Evidence map›Paper›PMID 26370827›Full record

Trial reportOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2016

The long-term effect of comprehensive geriatric care on gait after hip fracture: the Trondheim Hip Fracture Trial--a randomised controlled trial.

P Thingstad, K Taraldsen, I Saltvedt, O Sletvold, B Vereijken, S E Lamb, J L Helbostad

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00667914 (A New Clinical Pathway for Patients With Fractured Neck of Femur - The Orthopedics Operate, the Geriatricians Manage the Medical Work-up), which is not on this map. Cited by 30 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 6 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.

NCT00667914 nacompletednot on this map

A New Clinical Pathway for Patients With Fractured Neck of Femur - The Orthopedics Operate, the Geriatricians Manage the Medical Work-up

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2008 to 2013Enrolled397ConditionsHip Fracture, AgedArmsgeriatric work-up, Orthopedic care as usual
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Implementation and operationalization of Integrated People-Centred Health Services delivery strategies in integrated osteoporosis care (IOC) initiatives: a systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Pooled it
  2. Pooled it
  3. Multidisciplinary rehabilitation for older people with hip fractures.The Cochrane database of systematic reviews · 2021
    Pooled it
  4. Association of orthogeriatric care models with evaluation and treatment of osteoporosis: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020
    Pooled it
  5. Pooled it
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  11. Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026
    Article
  12. Article
  13. Article
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  15. Article
  16. Article
  17. Evaluation of mobility recovery after hip fracture: a scoping review of randomized controlled studies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
    Article
  18. Article
  19. Article
  20. Gait Analysis to Monitor Fracture Healing of the Lower Leg.Bioengineering (Basel, Switzerland) · 2023
    Review
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

7 authors.

P ThingstadDepartment of Neuroscience, Norwegian University of Science and Technology, PO Box 8905, 7491, Trondheim, Norway. pernille.thingstad@ntnu.no.
K TaraldsenDepartment of Neuroscience, Norwegian University of Science and Technology, PO Box 8905, 7491, Trondheim, Norway.
I SaltvedtDepartment of Neuroscience, Norwegian University of Science and Technology, PO Box 8905, 7491, Trondheim, Norway.
O SletvoldDepartment of Neuroscience, Norwegian University of Science and Technology, PO Box 8905, 7491, Trondheim, Norway.
B VereijkenDepartment of Neuroscience, Norwegian University of Science and Technology, PO Box 8905, 7491, Trondheim, Norway.
S E LambOxford Clinical Trials Research Unit, University of Oxford, Oxford, UK.
J L HelbostadDepartment of Neuroscience, Norwegian University of Science and Technology, PO Box 8905, 7491, Trondheim, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

summaryAt present, most hip fracture patients are treated in orthopaedic wards. This study showed that a relatively short hospital intervention based on principles of comprehensive geriatric assessment resulted in safer and more efficient gait as long as 1 year following the fracture as compared to conventional orthopaedic treatment.

introductionHip fracture patients are frail, and the fracture is usually followed by substantial decline in gait function. Few studies have assessed gait characteristics other than gait speed and knowledge about the effect of early intervention on long-term gait outcome is sparse. The purpose of this study was to evaluate the long-term effect of pre- and post-surgery Comprehensive Geriatric Care (CGC) on ability to walk, self-reported mobility and gait characteristics in hip fracture patients.

methodsTwo armed, parallel group randomised controlled trial comparing CGC to conventional Orthopaedic Care (OC) in pre- and early post-surgery phase. Hip fracture patients (n = 397), community-dwelling, age >70 years and able to walk at time of the fracture were included. Spatial and temporal gait characteristics were collected using an instrumented walkway (GAITRite® system) 4 and 12 months post-surgery.

resultsParticipants who received CGC had significantly higher gait speed, less asymmetry, better gait control and more efficient gait patterns, more participants were able to walk and participants reported better mobility 4 and 12 months following the fracture as compared to participants receiving OC.

conclusionsPre- and post-surgery CGC showed an effect on gait as long as 1 year after hip fracture. These findings underscore the importance of targeting the vulnerability of these patients at an early stage to prevent gait decline in the long run. As presently, most hip fracture patients are treated in orthopaedic wards with larger focus on the fracture than on frailty, these results are important to inform new models for hip fracture care.

Indexed as

GaitAgedAged, 80 and overFemaleFrail ElderlyGeriatric AssessmentHealth Services for the AgedHip FracturesHumansMaleNorwayOsteoporotic FracturesPostoperative CareProspective StudiesWalkingComprehensive geriatric careFrailtyGaitHip fracture

Identifiers

PMID26370827

What OpenQuestion holds

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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.