ArticleGeriatric orthopaedic surgery & rehabilitation2016
Effectiveness of a Multidisciplinary Clinical Pathway for Elderly Patients With Hip Fracture: A Multicenter Comparative Cohort Study.
Article in Geriatric orthopaedic surgery & rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 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.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effect of pain-relief nursing on activities of daily living in patients following hip arthroplasty: a systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- Evaluation of Systemwide Improvement Programs to Optimize Time to Surgery for Patients With Hip Fractures: A Systematic Review.JAMA network open · 2022Pooled it
- Trial
- Incentivizing Hospital Quality Through Care Bundling.Health economics · 2025Article
- Risk Factors for Loss to Follow-up of Elderly Patients After Hip Fracture Surgery: A Retrospective Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- The Impact of the Fascia Iliaca Block Beyond Perioperative Pain Control in Hip Fractures: A Retrospective Review.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Development of a Model Care Pathway for Myasthenia Gravis.International journal of environmental research and public health · 2021Article
- Minimizing Nonessential Follow-up for Hip Fracture Patients.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- Different approaches towards geriatric trauma care for hip fracture patients: an inter-hospital comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Cost Determinants of Continuum-Care Episodes for Hip Fracture.Health services insights · 2021Article
- The Clinicians' Satisfaction with Clinical Pathway Implementation: Preliminary Development of an Assessment Scale in China.Risk management and healthcare policy · 2021Article
- Impact of an orthogeriatrician on length of stay of elderly patient with hip fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Article
- Cost-effectiveness of a multidisciplinary co-management program for the older hip fracture patients in Beijing.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2020Article
- Orthogeriatric Trauma Unit Improves Patient Outcomes in Geriatric Hip Fracture Patients.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- Prognostic factors of in-hospital complications after hip fracture surgery: a scoping review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019Article
- Long-term functional outcome after a low-energy hip fracture in elderly patients.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2019Article
- Long-term Patient-reported Quality of Life and Pain After a Multidisciplinary Clinical Pathway for Elderly Patients With Hip Fracture: A Retrospective Comparative Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2019Article
- Early coordinated rehabilitation in acute phase after hip fracture - a model for increased patient participation.BMC geriatrics · 2017Article
- Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe use of a multidisciplinary clinical pathway (MCP) for patients with hip fracture tends to be more effective than usual care (UC). The aim of this study was to evaluate the effects of an MCP approach on time to surgery, length of stay, postoperative complications, and 30-day mortality, compared to UC. MATERIALS AND
methodsThis multicenter retrospective cohort study included patients aged 50 years or older with a proximal hip fracture who underwent surgery in one of the 6 hospitals in the Limburg trauma region of the Netherlands in 2012. Data such as demographics, process outcome measures, and clinical outcome were collected.
resultsThis study included a total of 1193 patients (665 and 528 patients in the MCP and UC groups, respectively). There were no differences in patient demographics present. Time to surgery was significantly shorter in the MCP compared to the UC group (19.2 vs 24.4 hours, P < .01). The mean length of stay was 10 versus 12 days (P < .01). In the MCP group, significantly lower rates of postoperative complications were observed and significantly more patients were institutionalized than in the UC group. Mortality within 30 days after admission was comparable between the groups (overall mortality 6%).
conclusionAn MCP approach is associated with reduced time to surgery, postoperative complications, and length of stay, without a significant difference in 30-day mortality. The institutionalization rate was significantly higher in the MCP group.
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