Table 2.
Breakdown of major errors.
| Error type | Quotation error | Correct finding from ProFHER | Reference |
|---|---|---|---|
| Unsubstantiated | 70% of secondary surgery occurred within the first year | This was not mentioned in the ProFHER paper | Launonen et al. 13 |
| Unsubstantiated | The literature supports the conservative management of non-displaced factures of the humerus | ProFHER included only displaced fractures | Antonios et al. 14 |
| Unsubstantiated | Certain fracture patterns have worse prognosis | This was not mentioned in the ProFHER paper | Hudgens et al. 15 |
| Unsubstantiated | Outcomes when comparing surgical versus non-surgical management are similar regardless of fracture pattern | ProFHER only included displaced fractures. Fractures that had a clear indication for surgery were excluded | Gracitelli et al. 16 |
| Unsubstantiated | ProFHER is against surgical fixation | ProFHER did not demonstrate inferior outcomes with surgical treatment – they were not significantly different and a number of fractures that had a clear indication for surgery were excluded | Meunier et al. 17 |
| Unsubstantiated | ProFHER is unclear if younger patients may benefit from surgical fixation | An age group subanalysis was performed that found no significant difference between >65 and <65 in either group | von Keudell et al. 18 |
| Unrelated | Patients from nursing homes are treated conservatively with the primary aim being pain relief | This was not mentioned in the ProFHER paper | Spross et al. 19 |
| Unrelated | A certain subset of patients with high grade acromioclavicular joint separation may benefit from conservative management | This was not mentioned in the ProFHER paper | Cooper et al. 20 |
| Unrelated | Ankle injury management (AIM) trial reference | This was not mentioned in the ProFHER paper | Costa et al. 21 |
| Contraindicated | There were significantly higher complications in the ProFHER surgical group | There were higher numbers of complications related to the shoulder fracture in the surgical group; however, this was not significant | Launonen et al. 22 |
ProFHER: Proximal Fracture of the Humerus Evaluation by Randomization.