Table III.
Fracture treatment of participants who did/did not change practice because of the Proximal Fracture of the Humerus: Evaluation by Randomisation (PROFHER) trial
| Changed practice (n = 137) | Did not change practice (n = 128) | Total (n = 265) | |
|---|---|---|---|
| Proximal humeral fractures (all types) operated in the last year, n (%) | |||
| 0 to 5 | 69 (50.4) | 51 (39.8) | 120 (45.3) |
| 6 to 10 | 34 (24.8) | 28 (21.9) | 62 (23.4) |
| 11 to 15 | 18 (13.1) | 19 (14.8) | 37 (14.0) |
| 16 to 20 | 12 (8.8) | 15 (11.7) | 27 (10.2) |
| 20+ | 4 (2.9) | 14 (10.9) | 18 (6.8) |
| Don’t know | 0 (0.0) | 1 (0.8) | 1 (0.4) |
| Missing | 0 | 0 | 0 |
| Surgical methods used, n (%)* | |||
| Locking plate | 111 (81.0) | 107 (83.6) | 218 (82.3) |
| Intramedullary nail | 37 (27.0) | 49 (38.3) | 86 (32.5) |
| Hemiarthroplasty | 69 (50.4) | 65 (50.8) | 134 (50.6) |
| Reverse shoulder arthroplasty | 62 (45.3) | 43 (33.6) | 105 (39.6) |
| Other† | 8 (5.8) | 6 (4.7) | 14 (5.3) |
| Missing | 0 | 0 | 0 |
| Fractures operated that were eligible for the PROFHER trial, n (%) | |||
| 0 to 5 | 111 (81.6) | 88 (68.8) | 199 (75.4) |
| 6 to 10 | 13 (9.6) | 17 (13.3) | 30 (11.4) |
| 11 to 15 | 7 (4.4) | 12 (9.4) | 18 (6.8) |
| 16 to 20 | 0 (0.0) | 3 (2.3) | 3 (1.1) |
| 20+ | 0 (0.0) | 3 (2.3) | 3 (1.1) |
| Don’t know | 6 (4.4) | 5 (3.9) | 11 (4.2) |
| Missing | 1 | 0 | 1 |
| Impact of the PROFHER cost-effectiveness findings on decision-making, n (%) | |||
| Very influential | 8 (6.0) | 2 (1.6) | 10 (3.9) |
| Influential | 32 (23.9) | 7 (5.7) | 39 (15.2) |
| Somewhat influential | 47 (35.1) | 47 (38.2) | 94 (36.6) |
| Not at all influential | 47 (35.1) | 67 (54.5) | 114 (44.4) |
| Missing | 3 | 5 | 8 |
| External changes to service delivery, n (%) | |||
| Yes | 21 (15.8) | 17 (14.0) | 38 (15.0) |
| No | 112 (84.2) | 104 (86.0) | 216 (85.0) |
| Missing | 4 | 7 | 11 |
*
more than one response was possible for this question
†
examples of responses to this question include: “Isolated tuberosity repair like cuff repair – sutures and anchors”; “intramedullary wires”; “intramedullary strut”; “T Plate”; and “LCDPlates”