Observational studyOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2019
The orthogeriatric comanagement improves clinical outcomes of hip fracture in older adults.
Observational study in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 10 of them syntheses that pooled it.
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Who cites it
64 citing papers in PubMed, 10 syntheses or guidelines pooled it, 142 citations in OpenAlex.
- Effectiveness of geriatric rehabilitation in inpatient and day hospital settings: a systematic review and meta-analysis.BMC medicine · 2024Pooled it
- Do we understand each other when we develop and implement hip fracture models of care? A systematic review with narrative synthesis.BMJ open quality · 2023Pooled it
- The integrated structure of care: evidence for the efficacy of models of clinical governance in the prevention of fragility fractures after recent sentinel fracture after the age of 50 years.Archives of osteoporosis · 2023Pooled it
- 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 · 2023Pooled it
- Executive summary: Italian guidelines for diagnosis, risk stratification, and care continuity of fragility fractures 2021.Frontiers in endocrinology · 2023Pooled it
- Prognostic significance of frailty in older patients with hip fracture: a systematic review and meta-analysis.International orthopaedics · 2022Pooled it
- Evaluation of Systemwide Improvement Programs to Optimize Time to Surgery for Patients With Hip Fractures: A Systematic Review.JAMA network open · 2022Pooled it
- Effects of Orthogeriatric Care Models on Outcomes of Hip Fracture Patients: A Systematic Review and Meta-Analysis.Calcified tissue international · 2022Pooled it
- Multidisciplinary rehabilitation for older people with hip fractures.The Cochrane database of systematic reviews · 2021Pooled it
- 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 · 2020Pooled it
- Effectiveness of Perioperative Comprehensive Evaluation of Hip Fracture in the Elderly.Computational intelligence and neuroscience · 2022Trial
- Trial
- Femoral Arterial Calcification, Atherogenic Index of Plasma, and 1-Year Mortality After Hip Fracture: A Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026Article
- The impact of pre- versus postoperative geriatric consultation in elderly patients with hip fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Days at Home After Hip Fracture Among Older Adults With and Without Dementia.JAMA network open · 2026Article
- Observational study on the comparability of the clinical profiles of older adults with hip fractures and pelvic fractures in Germany.Zeitschrift fur Gerontologie und Geriatrie · 2026Article
- Impact of nurse-led orthogeriatric co-management for older patients with a major osteoporotic fracture: An observational pre-post study.BMC geriatrics · 2026Observational
- Management of dens fractures in older people and the role of the geriatrician: a survey of practice in UK and Ireland major trauma centres.European geriatric medicine · 2026Article
- Factors influencing the implementation of best clinical practices for hip fracture management in resource-constrained hospitals in China and co-design of quality improvement interventions: a qualitative study.The Lancet regional health. Western Pacific · 2026Article
4 more citing papers are in PubMed but not listed here.
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Treatment of older adults with hip fracture is a healthcare challenge. Orthogeriatric comanagement that is an integrated model of care with shared responsibility improves time to surgery and reduces the length of hospital stay and mortality compared with orthopedic care with geriatric consultation service and usual orthopedic care, respectively.
introductionTreatment of fractures in older adults is a clinical challenge due partly to the presence of comorbidity and polypharmacy. The goal of orthogeriatric models of care is to improve clinical outcomes among older people with hip fractures. We compare clinical outcomes of persons with hip fracture cared according to orthogeriatric comanagement (OGC), orthopedic team with the support of a geriatric consultant service (GCS), and usual orthopedic care (UOC).
methodsThis is a single-center, pre-post intervention observational study with two parallel arms, OGC and GCS, and a retrospective control arm. Hip fracture patients admitted to the trauma ward were assigned by the orthopedic surgeon to the OGC (n = 112) or GCS (n = 108) group. The intervention groups were compared each with others and both with the retrospective control group (n = 210) of older adults with hip fracture. Several clinical indicators are considered, including time to surgery, length of stay, in-hospital, and 1-year mortality.
resultsPatients in the OGC (OR 2.62; CI 95% 1.40-4.91) but not those in the GCS (OR 0.74; CI 95% 0.38-1.47) showed a higher probability of undergoing surgery within 48 h compared with those in the UOC. Moreover, the OGC (β, - 1.08; SE, 0.54, p = 0.045) but not the GCS (β, - 0.79; SE, 0.53, p = 0.148) was inversely associated with LOS. Ultimately, patients in the OGC (OR 0.31; CI 95 % 0.10-0.96) but not those in the GCS (OR 0.37; CI 95% 0.10-1.38) experienced a significantly lower 1-year mortality rate compared with those in the UOC. All analyses were independent of several confounders.
conclusionsOlder adults with hip fracture taken in care by the OGC showed better clinical indicators, including time to surgery, length of stay and mortality, than those managed by geriatric consultant service or usual orthopedic care.
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