Evidence map›Paper›PMID 31020360›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Different approaches towards geriatric trauma care for hip fracture patients: an inter-hospital comparison.

Jip Kusen, Puck van der Vet, Frans-Jasper Wijdicks, Marijn Houwert, Marcel Dijkgraaf, Marije Hamaker, Olivia Geraghty, Egbert-Jan Verleisdonk, Detlef van der Velde

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 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.

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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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 · 2020
    Pooled it
  4. Trial
  5. Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026
    Article
  6. Review
  7. Efficacy of two integrated geriatric care pathways for the treatment of hip fractures: a cross-cultural comparison.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  8. 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

9 authors.

Jip KusenDepartment of Surgery, Diakonessenhuis Utrecht, Bosboomstraat Utrecht 1, 3582 KE, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-1543-4840
Puck van der VetDepartment of Surgery, Diakonessenhuis Utrecht, Bosboomstraat Utrecht 1, 3582 KE, Utrecht, The Netherlands.
Frans-Jasper WijdicksDepartment of Surgery, Diakonessenhuis Utrecht, Bosboomstraat Utrecht 1, 3582 KE, Utrecht, The Netherlands. fjwijdicks@diakhuis.nl.
Marijn HouwertDepartment of Surgery, UMC Utrecht, Utrecht, The Netherlands.
Marcel DijkgraafDepartment of Clinical Epidemiology, AMC Amsterdam, Amsterdam, The Netherlands.
Marije HamakerDepartment of Geriatrics, Diakonessenhuis Utrecht, Utrecht, The Netherlands.
Olivia GeraghtyDepartment of Geriatrics, Antoniusziekenhuis Nieuwegein, Nieuwegein, The Netherlands.
Egbert-Jan VerleisdonkDepartment of Surgery, Diakonessenhuis Utrecht, Bosboomstraat Utrecht 1, 3582 KE, Utrecht, The Netherlands.
Detlef van der VeldeDepartment of Surgery, Antoniusziekenhuis Nieuwegein, Nieuwegein, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHip fractures in geriatric patients have high morbidity and mortality rates. The implementation of a multidisciplinary geriatric care pathway (GCP) may improve treatment for this patient population. This study focusses on two level II hospitals with a different treatment protocols. A comparison was made between a multidisciplinary GCP and extensive standard care with a focus on geriatric hip fracture patients to assess if a multidisciplinary GCP leads to lower mortality and morbidity.

methodsThis retrospective cohort study included patients aged 70 years or older with a unilateral proximal hip fracture who underwent surgery between January 2014 and December 2015. The primary outcome measures complications and 30-day mortality. Secondary outcome measures were time to surgery, hospital length of stay (HLOS) and secondary surgical interventions.

resultsThis study included a total of 898 patients. No differences were found between major postoperative complications, 30-day mortality, HLOS or the amount of secondary surgical interventions.

conclusionsMortality, major complications, HLOS and the amount of secondary surgical interventions showed no differences between both hospitals. This inter-hospital comparison of two types of geriatric care models showed no outcome that favours one specific geriatric care model over another. This provides opportunities for future studies to get a better understanding of what specific factors of geriatric care models contribute most to an improvement in the treatment of this patient population and decide which approach is most cost effective.

Indexed as

Emergency Medical ServicesHip FracturesAgedHospitalsHumansLength of StayRetrospective StudiesClinical pathwayElderlyGeriatricianHip fracture

Identifiers

PMID31020360

What OpenQuestion holds

Textmetadata
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.