Priority 12 from the Complex Fractures PSP

UNCERTAINTY: What information would be helpful to give to patients sustaining complex fractures and how would this be best delivered? (JLA PSP Priority 12)
Overall ranking	12
JLA question ID	0105/12
Explanatory note	Information may be given to patients with injuries may vary in terms of timing, content, and media used.
Evidence	NG37 reported that the qualitative evidence was generally good quality and gives detailed guidance on important information to give to patients with complex fractures. NG39 makes a brief mention of leaflets on complications such as compartment syndrome though does not link this with specific evidence. No other relevant trial evidence Cochrane/PUBMED since 2015. NICE Guideline 37 Fractures (complex): assessment and management NICE Guideline 39 Major trauma: assessment and initial management Impact of Psychoeducational Video on Adjustment to Open Fracture Randomised Controlled Trial (ongoing)
Health Research Classification System category	Injuries and accidents

Extra information provided by this PSP
Original uncertainty examples	information that is given in hospital for the patient to opt for the treatment ~ More detail about my fracture before surgery, what needed to be done ~ Are they well enough informed? ~ What Surgical treatment options were offered to the patient ? ~ Maybe start a learning program for people suffering such injuries. Knowledge is power and people feel better when they understand what is going on. ~ communication is essential. will i get a clear, concise copy of information to support and assist me with what i need to do. colour is always useful and easier to follow.
Submitted by	Nurse x 3, 19 x Patient, 6 x Surgeon/Doctor, 3 x Physio, 2 x Knows a patient

Extra information provided by this PSP

Original uncertainty examples

information that is given in hospital for the patient to opt for the treatment ~ More detail about my fracture before surgery, what needed to be done ~ Are they well enough informed? ~ What Surgical treatment options were offered to the patient ? ~ Maybe start a learning program for people suffering such injuries. Knowledge is power and people feel better when they understand what is going on. ~ communication is essential. will i get a clear, concise copy of information to support and assist me with what i need to do. colour is always useful and easier to follow.

Submitted by

Nurse x 3, 19 x Patient, 6 x Surgeon/Doctor, 3 x Physio, 2 x Knows a patient

PSP information
PSP unique ID	0105
PSP name	Complex Fractures
Total number of uncertainties identified by this PSP.	58 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	8th June 2021