Observational studyDeutsches Arzteblatt international2020
The Association Between Orthogeriatric Co-Management and Mortality Following Hip Fracture.
Observational study in Deutsches Arzteblatt international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.
What it found
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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
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.
Who cites it
78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 106 citations in OpenAlex.
- Clinical Practice Guideline: Comprehensive Geriatric Assessment in the Hospital.Deutsches Arzteblatt international · 2025Guideline
- Differences in hip fracture care in Europe: a systematic review of recent annual reports of hip fracture registries.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- [SOG-Special Orthopedic Geriatrics : First interim results of a randomized controlled study on integrated orthogeriatric care in elective hip and knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2024Trial
- [Geriatric care concepts in the treatment of patients with trochanteric femoral fractures].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Impact of orthogeriatric care: prescription patterns in hospitalized older adults.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Prevalence and Outcome of Delirium in Proximal Femur Fracture Patients Undergoing Orthogeriatric Treatment.Journal of clinical medicine · 2026Article
- [Osteosynthesis for tibial plateau fractures in geriatric patients].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- [Geriatric medicine shapes the Future : Recommendations for modern Geriatric Medicine that places older people and their needs at the centre].Zeitschrift fur Gerontologie und Geriatrie · 2026Review
- Standard-of-care vs. machine learning-recommended discharge destinations for geriatric surgical inpatients: algorithm development and internal validation.European geriatric medicine · 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
- Association of orthogeriatric co-management with the occurrence of secondary fragility fractures in patients with an initial hip fracture.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- [Pertrochanteric fractures].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Standard-of-care vs expert-recommended discharge destinations for geriatric surgical inpatients: a prospective observational cohort study.European geriatric medicine · 2026Observational
- Combining forces in dual certified centers of geriatric trauma/joint replacement according to the German trauma society (DGU)/endocert improves mobility and quality of life in elderly patients with femoral neck fractures: an analysis from the registry for geriatric trauma (ATR-DGU).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Blood urea nitrogen to albumin ratio and 1-year mortality after hip fracture surgery in older adults: a retrospective cohort study.Frontiers in medicine · 2026Article
- Beyond bone density: toward an integrated bone- muscle-function framework for fragility fracture prevention.Frontiers in medicine · 2026Article
- Prognostic nutritional index at admission predicts 90-day mortality in patients aged ≥80 years with hip fracture: a system-level readout of the nutrition-immune milieu relevant to microenvironment-responsive bone repair.Frontiers in medicine · 2026Article
- Evidence-Based Recommendations for Geriatric Trauma Care: Systematic Review and AI-Assisted Consolidation of Clinical Practice Guidelines Between 2016 and 2021.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Review
- [Peri-implant shaft fractures of the femur and tibia : Classification, diagnostics, treatment and geriatric trauma aspects].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- The Influence of Orthogeriatric Co-Management on Clinical Outcomes After Treatment of Proximal Femoral Fractures-Real World Data of Comparable Cohorts Originating from the Same Geographic Area.Journal of clinical medicine · 2025Article
18 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo meet the special needs of older patients with fragility fractures, models for collaborative orthogeriatric care have been developed. The objective of our study was to analyze the association of orthogeriatric co-management with mortality following hip fracture in older patients in Germany.
methodsThis observational study was based on health insurance claims data from 58 001 patients (79.4% women) aged ≥80 years admitted to the hospital with hip fracture between January 2014 and March 2016. They were treated in 828 German hospitals with or without orthogeriatric co-management. The outcome measure was cumulative mortality with adjustment of the regression analyses.
resultsThe crude 30-day mortality was 10.3% for patients from hospitals with orthogeriatric co-management and 13.4% for patients from hospitals without orthogeriatric co-management. The adjusted 30-day mortality was 22% lower for patients in hospitals with orthogeriatric co-management (rate ratio 0.78; 95% CI [0.74; 0.82]; adjusted absolute difference -2.48%; 95% CI [-2.98; -1.98]). The difference in 30-day mortality remained nearly unchanged over the first 6 months. The risk reduction with orthogeriatric co-management was consistently observed in both women and men, across age groups, and in patients with and without care needs. The mean length of the index stay was 19.8 days in hospitals with orthogeriatric co-management and 14.4 days in hospitals without orthogeriatric co-management.
conclusionA multidisciplinary orthogeriatric approach is associated with lower mortality and a longer index stay in hospital after hip fracture.
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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.