{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:10Z","timestamp":1787755330512,"version":"build-2784847793"},"reference-count":53,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Loss of reduction during nonoperative management of distal radius fractures can lead to delayed operative treatment, malunion, and corrective osteotomy. This study aimed to systematically review and synthesize the available literature on predictors of loss of reduction of distal radius fractures for adult patients undergoing nonoperative treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>MEDLINE, Embase, CINAHL, and Cochrane databases were searched from inception to June 9, 2025. Screening, data extraction, risk of bias assessment, and evidence grading were completed in duplicate. Data were pooled using random-effects models with inverse of variance weights to produce summary of effect odds ratios (ORs) with 95% confidence intervals (CIs). Bivariable prognostic factors and coefficients from multivariable models were pooled separately. Certainty of evidence was evaluated using the Grading of Recommendations Assessment, Development, and Evaluation framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 7,926 citations were screened, and 30 studies (7,495 fractures) met inclusion criteria. In bivariable analyses, 5 predictors demonstrated moderate certainty associations with loss of reduction: dorsal comminution (OR 2.69, 95% CI 1.67-4.32), failure to re-establish volar cortical alignment (OR 3.22, 95% CI 1.93-5.37), prereduction dorsal angulation &gt;20\u00b0 (OR 1.90, 95% CI 1.04-3.48), displacement beyond acceptable criteria vs minimally displaced fractures (OR 6.15, 95% CI 3.35-11.31), and age older than 60 years (OR 2.24, 95% CI 1.06-4.74, moderate certainty). In multivariable analyses, age older than 60 years (adjusted OR 3.80, 95% CI 1.59-9.10) and prereduction ulnar positive variance (adjusted OR 1.49 per 1-mm increase, 95% CI 1.09-2.06) demonstrated high certainty associations with loss of reduction. The weighted proportion of patients who lost reduction was 43.4% (95% CI 38.7-48.2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Age older than 60 years and increasing prereduction ulnar positive variance demonstrated high certainty associations with loss of distal radius reduction from available multivariable analyses. Further well-designed prognosis studies are needed to better delineate the predictors of loss of reduction with nonoperative management of distal radius fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level III<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.rvw.26.00052","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T18:06:19Z","timestamp":1781546779000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Loss of Reduction Following Nonoperative Management for Distal Radius Fractures"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0470-2534","authenticated-orcid":false,"given":"Geoffrey W.","family":"Schemitsch","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4241-9568","authenticated-orcid":false,"given":"Navid","family":"Ghaderi","sequence":"additional","affiliation":[{"name":"Temetry Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5834-2386","authenticated-orcid":false,"given":"Emma","family":"Cooper","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1945-552X","authenticated-orcid":false,"given":"Audrey","family":"Champagne","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2647-0153","authenticated-orcid":false,"given":"Christina","family":"Cutler","sequence":"additional","affiliation":[{"name":"Sunnybrook Health Sciences Centre, Library Services, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6156-6660","authenticated-orcid":false,"given":"Robert","family":"Koucheki","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1051-3144","authenticated-orcid":false,"given":"Darius L.","family":"Lameire","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4845-7096","authenticated-orcid":false,"given":"Diane","family":"Nam","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9340-6031","authenticated-orcid":false,"given":"Ujash","family":"Sheth","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada"},{"name":"Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6]]},"reference":[{"issue":"5","key":"r1-20260615","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1053\/jhsu.2001.26322","article-title":"The frequency and epidemiology of hand and forearm fractures in the United States","volume":"26","author":"Chung","year":"2001","journal-title":"J Hand Surg Am"},{"issue":"2","key":"r2-20260615","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.hcl.2012.02.001","article-title":"The epidemiology of distal radius fractures","volume":"28","author":"Nellans","year":"2012","journal-title":"Hand Clin"},{"issue":"9","key":"r3-20260615","first-page":"1944","article-title":"Prediction of instability in distal radial fractures","volume":"88","author":"Mackenney","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"r4-20260615","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1111\/os.13950","article-title":"Factors associated with re-displacement after nonsurgical treatment of distal radius fractures in adults: a retrospective study","volume":"16","author":"Zhao","year":"2024","journal-title":"Orthop Surg"},{"issue":"8","key":"r5-20260615","doi-asserted-by":"crossref","first-page":"5095","DOI":"10.1007\/s00402-023-04904-z","article-title":"If at first you don't succeed, should you try again? The efficacy of repeated closed reductions of distal radius fractures","volume":"143","author":"Hoffer","year":"2023","journal-title":"Arch Orthop Trauma Surg"},{"issue":"5","key":"r6-20260615","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.jhsa.2022.12.018","article-title":"Effect of time-to-surgery on distal radius fracture outcomes: a systematic review","volume":"48","author":"Khan","year":"2023","journal-title":"J Hand Surg Am"},{"issue":"11","key":"r7-20260615","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1302\/0301-620X.106B11.BJJ-2023-1349.R1","article-title":"Delayed fixation of distal radial fractures beyond three weeks after initial failed closed reduction increases the odds of reoperation","volume":"106-b","author":"Nowak","year":"2024","journal-title":"Bone Joint J"},{"issue":"8","key":"r8-20260615","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1097\/BOT.0000000000000566","article-title":"Determinants of functional outcome in distal radius fractures in high-functioning patients older than 55 years","volume":"30","author":"Larouche","year":"2016","journal-title":"J Orthop Trauma"},{"issue":"3","key":"r9-20260615","doi-asserted-by":"crossref","first-page":"e92","DOI":"10.1097\/BOT.0000000000001105","article-title":"Prediction of distal radius fracture redisplacement: a validation study","volume":"32","author":"Walenkamp","year":"2018","journal-title":"J Orthop Trauma"},{"issue":"4","key":"r10-20260615","doi-asserted-by":"crossref","first-page":"264","DOI":"10.7326\/0003-4819-151-4-200908180-00135","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement","volume":"151","author":"Moher","year":"2009","journal-title":"Ann Intern Med"},{"issue":"1","key":"r11-20260615","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/s00402-003-0597-6","article-title":"Predictors of early and late instability following conservative treatment of extra-articular distal radius fractures","volume":"124","author":"Leone","year":"2004","journal-title":"Arch Orthop Trauma Surg"},{"issue":"3","key":"r12-20260615","doi-asserted-by":"crossref","first-page":"377","DOI":"10.4055\/cios.2015.7.3.377","article-title":"Redisplacement of distal radius fracture after initial closed reduction: analysis of prognostic factors","volume":"7","author":"Jung","year":"2015","journal-title":"Clin Orthop Surg"},{"issue":"6","key":"r13-20260615","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1177\/17531934221146063","article-title":"Marginal secondary displacement in fractures of the distal radius at follow-up: an important predictor for late displacement and malunion","volume":"48","author":"Schmidt","year":"2023","journal-title":"J Hand Surg Eur Vol"},{"key":"r14-20260615","doi-asserted-by":"crossref","first-page":"k4597","DOI":"10.1136\/bmj.k4597","article-title":"A guide to systematic review and meta-analysis of prognostic factor studies","volume":"364","author":"Riley","year":"2019","journal-title":"BMJ"},{"issue":"4","key":"r15-20260615","doi-asserted-by":"crossref","first-page":"280","DOI":"10.7326\/0003-4819-158-4-201302190-00009","article-title":"Assessing bias in studies of prognostic factors","volume":"158","author":"Hayden","year":"2013","journal-title":"Ann Intern Med"},{"issue":"8","key":"r16-20260615","doi-asserted-by":"crossref","first-page":"e25.00086","DOI":"10.2106\/JBJS.RVW.25.00086","article-title":"Predictors of conversion total hip arthroplasty after surgically managed acetabulum fractures: a prognostic factor systematic review and meta-analysis","volume":"13","author":"Schemitsch","year":"2025","journal-title":"JBJS Rev"},{"issue":"8","key":"r17-20260615","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1016\/j.jhsa.2008.04.031","article-title":"Effect of patient age on the radiographic outcomes of distal radius fractures subject to nonoperative treatment","volume":"33","author":"Makhni","year":"2008","journal-title":"J Hand Surg"},{"issue":"8","key":"r18-20260615","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1177\/1753193409338750","article-title":"Comminution of the dorsal metaphysis and its effects on the radiographic outcomes of distal radius fractures","volume":"35","author":"Makhni","year":"2010","journal-title":"J Hand Surg Eur Vol"},{"issue":"2","key":"r19-20260615","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1177\/1753193417721446","article-title":"The influence of late displacement in distal radius fractures on function, grip strength, range of motion and quality of life","volume":"43","author":"Wadsten","year":"2018","journal-title":"J Hand Surg Eur Vol"},{"issue":"7","key":"r20-20260615","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1302\/0301-620X.96B7.32728","article-title":"Cortical comminution in distal radial fractures can predict the radiological outcome: a cohort multicentre study","volume":"96-B","author":"Wadsten","year":"2014","journal-title":"Bone Joint J"},{"issue":"1","key":"r21-20260615","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1002\/jrsm.1164","article-title":"Methods to estimate the between\u2010study variance and its uncertainty in meta\u2010analysis","volume":"7","author":"Veroniki","year":"2016","journal-title":"Res Synth Methods"},{"issue":"5","key":"r22-20260615","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1097\/EDE.0000000000001232","article-title":"Meta-analysis of proportions using generalized linear mixed models","volume":"31","author":"Lin","year":"2020","journal-title":"Epidemiology"},{"issue":"4","key":"r24-20260615","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1093\/biomet\/26.4.404","article-title":"The use of confidence or fiducial limits illustrated in the case of the binomial","volume":"26","author":"Clopper","year":"1934","journal-title":"Biometrika"},{"issue":"4","key":"r25-20260615","first-page":"322","article-title":"Distal radius fracture subsidence after nonoperative treatment","volume":"14","author":"Alzouhayli","year":"2023","journal-title":"J Wrist Surg"},{"issue":"11","key":"r26-20260615","doi-asserted-by":"crossref","first-page":"1909","DOI":"10.1007\/s00402-020-03658-2","article-title":"Association of secondary displacement of distal radius fractures with cortical bone quality at the distal radius","volume":"141","author":"Daniels","year":"2021","journal-title":"Arch Orthop Trauma Surg"},{"issue":"1","key":"r27-20260615","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.jhsa.2021.08.006","article-title":"Evaluation of risk factors for loss of acceptable alignment for distal radius fractures that are nondisplaced or minimally displaced on initial presentation","volume":"47","author":"Souza","year":"2022","journal-title":"J Hand Surg"},{"issue":"2","key":"r28-20260615","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1002\/jrsm.1678","article-title":"Avoiding common mistakes in meta\u2010analysis: understanding the distinct roles of Q, I\u2010squared, tau\u2010squared, and the prediction interval in reporting heterogeneity","volume":"15","author":"Borenstein","year":"2024","journal-title":"Res Synth Methods"},{"issue":"11","key":"r29-20260615","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1002\/sim.1186","article-title":"Quantifying heterogeneity in a meta\u2010analysis","volume":"21","author":"Higgins","year":"2002","journal-title":"Stat Med"},{"issue":"20","key":"r30-20260615","doi-asserted-by":"crossref","first-page":"3443","DOI":"10.1002\/sim.2380","article-title":"A modified test for small\u2010study effects in meta\u2010analyses of controlled trials with binary endpoints","volume":"25","author":"Harbord","year":"2006","journal-title":"Stat Med"},{"issue":"6","key":"r31-20260615","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1001\/jama.295.6.676","article-title":"Comparison of two methods to detect publication bias in meta-analysis","volume":"295","author":"Peters","year":"2006","journal-title":"JAMA"},{"key":"r32-20260615","doi-asserted-by":"crossref","first-page":"h870","DOI":"10.1136\/bmj.h870","article-title":"Use of GRADE for assessment of evidence about prognosis: rating confidence in estimates of event rates in broad categories of patients","volume":"350","author":"Iorio","year":"2015","journal-title":"BMJ"},{"key":"r33-20260615","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.jclinepi.2019.12.023","article-title":"GRADE guidelines 28: use of GRADE for the assessment of evidence about prognostic factors: rating certainty in identification of groups of patients with different absolute risks","volume":"121","author":"Foroutan","year":"2020","journal-title":"J Clin Epidemiol"},{"issue":"2","key":"r34-20260615","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.injury.2009.08.021","article-title":"Three-point index in predicting redisplacement of extra-articular distal radial fractures in adults","volume":"41","author":"Alemdaroglu","year":"2010","journal-title":"Injury"},{"issue":"5","key":"r35-20260615","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1007\/s00264-007-0386-x","article-title":"Can carpal malalignment predict early and late instability in nonoperatively managed distal radius fractures?","volume":"32","author":"Batra","year":"2008","journal-title":"Int Orthop"},{"issue":"4","key":"r36-20260615","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1111\/j.1742-6723.2009.01200.x","article-title":"Emergency department management of Colles-type fractures: a prospective cohort study","volume":"21","author":"Blakeney","year":"2009","journal-title":"Emerg Med Australas"},{"key":"r37-20260615","doi-asserted-by":"crossref","first-page":"1043002","DOI":"10.3389\/fsurg.2022.1043002","article-title":"Forearm bone mineral density as a predictor of reduction loss in distal radius fractures treated with cast immobilization","volume":"9","author":"Cho","year":"2022","journal-title":"Front Surg"},{"issue":"1","key":"r38-20260615","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1186\/s13018-025-05558-w","article-title":"External validation and revision of the Lafontaine criteria for unstable distal radius fractures: a retrospective study","volume":"20","author":"Dissaneewate","year":"2025","journal-title":"J Orthop Surg Res"},{"issue":"2","key":"r39-20260615","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1142\/S2424835520500228","article-title":"Volar cortical integrity in non-operatively treated adult distal radius fractures","volume":"25","author":"Erickson","year":"2020","journal-title":"J Hand Surg Asian Pac Vol"},{"issue":"1","key":"r40-20260615","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1186\/s13018-023-03733-5","article-title":"Closed reduction of dorsally displaced distal radius fractures in the elderly provided improved final radiographic results","volume":"18","author":"Hassellund","year":"2023","journal-title":"J Orthop Surg Res"},{"issue":"2","key":"r41-20260615","first-page":"203","article-title":"The value of manipulation of displaced distal radius fractures in the emergency department","volume":"82","author":"Jordan","year":"2016","journal-title":"Acta Orthop Belg"},{"issue":"3","key":"r42-20260615","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1055\/s-0043-1771376","article-title":"The volar cortical Hinge: an independent risk factor for distal radius fracture displacement","volume":"13","author":"Mathews","year":"2024","journal-title":"J Wrist Surg"},{"issue":"6","key":"r43-20260615","doi-asserted-by":"crossref","first-page":"905","DOI":"10.1016\/j.otsr.2017.01.017","article-title":"Non-operative treatment of displaced distal radius fractures leads to acceptable functional outcomes, however at the expense of 40% subsequent surgeries","volume":"103","author":"Mulders","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"issue":"3","key":"r44-20260615","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5704\/MOJ.1111.006","article-title":"Factors predicting late collapse of distal radius fractures","volume":"5","author":"Myderrizi","year":"2011","journal-title":"Malays Orthop J"},{"issue":"6","key":"r45-20260615","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1016\/j.jhsa.2004.06.008","article-title":"Assessment of instability factors in adult distal radius fractures","volume":"29","author":"Nesbitt","year":"2004","journal-title":"J Hand Surg"},{"issue":"6-7","key":"r46-20260615","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1007\/BF00433986","article-title":"Do we underestimate the predictive value of the ulnar styloid affection in Colles fractures?","volume":"116","author":"Oskarsson","year":"1997","journal-title":"Arch Orthop Trauma Surg"},{"issue":"12","key":"r47-20260615","doi-asserted-by":"crossref","first-page":"1896","DOI":"10.1016\/j.injury.2014.09.007","article-title":"Restoration of the volar cortex: predicting instability after manipulation of distal radial fractures","volume":"45","author":"Phillips","year":"2014","journal-title":"Injury"},{"issue":"8","key":"r48-20260615","doi-asserted-by":"crossref","first-page":"e180","DOI":"10.1097\/BOT.0000000000000044","article-title":"Quality of plaster molding for distal radius fractures is improved through focused tuition of junior surgeons","volume":"28","author":"Ramoutar","year":"2014","journal-title":"J Orthop Trauma"},{"issue":"10","key":"r49-20260615","first-page":"892","article-title":"Evaluation of instability factors in distal radius fractures","volume":"18","author":"Tahririan","year":"2013","journal-title":"J Res Med Sci"},{"issue":"2","key":"r50-20260615","doi-asserted-by":"crossref","first-page":"218","DOI":"10.18621\/eurj.990434","article-title":"The factors affecting the redisplacement in distal radius fractures","volume":"8","author":"Tarlacik","year":"2022","journal-title":"Eur Res J"},{"issue":"2","key":"r51-20260615","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1007\/s00068-013-0256-8","article-title":"Impact of ulnar styloid fractures in nonoperatively treated distal radius fractures","volume":"39","author":"van Valburg","year":"2013","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"5","key":"r52-20260615","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1177\/1753193415604795","article-title":"Predictors of unstable distal radius fractures: a systematic review and meta-analysis","volume":"41","author":"Walenkamp","year":"2016","journal-title":"J Hand Surg Eur Vol"},{"key":"r53-20260615","doi-asserted-by":"crossref","DOI":"10.1177\/15589447251346859","article-title":"Rethinking lafontaine criteria: second metacarpal cortical percentage as a reliable predictor of distal radius fracture instability","author":"Ulmer","year":"2025","journal-title":"Hand (NY)"},{"issue":"1","key":"r54-20260615","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1007\/s00402-025-05910-z","article-title":"The influence of casting techniques on the redisplacement risk of reduced distal radius fractures in adults","volume":"145","author":"Barvelink","year":"2025","journal-title":"Arch Orthop Trauma Surg"}],"container-title":["JBJS Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.RVW.26.00052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:22Z","timestamp":1787751682000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.RVW.26.00052"}},"subtitle":["A Prognostic Factor Systematic Review and Meta-Analysis"],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":53,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.rvw.26.00052","relation":{},"ISSN":["2329-9185"],"issn-type":[{"value":"2329-9185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]}}}