Publications by authors named "Johan Carel Goslings"
Article Synopsis
- Observer reliability studies for fracture classification use Cohen's κ and absolute agreement to measure agreement among observers.
- Cohen's κ ranges from 0 (no agreement) to 1 (perfect agreement), while absolute agreement indicates the percentage of times observers agree.
- The Kappa Paradox occurs when studies report high absolute agreement alongside low κ values, and the article aims to explain this phenomenon and provide guidance to recognize and avoid it.
Direct discharge for children with a greenstick or torus fracture of the wrist is a non-inferior satisfactory solution to traditional treatment.
Eur J Trauma Emerg Surg
December 2024
Purpose: Direct Discharge protocols (DD) can alleviate strain on healthcare systems by reducing routine outpatient follow-up. These protocols include low-complex musculoskeletal injuries, such as isolated greenstick fractures or torus fractures of the wrist in children. While there is consensus on the effectiveness of DD, there is a lack of injury-specific powered studies.
View Article and Find Full Text PDFBackground: Up to 30% of patients suffer from long-term functional restrictions following conservative treatment of distal radius fractures. Whether duration of cast immobilisation influences functional outcome remains unclear.
Methods/design: The aim of the study is to evaluate whether the duration of immobilization of non or minimally displaced distal radial fractures can be safely reduced.
Background: In organised trauma systems the process of care is the key to quality. Nevertheless, the optimal process of trauma care remains unclear due to lack of or inconclusive evidence. Because monitoring and improving the performance of a trauma system is complex, this study aimed to develop consensus-based process guidelines for trauma care in the Netherlands for severely injured patients.
View Article and Find Full Text PDFHistorical Treatment Results of Pelvic Ring Fractures: A 12-year Cohort Study.
Eur J Trauma Emerg Surg
February 2009
Background: Since the Academic Medical Center Amsterdam was appointed as a level-1 trauma center in July 1997, the number of polytrauma patients who were presented has increased. This stimulated us to perform a retrospective analysis on the treatment results of patients with a pelvic ring fracture and to evaluate our treatment strategies.
Materials And Methods: A chart review of all patients with a partially stable fracture (Tile/AO type B) or an unstable fracture (Tile/AO type C) was performed.