Observational studyCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2019
The association of female sex with application of evidence-based practice recommendations for perioperative care in hip fracture surgery.
Observational study in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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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
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Who cites it
7 citing papers in PubMed, 12 citations in OpenAlex.
- Racial and Ethnic Disparities in Regional Anesthesia: A Brief Review.Journal of racial and ethnic health disparities · 2025Review
- Racial and Ethnic Disparities in Providing Guideline-Concordant Care After Hip Fracture Surgery.JAMA network open · 2024Article
- Disparities in the Epidemiology and Management of Fragility Hip Fractures.Current osteoporosis reports · 2023Review
- Survey and Interview Findings of an Environmental Scan of Perioperative Geriatric Models of Care in Canada.Canadian geriatrics journal : CGJ · 2023Article
- Hip fracture predicts subsequent hip fracture: a retrospective observational study to support a call to early hip fracture prevention efforts in post-fracture patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Observational
- Medical student exposure to women's health concepts and practices: a content analysis of curriculum at Canadian medical schools.BMC medical education · 2021Article
- The requirement for surgery and subsequent 30-day mortality in patients with COVID-19.Canadian journal of surgery. Journal canadien de chirurgie · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSex and gender inequality is prevalent in health care, and affects receipt of health care services and outcomes. Our objective was to measure the association between sex and receipt of evidence-based perioperative care for hip fracture in Ontario.
methodsThis was a population-based retrospective cross-sectional analysis. We identified all Ontario residents aged 66 years and older who had hip fracture surgery between 2014 and 2016. After protocol registration, we measured the adjusted association between female sex and perioperative geriatric care (primary outcome), anesthesia consultations, regional analgesia and neuraxial anesthesia (secondary outcomes) using multilevel multivariable adjusted logistic regression. Pre-specified sensitivity analyses were also performed.
resultsWe identified 22 661 patients who had hip fracture surgery; 16 162 (71.3%) were women. Women were less likely to receive perioperative geriatric care (adjusted odds ratio [OR] 0.80, 95% confidence interval [CI] 0.72 to 0.88) and anesthesia consultations (adjusted OR 0.89, 95% CI 0.80 to 0.98); women were more likely to have timely surgery (adjusted OR 1.26, 95% CI 1.17 to 1.36). Receipt of neuraxial anesthesia (adjusted OR 0.98, 95% CI 0.93 to 1.04) and regional analgesia (adjusted OR 1.00, 95% CI 0.94 to 1.07) were not different between sexes.
interpretationMore than 2 out of 3 patients who had hip fracture surgery were women; however, women were less likely to receive perioperative geriatric care and anesthesia consultations. Given the effectiveness of these interventions for improving outcomes, population-level hip fracture outcomes may be improved by decreasing sex-based disparities in application of evidence-based recommended perioperative care.
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Registered trials
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