ArticleCanadian geriatrics journal : CGJ2018
Patient and Caregiver Understanding of Prognosis After Hip Fracture.
Article in Canadian geriatrics journal : CGJ, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Beyond pain relief: a thematic exploration of informal caregiver experiences and needs following SPING block treatment in geriatric hip fracture patients.European geriatric medicine · 2026Article
- Perceived usability and acceptability of the My-Hip Fracture risk communication tool from the perspective of academic clinicians.PEC innovation · 2024Article
- A Simple Physical Therapy Algorithm Is Successful in Decreasing Skilled Nursing Facility Length of Stay and Increasing Cost Savings After Hip Fracture With No Increase in Adverse Events.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Prognostic Awareness in Advanced Disease: A Review Update and Concept Analysis.Frontiers in psychology · 2021Review
- 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
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Authors and funding
6 authors.
Funding
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Abstract
backgroundHip fracture (HF) is common and requires communication between patient, family, surgeons, and hospitalists. Patient and family understanding of the seriousness of HF is unclear.
methodsWe interviewed older patients (age > 65 years) hospitalized with HF at two Canadian academic hospitals, or their surrogate decision-makers (SDMs). We used qualitative methods to explore understanding of HF treatment options and prognosis. Participants estimated probability of mortality and living independently 30 days after surgery. Results were compared with estimates from the National Surgery Quality Improvement Program (NSQIP) surgical risk calculator.
results9 patients and 3 SDMs were interviewed. Mean age of 12 patients was 82.5 years (75% female). Participants were uncertain about recovery timeline and degree of functional recovery, as well as content and duration of rehabilitation. Participants' mean estimated 30-day mortality of 6.7% did not differ significantly from estimated mortality predicted by NSQIP (7.5%;
conclusionsOlder patients and SDMs lack understanding about prognosis and functional recovery even after providing informed consent for HF surgery. Clinical teams should improve communication of prognosis and recovery information to patients and surrogates.
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