Evidence map›Paper›PMID 30976999›Full record

ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2019

Long-term functional outcome after a low-energy hip fracture in elderly patients.

Stijn G C J de Joode, Pishtiwan H S Kalmet, Audrey A A Fiddelers, Martijn Poeze, Taco J Blokhuis

Registry-linked trialAbstract read
In one paragraph

Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07299344 (Un Modello di Presa in Carico Continua Del Paziente Fragile), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07299344 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Un Modello di Presa in Carico Continua Del Paziente Fragile

TypeobservationalSponsorAzienda Sanitaria Locale CN2 Alba-BraRan2025 to 2028Enrolled100ConditionsNeurological Disorders, Orthopedic Disorders, Functional Decline, Fragile and More VulnerableArmsTelemedicine-Based Functional Monitoring
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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 · 2026
    Observational
  6. Factors associated with early follow-up attendance after geriatric hip fracture surgery.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Does early surgery within 48 hours improve clinical outcomes in elderly hip fractures? A matched cohort study of 1776 hip fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Potential Solutions for the Mitigation of Hip Injuries Caused by Falls in Older Adults: A Narrative Review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Review
  19. The prediction of early mortality following hip fracture surgery in patients aged 90 years and older: the Almelo Hip Fracture Score 90 (AHFSOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Article
  20. Gait biomechanics after proximal femoral nailing of intertrochanteric fractures.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    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

5 authors.

Stijn G C J de JoodeDepartment of Trauma Surgery, Maastricht University Medical Center+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands. sdejoode55@gmail.com.ORCID 0000-0002-8217-0120
Pishtiwan H S KalmetDepartment of Trauma Surgery, Maastricht University Medical Center+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
Audrey A A FiddelersNetwork Acute Care Limburg, Maastricht, The Netherlands.
Martijn PoezeDepartment of Trauma Surgery, Maastricht University Medical Center+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
Taco J BlokhuisDepartment of Trauma Surgery, Maastricht University Medical Center+, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of hip fractures is increasing. Elderly patients with a hip fracture frequently present with comorbidities, which are associated with higher mortality rates. Clinical studies regarding long-term functional outcome and mortality in hip fractures are rare. The aim of this study was to analyse the functional outcome and the mortality rate after a follow-up of 5 years in elderly patients with a hip fracture. MATERIALS AND

methodsThis combined retrospective and cross-sectional study included patients aged 65 years or older with a low energy hip fracture who underwent surgery in the Maastricht University Medical Center+, the Netherlands. Data such as demographics and mortality rates were retrospectively collected and functional outcome (i.e. mobility, pain, housing conditions and quality of life) was assessed by a questionnaire.

resultsTwo hundred and sixteen patients were included in this study (mean age 82.2, SD ± 7.5). No significant differences were found in pain before hip fracture and after 1-year and 5-year follow-ups. Long-term functional outcome deteriorated after a hip fracture, with a significant increase in the use of walking aids (p < 0.001), a significant decrease of patients living in a private home (p < 0.001), and a low physical quality of life (SF-12 PCS = 27.1). The mortality incidences after 30-day, 1-year and 5-year follow-ups were 7.9%, 37.0% and 69.4%, respectively.

conclusionLong-term functional outcome in elderly patients with hip fractures significantly deteriorated, with an increased dependency for mobility and housing conditions and a decreased physical quality of life. In addition, hip fractures are associated with high mortality rates at the 5-year follow-up. LEVEL OF EVIDENCE: Level III, a retrospective cohort study.

Indexed as

Quality of LifeAgedAged, 80 and overAge FactorsCross-Sectional StudiesFemaleFollow-Up StudiesFracture Fixation, InternalHip FracturesHumansMaleRetrospective StudiesSurveys and QuestionnairesTime FactorsTreatment OutcomeElderlyHip fractureLong-term functional outcomeMortality incidence

Identifiers

PMID30976999
PMCPMC6459450

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.