Evidence map›Paper›PMID 30391413›Full record

ArticleArchives of physical medicine and rehabilitation2019

Residual Disability, Mortality, and Nursing Home Placement After Hip Fracture Over 2 Decades.

Danielle S Abraham, Erik Barr, Glenn V Ostir, J Richard Hebel, Justine Golden, Ann L Gruber-Baldini, Jack M Guralnik, Marc C Hochberg, Denise L Orwig, Barbara Resnick and 1 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.6field-weighted citation impact, top 11% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  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

11 authors at 2 institutions in 1 country.

Danielle S AbrahamDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
Erik BarrDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
Glenn V OstirDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD; Institute of Gerontology, University of Georgia College of Public Health, Athens, GA.
J Richard HebelDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
Justine GoldenDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
Ann L Gruber-BaldiniDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
Jack M GuralnikDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
Marc C HochbergDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD; Department of Medicine, University of Maryland School of Medicine, Baltimore, MD.
Denise L OrwigDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.
Barbara ResnickUniversity of Maryland School of Nursing, Baltimore, MD.
Jay S MagazinerDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD. Electronic address: jmagazin@som.umaryland.edu.
University of Maryland, Baltimore · USUniversity of Georgia · US

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
Sequelae of Hip Fracture in Men: An Epidemiologic StudyR37AG009901 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 1992 to 2018
$11.3M
RESEARCH TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000262 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ANN L GRUBER-BALDINI, DENISE L ORWIG · 1998 to 2026
$8.2M
The Epidemiology of Bone Strength and Muscle Composition After Hip Fracture in MeR01AG029315 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 2007 to 2011
$4.1M
Determinants of Recovery Following Hip FractureR01AG018668 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY STEVEN · 2001 to 2004
$2.3M
TESTING THE EXERCISE PLUS PROGRAM FOLLOWING HIP FRACTURER01AG017082 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI RESNICK, BARBARA M · 1999 to 2002
$1.6M
NIA NIH HHS P30 AG028747NIA NIH HHS R01 AG017082NIA NIH HHS R01 AG018668NIA NIH HHS R01 AG029315NIA NIH HHS R37 AG009901NIA NIH HHS T32 AG000262
6 · The paper itself

Abstract

objectiveTo examine trends in 12-month postfracture residual disability, nursing home placement, and mortality among patients with a hip fracture between 1990 and 2011.

designSecondary analysis of 12-month outcomes from 3 cohort studies and control arms of 2 randomized controlled trials.

settingOriginal studies were conducted as part of the Baltimore Hip Studies (BHS).

participantsCommunity-dwelling patients ≥65 years of age hospitalized for surgical repair of a nonpathologic hip fracture (N=988).

main outcome measuresTwelve-month residual disability, mortality, and nursing home residency were examined in case-mix adjusted models by sex and study. Residual disability was calculated by subtracting prefracture scores of Lower Extremity Physical Activities of Daily Living from scores at 12 months postfracture. We also examined the proportion of individuals with a 12-month score higher than their prefracture score (residual disability>0).

resultsOnly small improvements were seen in residual disability between 1990 and 2011. No significant differences were seen for men between BHS2 (enrollment 1990-1991; mean residual disability=3.1 activities; 95% confidence interval [CI], 2.16-4.10) and BHS7 (enrollment 2006-2011; mean=3.1 activities; 95% CI, 2.41-3.82). In women, residual disability significantly improved from BHS2 (mean=3.5 activities; 95% CI, 2.95-3.99) to BHS3 (enrollment 1992-1995; mean=2.7 activities; 95% CI, 2.01-3.30) with no significant improvements in later studies. After adjustment, a substantial proportion (91% of men and 79% of women) had a negative outcome (residual disability, died, or nursing home residence at 12 months) in the most recently completed study (BHS7).

conclusionsOver 2 decades, patients undergoing usual care post-hip fracture still had substantial residual disability. Additional clinical and research efforts are needed to determine how to improve hip fracture treatment, rehabilitation, and subsequent outcomes.

Indexed as

Activities of Daily LivingAgedAged, 80 and overBaltimoreDisability EvaluationExercise TestFemaleHip FracturesHumansLongitudinal StudiesMaleNursing HomesPatient AdmissionStair ClimbingDisability evaluationHip fracturesOutcome assessment (health care)Rehabilitation

Identifiers

PMID30391413
PMCPMC6487218
OpenAlexW2898919580

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.