Socioeconomic position is associated with surgical treatment of open fractures of the lower limb: results from a Swedish population-based study
Background and purpose - High-energy trauma to the lower limbs can result in open fractures, treated by reconstructive surgery or amputation. We examined whether socioeconomic position is associated with choice of primary treatment. Patients and methods - We performed a nationwide population-based s...
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Published in | Acta orthopaedica Vol. 91; no. 4; pp. 439 - 443 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
England
Taylor & Francis
03.07.2020
Medical Journals Sweden |
Subjects | |
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Abstract | Background and purpose - High-energy trauma to the lower limbs can result in open fractures, treated by reconstructive surgery or amputation. We examined whether socioeconomic position is associated with choice of primary treatment.
Patients and methods - We performed a nationwide population-based study using the Swedish National Patient Register to identify all adult patients who between 1998 and 2013 underwent reconstruction or amputation after an open fracture below the knee. Information on socioeconomic position was collected from Statistics Sweden.
Results - Of 275 individuals undergoing surgery after an open fracture below the knee during the study period, the 1st surgery was reconstructive in 58% of the patients and amputation in 42%. The chance of having an initial reconstruction was lower for women than for men (OR 0.5, 95% CI 0.3-0.9), lower with age (OR 0.97, CI 0.96-0.99), and lower for individuals without employment compared with individuals in employment (OR 0.3, CI 0.2-0.5). Primary treatment was in women associated with family composition, whereas in men it was associated with level of education.
Interpretation - Choice of primary treatment after open fracture in the lower limb is affected by socioeconomic position including sex, age, employment, family composition, level of education, and income. |
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AbstractList | Background and purpose - High-energy trauma to the lower limbs can result in open fractures, treated by reconstructive surgery or amputation. We examined whether socioeconomic position is associated with choice of primary treatment.
Patients and methods - We performed a nationwide population-based study using the Swedish National Patient Register to identify all adult patients who between 1998 and 2013 underwent reconstruction or amputation after an open fracture below the knee. Information on socioeconomic position was collected from Statistics Sweden.
Results - Of 275 individuals undergoing surgery after an open fracture below the knee during the study period, the 1st surgery was reconstructive in 58% of the patients and amputation in 42%. The chance of having an initial reconstruction was lower for women than for men (OR 0.5, 95% CI 0.3-0.9), lower with age (OR 0.97, CI 0.96-0.99), and lower for individuals without employment compared with individuals in employment (OR 0.3, CI 0.2-0.5). Primary treatment was in women associated with family composition, whereas in men it was associated with level of education.
Interpretation - Choice of primary treatment after open fracture in the lower limb is affected by socioeconomic position including sex, age, employment, family composition, level of education, and income. Background and purpose - High-energy trauma to the lower limbs can result in open fractures, treated by reconstructive surgery or amputation. We examined whether socioeconomic position is associated with choice of primary treatment.Patients and methods - We performed a nationwide population-based study using the Swedish National Patient Register to identify all adult patients who between 1998 and 2013 underwent reconstruction or amputation after an open fracture below the knee. Information on socioeconomic position was collected from Statistics Sweden.Results - Of 275 individuals undergoing surgery after an open fracture below the knee during the study period, the 1st surgery was reconstructive in 58% of the patients and amputation in 42%. The chance of having an initial reconstruction was lower for women than for men (OR 0.5, 95% CI 0.3-0.9), lower with age (OR 0.97, CI 0.96-0.99), and lower for individuals without employment compared with individuals in employment (OR 0.3, CI 0.2-0.5). Primary treatment was in women associated with family composition, whereas in men it was associated with level of education.Interpretation - Choice of primary treatment after open fracture in the lower limb is affected by socioeconomic position including sex, age, employment, family composition, level of education, and income. |
Author | Granberg, Yamin Lundgren, Kalle T Lindqvist, Ebba K |
Author_xml | – sequence: 1 givenname: Yamin surname: Granberg fullname: Granberg, Yamin email: Yamin.Granberg@ki.se organization: Department of Molecular Medicine and Surgery, Karolinska Institute – sequence: 2 givenname: Kalle T surname: Lundgren fullname: Lundgren, Kalle T organization: Craniofacial Diseases, Karolinska University Hospital – sequence: 3 givenname: Ebba K surname: Lindqvist fullname: Lindqvist, Ebba K organization: Reconstructive Plastic Surgery, Karolinska University Hospital |
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Snippet | Background and purpose - High-energy trauma to the lower limbs can result in open fractures, treated by reconstructive surgery or amputation. We examined... Background and purpose — High-energy trauma to the lower limbs can result in open fractures, treated by reconstructive surgery or amputation. We examined... |
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SubjectTerms | Adolescent Adult Age Factors Aged Aged, 80 and over Amputation - statistics & numerical data Educational Status Employment - statistics & numerical data Female Fractures, Open - surgery Humans Income - statistics & numerical data Male Medicin och hälsovetenskap Middle Aged Reconstructive Surgical Procedures - statistics & numerical data Registries Sex Factors Socioeconomic Factors Sweden Tibial Fractures - surgery Young Adult |
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Title | Socioeconomic position is associated with surgical treatment of open fractures of the lower limb: results from a Swedish population-based study |
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