Clinical Edge

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Age, gender, and race influence treatment decisions for calcaneus fracture

Key clinical point: Various sociodemographic variables contribute to treatment decisions for orthopedic trauma patients.

Major finding: Older age, female gender, being on Medicare, being African American or Hispanic, and having a lower estimated income by zip code were all associated with significantly lower use of surgical treatment (P less than .05).

Study details: A statistical analysis of data from 17,156 discharged patients with closed calcaneus fracture.

Disclosures: One author reported receiving consultant fees, speaker fees, and grant support from various organizations and medical corporations. The other authors reported no potential conflicts of interest.


Zelle BA et al. J Orthop Surg Res. 2019 Nov 12. doi: 10.1186/s13018-019-1402-8.