Evidence map›Paper›PMID 31897865›Full record

Observational studyArchives of osteoporosis2020

Burden of illness of hip fractures in elderly Dutch patients.

T A Kanters, C L P van de Ree, M A C de Jongh, T Gosens, L Hakkaart-van Roijen

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Archives of osteoporosis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Geriatric rehabilitation care after hip fracture.European geriatric medicine · 2023
    Trial
  5. Factors associated with frailty and the effect of frailty on postoperative outcomes in older adults with hip fracture.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
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  7. Observational
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  9. Validation of the orthopedic frailty score for measuring frailty in hip fracture patients: a cohort study based on the United States National inpatient sample.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  10. Trends in incidence, health care consumption, and costs for proximal femoral fractures in the Netherlands between 2000 and 2019: a nationwide study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Article
  11. A nationwide analysis on the interaction between frailty and beta-blocker therapy in hip fracture patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  12. Epidemiology of elderly fractures in a tertiary hospital in Northern Ghana: a 3-year retrospective descriptive review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  13. Dementia is a surrogate for frailty in hip fracture mortality prediction.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  14. Prognosis and institutionalization of frail community-dwelling older patients following a proximal femoral fracture: a multicenter retrospective cohort study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Article
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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.

T A KantersInstitute for Medical Technology Assessment, Erasmus University Rotterdam, Burgemeester Oudlaan 50, PO Box 1738, 3000, Rotterdam, DR, Netherlands. kanters@imta.eur.nl.
C L P van de ReeDepartment Trauma TopCare, Elisabeth-Tweesteden Hospital, Hilvarenbeekseweg 60, 5022, Tilburg, GC, Netherlands.
M A C de JonghDepartment Trauma TopCare, Elisabeth-Tweesteden Hospital, Hilvarenbeekseweg 60, 5022, Tilburg, GC, Netherlands.
T GosensDepartment Trauma TopCare, Elisabeth-Tweesteden Hospital, Hilvarenbeekseweg 60, 5022, Tilburg, GC, Netherlands.
L Hakkaart-van RoijenInstitute for Medical Technology Assessment, Erasmus University Rotterdam, Burgemeester Oudlaan 50, PO Box 1738, 3000, Rotterdam, DR, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with hip fractures experience reduced health-related quality of life and have a reduced life expectancy. Patients' utilization of healthcare leads to costs to society. The results of the study can be used in future economic evaluations of treatments for hip fractures. PURPOSE: Hip fractures are associated with high mortality, reduced quality of life, and increased healthcare utilization, leading to an economic burden to society. The purpose of this study is to determine the burden of illness of hip fractures in elderly Dutch patients for specific time periods after surgery.

methodsPatients with a hip fracture above the age of 65 were included in the study. In the 1-year period after surgery, patients were asked to complete a set of questionnaires pre-injury (retrospectively), and 1 week, 1 month, 3 months, 6 months and 12 months after surgery. The set of questionnaires included the Euroqol 5D (EQ-5D-3L), the iMTA Medical Consumption Questionnaire (iMCQ) and iMTA Productivity Cost Questionnaire (iPCQ). Health-related quality of life was calculated using Dutch tariffs. Costs were calculated using the methodology described in the Dutch costing manual.

resultsApproximately 20% of patients with a hip fracture died within 1 year. Health-related quality of life was significantly reduced compared to pre-injury values, and patients did not recover to their pre-injury values within 1 year. Total costs in the first year after injury were €27,573, of which 10% were due to costs of the procedure (€2706). Total follow-up costs (€24,876) were predominantly consisting of healthcare costs. Monthly costs decreased over time.

conclusionsHip fractures lead to a burden to patients, resulting from mortality and health-related quality of life reductions, and to society, due to (healthcare) costs. The results of this study can be used in future economic evaluations.

Indexed as

Cost of IllnessAgedAged, 80 and overAge DistributionCost-Benefit AnalysisFemaleHealth Care CostsHip FracturesHumansMaleNetherlandsQuality-Adjusted Life YearsQuality of LifeRetrospective StudiesSurveys and QuestionnairesBurden of illnessCostsElderlyHealth-related quality of lifeHip fractures

Identifiers

PMID31897865
PMCPMC6940317

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.