Computing inter-rater reliability for observational data: An overview and tutorial. Tutor Quant Methods Psychol. 2012, 8: 23\u201334.","DOI":"10.20982\/tqmp.08.1.p023"},{"key":"bibr16-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(94)90247-X"},{"key":"bibr17-1753193414555284","unstructured":"King JE. Generalized kappa & other indices of interrater reliability. http:\/\/www.ccitonline.org\/jking\/homepage\/interrater.html (1 November 2012)."},{"key":"bibr18-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1177\/1062860611402188"},{"key":"bibr19-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.07.009"},{"key":"bibr20-1753193414555284","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01569"},{"key":"bibr21-1753193414555284","first-page":"801","volume":"33","author":"Kural C","year":"2010","journal-title":"Orthopedics"},{"key":"bibr22-1753193414555284","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"bibr23-1753193414555284","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.938ebo"},{"key":"bibr24-1753193414555284","first-page":"1944","volume":"88","author":"Mackenney PJ","year":"2006","journal-title":"J Bone Joint Surg Am"},{"key":"bibr25-1753193414555284","doi-asserted-by":"publisher","DOI":"10.2174\/1874325000903010096"},{"key":"bibr26-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B2.25631"},{"key":"bibr27-1753193414555284","doi-asserted-by":"publisher","DOI":"10.1007\/s00428-006-0209-2"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193414555284","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193414555284","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193414555284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:46:58Z","timestamp":1777502818000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193414555284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,22]]},"references-count":27,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1177\/1753193414555284"],"URL":"https:\/\/doi.org\/10.1177\/1753193414555284","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,22]]}}}