ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2010
Co-managed care for fragility hip fractures (Rochester model).
Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04760756 (The Effects of Fragility Fracture Integrated Rehabilitation Management), which is not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
The Effects of Fragility Fracture Integrated Rehabilitation Management (FIRM) of Hip Fracture in Geriatrics
Who cites it
43 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Do we understand each other when we develop and implement hip fracture models of care? A systematic review with narrative synthesis.BMJ open quality · 2023Pooled it
- Dedicated Perioperative Hip Fracture Comanagement Programs are Cost-effective in High-volume Centers: An Economic Analysis.Clinical orthopaedics and related research · 2016Pooled it
- Best practices in the management of proximal femoral fractures in elderly patients on the ward: a narrative review.EFORT open reviews · 2026Review
- The Influence of Orthogeriatric Co-Management on Clinical Outcomes After Treatment of Proximal Femoral Fractures-Real World Data of Comparable Cohorts Originating from the Same Geographic Area.Journal of clinical medicine · 2025Article
- The Influence of Orthogeriatric Co-Management on Economical Outcomes After Treatment of Proximal Femoral Fractures: Real-World Data of Comparable Cohorts Originating from the Same Geographic Area.Journal of clinical medicine · 2025Article
- Variation in care and outcome for fragile hip fracture patients: a European multicentre study benchmarking fulfilment of established quality indicators.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Observational
- Exploring geriatric trauma unit experiences through patients' eyes: a qualitative study.BMC geriatrics · 2024Article
- Cost-effectiveness analysis of the Geriatric Fracture Center (GFC) concept: a prospective multicentre cohort study.BMJ open · 2023Article
- Efficacy of two integrated geriatric care pathways for the treatment of hip fractures: a cross-cultural comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- The effectiveness of an orthogeriatric service in Ain Shams University, Egypt: a quality improvement study.Archives of osteoporosis · 2022Article
- Geriatric vulnerability and the burden of disability after major surgery.Journal of the American Geriatrics Society · 2022Article
- Internal medicine physician embedded in an orthopedic service in a level 1 hospital: clinical impact.Internal and emergency medicine · 2022Article
- High prevalence of deep vein thrombosis in elderly hip fracture patients with delayed hospital admission.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Prognostic factors for discharge to home and residing at home 12 months after hip fracture: an Anoia hip study.Aging clinical and experimental research · 2020Article
- Does Comanagement of Patients With Hip Fracture Influence 30-Day Outcomes.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- Observational
- Predictive Modeling for Geriatric Hip Fracture Patients: Early Surgery and Delirium Have the Largest Influence on Length of Stay.The Journal of the American Academy of Orthopaedic Surgeons · 2019Article
- ValuedCare program: a population health model for the delivery of evidence-based care across care continuum for hip fracture patients in Eastern Singapore.Journal of orthopaedic surgery and research · 2018Article
- Does time of surgery and complication have any correlation in the management of hip fracture in elderly and can early surgery affect the outcome?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- Management of older adults with hip fractures in India: a mixed methods study of current practice, barriers and facilitators, with recommendations to improve care pathways.Archives of osteoporosis · 2017Observational
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hip fractures in older adults are a common event with a high risk of morbidity and mortality. Patients who sustain a hip fracture often present with multiple co-morbid conditions that can benefit from co-management by orthopedic surgeons and geriatricians. This manuscript describes a co-managed model of care for patients with hip fractures. This model of care will be explained, and the benefits and results will be described. Retrospective review of the care of all native non-pathological hip fracture patients aged 60 years and older admitted between April 2005 and March 2009 to a 261-bed community teaching hospital. The outcome measures include patient characteristics, length of stay, mortality, 30-day readmission, re-operation, and costs of care. Seven hundred fifty-eight patients were identified with an average age of 84.8 (SD 8.4); 77.8% of the patients were female, 94.7% Caucasian, and 37.3% from nursing homes, and the mean Charlson score is 2.9 (SD 2.1). The length of stay was 4.3 days, 30-day readmission rate was 10.4%, 17-month re-operation rate was 1.9%, and costs of care to the system were $15,188. The 1-year mortality rate was 21.2%. This model of care resulted in improvements in all measures studied. Previous studies have shown reduction in in-hospital complications. Additional studies are needed to show if this model of care can be translated to other systems or to other surgical conditions. Wide application of this model care could substantially improve the quality of care and cost of caring for frail elders with hip fractures.
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Registered trials
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