Priority 25 from the Broken Bones of the Upper Limb in People over 50

UNCERTAINTY: What is the best follow up pathway for people over 50 with an upper limb fracture? (eg. trauma clinics / virtual clinics where the patient does not need to be present)   (JLA PSP Priority 25)
Overall ranking 25
JLA question ID 0093/25
Explanatory note Not available

Morris, J.H., et al.; What is orthopaedic triage? A systematic review. J Eval Clin Pract. 2015 Feb; 21(1): 128–136
Winperry, E.M., et al.; Improving the effectiveness and efficiency of outpatient services: a scoping review of interventions at the primary–secondary care interface. Journal of Health Services Research & Policy, 2016; 22(1):53-64
McKirdy A; Imbuldeniya AM; The clinical and cost effectiveness of a virtual fracture clinic service: An interrupted time series analysis and before-and-after comparison. Bone & joint research; May 2017; vol. 6 (no. 5); p. 259-269
Jayaram P.R.; Bhattacharyya R.; Jenkins P.J.; Anthony I.; Rymaszewski L.A.; A new "virtual" patient pathway for the management of radial head and neck fractures. Source Journal of Shoulder and Elbow Surgery; Mar 2014; vol. 23 (no. 3); p. 297-301

For full details of the evidence checked, please see the spreadsheet of data held on the JLA website.

Health Research Classification System category  Injuries and Accidents
Extra information provided by this PSP
Original uncertainty examples What long term follow-up is routinely done to measure long term outcomes? ~ After being seen in minor injuries unit, how quickly will I be seen in follow-up fracture clinic? ~ Are humeral fractures best treated in an upper limb clinic or routine fracture clinic?
Submitted by  Not available
PSP information
PSP unique ID 0093
PSP name Broken Bones of the Upper Limb in People over 50 PSP
Total number of uncertainties identified by this PSP. 50  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 3 December 2018