Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Lack of Agreement on Distal Radius Fracture Treatment

Katherine K. Bruce, Daniel J. Merenstein, Michael V. Narvaez, Steven K. Neufeld, Megan J. Paulus, Tina P. Tan, Jake R. Braunstein, Ashley C. Pfaff, Chun-Chih Huang and Robert B. Friedland
The Journal of the American Board of Family Medicine March 2016, 29 (2) 218-225; DOI: https://doi.org/10.3122/jabfm.2016.02.150233
Katherine K. Bruce
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
BS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Daniel J. Merenstein
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael V. Narvaez
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Steven K. Neufeld
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Megan J. Paulus
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tina P. Tan
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
BA
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jake R. Braunstein
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ashley C. Pfaff
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Chun-Chih Huang
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Robert B. Friedland
From the Department of Human Science, Georgetown University School of Nursing and Health Studies, Washington, DC (KKB); the Department of Family Medicine, Georgetown University Medical Center, Washington, DC (DJM, TPT); Georgetown University School of Medicine, Washington, DC (MVN, JRB, ACP); the Orthopaedic Foot & Ankle Center of Washington, Falls Church, VA (SKN); the Department of Orthopaedics, MedStar Georgetown University Hospital, Washington, DC (MJP); the Department of Biostatistics and Epidemiology, MedStar Health Research Institute, Hyattsville, MD (C-CH); and the Department of Health Systems Administration, Georgetown University School of Nursing and Health Studies, Washington, DC (RBF).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    Figure 1.

    Distribution of treatment selection. Long-arm casting includes long-arm spica casting, and short-arm casting includes short-arm spica casting. The “other” category in this case refers to all responses classified as nonsurgical interventions that did not specify long-arm or short-arm casting.

  • Figure 2.
    • Download figure
    • Open in new tab
    Figure 2.

    Frequency of surgical treatment selection by age of physician and classification of physician. Average frequency was 37%.

  • Figure 3.
    • Download figure
    • Open in new tab
    Figure 3.

    Frequency of surgical treatment selection by physician subspecialty. Average frequency was 37%.

Tables

  • Figures
    • View popup
    Table 1. Characteristics of the Study Sample (n = 489)
    CharacteristicsStudy Sample
    No.%
    Age (years)
        <366613.6
        36–408216.8
        41–457916.2
        46–505511.3
        51–556112.5
        56–606613.6
        >607816.0
    Sex
        Male45994.1
        Female295.9
    Setting
        Private practice32366.2
        MedSpec clinic336.8
        University11323.2
        Other7916.2
    Classification
        General orthopedic surgeon16834.4
        Subspecialty orthopedist30963.3
        Other224.5
    Subspecialty (n = 309)
        Adult reconstruction165.2
        Arthroscopy123.9
        Foot/ankle6220.1
        Hand4012.9
        Elbow/upper extremity3210.4
        Hip/knee/lower extremity3411.0
        Joints206.5
        Trauma3110.0
        Pediatrics247.8
        Spine175.5
        Sports medicine6019.4
        Other31.0
    Country
        United States32869.5
        Other14430.5
    Time spent with patients (%)
        <50306.2
        50–7512826.3
        >7532165.9
    • View popup
    Table 2. Comparison of Average Resource Costs*
    CastingSurgeryDifference
    Direct medical costs$1525$4004163%
    Visits/duration4 Visits/5 weeks4 Visits/4 weeks
    Indirect costs$1454$1223(16%)
    Total costs$2979$522876%
    • ↵* Reimbursement from private insurance is likely to be considerably higher then these estimates of resource costs.

PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 29 (2)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 2
March-April 2016
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Lack of Agreement on Distal Radius Fracture Treatment
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
3 + 4 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Lack of Agreement on Distal Radius Fracture Treatment
Katherine K. Bruce, Daniel J. Merenstein, Michael V. Narvaez, Steven K. Neufeld, Megan J. Paulus, Tina P. Tan, Jake R. Braunstein, Ashley C. Pfaff, Chun-Chih Huang, Robert B. Friedland
The Journal of the American Board of Family Medicine Mar 2016, 29 (2) 218-225; DOI: 10.3122/jabfm.2016.02.150233

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Lack of Agreement on Distal Radius Fracture Treatment
Katherine K. Bruce, Daniel J. Merenstein, Michael V. Narvaez, Steven K. Neufeld, Megan J. Paulus, Tina P. Tan, Jake R. Braunstein, Ashley C. Pfaff, Chun-Chih Huang, Robert B. Friedland
The Journal of the American Board of Family Medicine Mar 2016, 29 (2) 218-225; DOI: 10.3122/jabfm.2016.02.150233
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Methods
    • Results
    • Discussion
    • Appendix
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Outcomes of Health System Structures, Highly Pertinent Clinical Information, Idea Stimulators, Clinical Reviews, and Prediction Tools: JABFM Exemplified
  • Google Scholar

More in this TOC Section

  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application
Show more Original Research

Similar Articles

Keywords

  • Bone Fractures
  • Cost-Effectiveness
  • Evidence-Based Medicine

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire