![]() 2 The AAOS has invested substantial effort in developing clinical practice guidelines, for a variety of common orthopedic conditions including DRF. The American Academy of Orthopaedic Surgeons (AAOS) is the largest professional group that provides professional support to orthopedic surgeons and other allied health care professionals who work in orthopedics. 21, 25 Many professional organizations have developed evidence-based CPG that play a significant role in initiating quality of health care. 4Ĭlinical practice guidelines (CPG) are defined as “Systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances.” 25 Evidence-based CPG are developed by identifying high-quality evidence to facilitate more rational and efficient clinical practice and better health care outcomes. 30 Evidence-based practice guidelines help the health care professionals in clinical decision making on the effective treatment. Appropriate and effective treatment is essential to manage the DRF and to minimize the disability experienced by the patients with DRF. ![]() 35 Many studies describe the extent of impairments and disabilities experienced by the patients with DRF. 6 Study shows that more than 640 000 cases of DRF were reported during 2001 in North America, 14 and nearly 372 000 individuals of age 65 years and older sustain DRF every year in the United States. It does not address activity or participation (disability), and is not well linked to key concepts relevant to hand conditions.ĭistal radius fracture (DRF) is one of the most common types of fracture 7, 25, 31 that can cause substantial pain, disability, 6, 14, 24, 29, 30, 37 and health care burden. Conclusions: The AAOS DRF CPG focuses on surgical interventions and has minimal linkage to the constructs of the ICD-10 and ICF. 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. Results: Among the 29 recommendations of the AAOS DRF CPG, 5 meaningful concepts were linked to the ICF codes. Summary linkage statistics were used to describe the results for ICF and the hand core sets. ICD-10 codes were assigned in the same process. Methods: Established linking rules were used by 2 independent raters to analyze the 29 recommendations of the AAOS DRF CPG. 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. The International Classification of Diseases–10th Revision (ICD-10) is a classification system to classify health conditions as specific disease or disorders. International Classification of Functioning, Disability, and Health (ICF) provides a framework for describing the impact of health conditions. Background: American Academy of Orthopaedic Surgeons (AAOS) distal radius fracture (DRF) clinical practice guidelines (CPG) are readily available to clinicians, patients, and policymakers.
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