Linking of the American Academy of Orthopaedic Surgeons Distal Radius Fracture Clinical Practice Guidelines to the International Classification of Functioning, Disability, and Health; International Classification of Diseases; and ICF Core Sets for Hand Conditions

Abstract

Background: American Academy of Orthopaedic Surgeons (AAOS) distal radius fracture (DRF) clinical practice guidelines (CPG) are readily available to clinicians, patients, and policymakers. International Classification of Functioning, Disability, and Health (ICF) provides a framework for describing the impact of health conditions. The International Classification of Diseases-10th Revision (ICD-10) is a classification system to classify health conditions as specific disease or disorders. The aim of this study is to analyze and describe the scope and focus of the AAOS DRF CPG using the ICF and ICD-10 as a basis for content analysis, and to compare the content of the CPG with the ICF hand core sets as the reference standard. Methods: Established linking rules were used by 2 independent raters to analyze the 29 recommendations of the AAOS DRF CPG. ICD-10 codes were assigned in the same process. Summary linkage statistics were used to describe the results for ICF and the hand core sets. Results: Among the 29 recommendations of the AAOS DRF CPG, 5 meaningful concepts were linked to the ICF codes. Of these, 5 codes appeared on the comprehensive ICF core set and only 3 codes appeared in the brief ICF core set, and 7 conditions were covered in ICD-10 codes. Conclusions: The AAOS DRF CPG focuses on surgical interventions and has minimal linkage to the constructs of the ICD-10 and ICF. It does not address activity or participation (disability), and is not well linked to key concepts relevant to hand conditions.

Factors influencing functioning after volar locking plate fixation of distal radius fractures: a scoping review of 148 studies

“…Interestingly, only 7 studies (14,15,(25)(26)(27)(28)(29) evaluated factors in all 4 ICF components. The predominant evaluation of factors in "body functions and structures" is also evident in the hand therapy literature up to 2010 (30) and in the American Academy of Orthopedic Surgeons' Clinical Practice Guideline for DRFs (31). The hand therapy literature has emphasized "body function and structures" and to a lesser extent "activities and participation," and "environmental factors" (30) and "activities and participation" were not addressed in the Clinical Practice Guideline (31).…”

Analysis of factors influencing hospitalization cost of patients with distal radius fractures: an empirical study based on public traditional Chinese medicine hospitals in two cities, China

“…A fracture of the distal radius may be described as a Colles, Smith, Barton, or Hutchinson fracture depending on the characteristics of the injury [2,4]. In addition to these four commonly used fracture names, some specially named fractures have been deferred in clinical work, such as chauffeur's fracture, die-punch fracture, and so on [5,6].…”

Analysis of factors influencing hospitalization cost of patients with distal radius fractures: an empirical study based on public traditional Chinese medicine hospitals in two cities, China

“…A fracture of the distal radius may be described as a Colles, Smith, Barton, or Hutchinson fracture depending on the characteristics of the injury [ 2 , 4 ]. In addition to these four commonly used fracture names, some specially named fractures have been deferred in clinical work, such as chauffeur’s fracture, die-punch fracture, and so on [ 5 , 6 ].…”