Evidence map›Paper›PMID 19146568›Full record

Trial reportHealth services research2009

Translating research into practice intervention improves management of acute pain in older hip fracture patients.

Marita G Titler, Keela Herr, John M Brooks, Xian-Jin Xie, Gail Ardery, Margo L Schilling, J Lawrence Marsh, Linda Q Everett, William R Clarke

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Health services research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
13.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Relationship of Necrotizing Enterocolitis Rates to Adoption of Prevention Practices in US Neonatal Intensive Care Units.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2019
    Article
  10. Article
  11. Article
  12. Effectiveness of implementing a dyadic psychoeducational intervention for cancer patients and family caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  13. The Barriers to High-Quality Inpatient Pain Management: A Qualitative Study.The American journal of hospice & palliative care · 2015
    Article
  14. Estimating incremental costs with skew: a cautionary note.Applied health economics and health policy · 2012
    Article
  15. Review
  16. Diffusion of innovations in long-term care measurement battery.Research in gerontological nursing · 2012
    Article
  17. Editorial: Improving end of life care in orthopaedics.Clinical orthopaedics and related research · 2011
    Article
  18. Article
  19. Building the path to high-quality care.Health services research · 2009
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Marita G TitlerResearch, Quality and Outcomes Management, Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Room C529 GH, Iowa City, IA 52242, USA. Marita-titler@uiowa.edu
Keela Herr
John M Brooks
Xian-Jin Xie
Gail Ardery
Margo L Schilling
J Lawrence Marsh
Linda Q Everett
William R Clarke
University of Iowa · USUniversity of Iowa Hospitals and Clinics · USHealthPartners · USThe University of Texas Southwestern Medical Center · US

Funding

EVIDENCE BASED PRACTICE: FROM BOOK TO BEDSIDER01HS010482 · AHRQ · UNIVERSITY OF IOWA · PI TITLER, MARITA G · 1999 to 2003
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AHRQ HHS R01 HS010482AHRQ HHS R01 HS10482
6 · The paper itself

Abstract

objectiveTo test an interdisciplinary, multifaceted, translating research into practice (TRIP) intervention to (a) promote adoption, by physicians and nurses, of evidence-based (EB) acute pain management practices in hospitalized older adults, (b) decrease barriers to use of EB acute pain management practices, and (c) decrease pain intensity of older hospitalized adults. STUDY

designExperimental design with the hospital as the unit of randomization. STUDY

settingTwelve acute care hospitals in the Midwest. DATA SOURCES: (a) Medical records (MRs) of patients > or =65 years or older with a hip fracture admitted before and following implementation of the TRIP intervention and (b) physicians and nurses who care for those patients. DATA COLLECTION: Data were abstracted from MRs and questions distributed to nurses and physicians. PRINCIPAL

findingsThe Summative Index for Quality of Acute Pain Care (0-18 scale) was significantly higher for the experimental (10.1) than comparison group (8.4) at the end of the TRIP implementation phase. At the end of the TRIP implementation phase, patients in the experimental group had a lower mean pain intensity rating than those in the comparison group ( p<.0001).

conclusionThe TRIP intervention improved quality of acute pain management of older adults hospitalized with a hip fracture.

Indexed as

Pain ManagementPatient Care TeamAcute DiseaseAgedEvidence-Based MedicineFemaleHip FracturesHumansInpatientsMaleMidwestern United StatesPainPain MeasurementSurveys and Questionnaires

Identifiers

PMID19146568
PMCPMC2669630
OpenAlexW2161321950

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.