Evidence map›Paper›PMID 22640531›Full record

Trial reportBMC health services research2012

The impact of care pathways for patients with proximal femur fracture: rationale and design of a cluster-randomized controlled trial.

Kris Vanhaecht, Walter Sermeus, Jan Peers, Cathy Lodewijckx, Svin Deneckere, Fabrizio Leigheb, Steven Boonen, An Sermon, Paulo Boto, Rita Veloso Mendes and 2 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00962910 (The European Quality of Care Pathways Study), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT00962910 nacompletednot on this map

The European Quality of Care Pathways Study: The Impact of a Care Pathway for Proximal Femur Fracture (PFF) : an International Cluster Randomized Controlled Trial." (Www.E-P-A.Org)

TypeinterventionalSponsorEuropean Pathway AssociationRan2009 to 2017Enrolled514ConditionsFemoral FracturesArmsPFF evidence based pathway
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Multidisciplinary rehabilitation for older people with hip fractures.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Mapping the Status of Healthcare Improvement Science through a Narrative Review in Six European Countries.International journal of environmental research and public health · 2019
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. The COPDnet integrated care model.International journal of chronic obstructive pulmonary disease · 2018
    Article
  12. Observational
  13. Should hospital managers read the orthopedic literature before surgeons? The example of femur fracture management.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2017
    Article
  14. Article
  15. 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

12 authors.

Kris VanhaechtHealth Services Research Group, School of Public Health, KU Leuven, University of Leuven, Kapucijnenvoer 35, 3000, Leuven, Belgium. kris.vanhaecht@med.kuleuven.be
Walter Sermeus
Jan Peers
Cathy Lodewijckx
Svin Deneckere
Fabrizio Leigheb
Steven Boonen
An Sermon
Paulo Boto
Rita Veloso Mendes
Massimiliano Panella
EQCP study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProximal femur fracture (PFF) is associated with considerable morbidity and mortality. The European Quality of Care Pathway (EQCP) study on PFF (NCT00962910) was designed to determine how care pathways (CP) for hospital treatment of PFF affect consistency of care, adherence to evidence-based key interventions, and clinical outcome. METHODS/

designAn international cluster-randomized controlled trial (cRCT) will be performed in Belgium, Ireland, Italy and Portugal. Based on power analyses, a sample of 44 hospital teams and 437 patients per arm will be included in the study. In the control arm, usual care will be provided. Experimental teams will implement a care pathway which will include three active components: a formative evaluation of quality and organization of the care setting, a set of evidence-based key interventions, and support of the development and implementation of the CP. Main outcome will be the six-month mortality rate. DISCUSSION: The EQCP study constitutes the first international cRCT on care pathways. The EQCP project was designed as both a research and a quality improvement project and will provide a real-world framework for process evaluation to improve our understanding of why and when CP can really work. TRIAL REGISTRATION NUMBER: NCT00962910.

Indexed as

Critical PathwaysAgedFemoral FracturesHumansOutcome and Process Assessment, Health CareQuality of Health CareResearch Design

Identifiers

PMID22640531
PMCPMC3528433

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.