ArticleThe Journal of bone and joint surgery. American volume2013
The trends in treatment of femoral neck fractures in the Medicare population from 1991 to 2008.
Article in The Journal of bone and joint surgery. American volume, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Epidemiology, patient outcome and complications after non-operative management of hip fracture: a systematic review.Anaesthesia · 2025Pooled it
- Higher cartilage wear in unipolar than bipolar hemiarthroplasties of the hip at 2 years: A randomized controlled radiostereometric study in 19 fit elderly patients with femoral neck fractures.Acta orthopaedica · 2018Trial
- Comparing clinical outcomes and mortality rates of patients who sustained hip fractures managed non-operatively versus operatively over a 5-year period across the Republic of Ireland.Irish journal of medical science · 2026Article
- Article
- A nomogram for one-year risk of death after hip fracture.Frontiers in medicine · 2025Article
- Femoral neck fracture fixation in rhombic versus inverted triangle configuration in young adults: A systematic review.Journal of clinical orthopaedics and trauma · 2024Review
- Epidemiology and Management of Proximal Femoral Fractures in Italy between 2001 and 2016 in Older Adults: Analysis of the National Discharge Registry.International journal of environmental research and public health · 2022Article
- Alliance for the development of the Argentinian Hip Fracture Registry.Archives of osteoporosis · 2022Article
- Long-term exposure to air pollution increases hip fracture incidence rate and related mortality: analysis of National Hip Fracture Database.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Mortality rates of hip fracture patients with non-operative treatment.Joint diseases and related surgery · 2022Article
- Qualitative Evaluation of a Novel Educational Tool to Communicate Individualized Hip Fracture Prognostic Information to Patients and Surrogates: My Hip Fracture (My-HF).Geriatric orthopaedic surgery & rehabilitation · 2021Article
- National trends in total hip arthroplasty for traumatic hip fractures: An analysis of a nationwide all-payer database.World journal of orthopedics · 2020Article
- Guest Editorial: An Appeal for Evidenced-based Care and Adoption of Best Practices in the Management of Displaced Femoral Neck Fractures.Clinical orthopaedics and related research · 2019Article
- Intramedullary nails with cannulated screw fixation for the treatment of unstable femoral neck fractures.The Journal of international medical research · 2019Article
- Trends in surgical treatment of femoral neck fractures in the elderly.Einstein (Sao Paulo, Brazil) · 2018Article
- No consensus on implant choice for oligometastatic disease of the femoral head and neck.Journal of bone oncology · 2018Article
- Patient and Caregiver Understanding of Prognosis After Hip Fracture.Canadian geriatrics journal : CGJ · 2018Article
- The 13-year observation of hip fracture in Poland-worrying trend and prognosis for the future.Aging clinical and experimental research · 2018Observational
- Operative Trends in the Treatment of Hip Fractures and the Role of Arthroplasty.Geriatric orthopaedic surgery & rehabilitation · 2018Article
- Disparities in Total Hip Arthroplasty Versus Hemiarthroplasty in the Management of Geriatric Femoral Neck Fractures.Geriatric orthopaedic surgery & rehabilitation · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundWe examined trends in the treatment of femoral neck fractures over the last two decades.
methodsWe used Medicare Part A administrative data to identify patients hospitalized for closed femoral neck fracture from 1991 to 2008. We used codes from the International Classification of Diseases, Ninth Revision, to categorize treatment as nonoperative, internal fixation, hemiarthroplasty, and total hip arthroplasty. We examined differences in treatment according to hospital hip fracture volume, hospital location (rural or urban), and teaching status.
resultsOur sample consisted of 1,119,423 patients with intracapsular hip fractures occurring from 1991 to 2008. We found a generally stable trend over time in the percentage of patients managed with nonoperative treatment, internal fixation, hemiarthroplasty, and total hip arthroplasty. We found little difference in surgical treatment across different groups of hospitals (high volume compared with low volume, urban compared with rural, and teaching compared with nonteaching). The percentage of acute care hospitals treating hip fractures remained fairly constant (74.8% in 1991 to 1993 and 69.0% in 2006 to 2008). The median number of hip fractures treated per hospital did not change (thirty-three in 1991 to 1993 and thirty-three in 2006 to 2008). There was no increase in the percentage of fractures treated in high-volume hospitals over time (57.7% in 1991 to 1993 and 57.1% in 2006 to 2008) and little reduction in the percentage of fractures treated in low-volume hospitals (5.8% in 1991 to 1993 and 5.5% in 2006 to 2008).
conclusionsThere has been little change in the trends of operative and nonoperative treatment for proximal femoral fractures over the last two decades, and there was little evidence of regionalization of hip fracture treatment to higher-volume hospitals.
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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.