Evidence map›Paper›PMID 32171319›Full record

Observational studyHealth and quality of life outcomes2020

Quality of life in elderly people after a hip fracture: a prospective study.

Francisco Javier Amarilla-Donoso, Fidel López-Espuela, Raúl Roncero-Martín, Olga Leal-Hernandez, Luis Manuel Puerto-Parejo, Ignacio Aliaga-Vera, Rosaura Toribio-Felipe, Jesús María Lavado-García

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Health and quality of life outcomes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 3 pooled it
15.3field-weighted citation impact, top 1% of its field
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

80 citing papers in PubMed, 3 syntheses or guidelines pooled it, 148 citations in OpenAlex.

  1. Nutritional supplementation withFrontiers in nutrition · 2026
    Pooled it
  2. Effectiveness of exercise rehabilitation interventions on depressive symptoms in older adults post hip fracture: 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 · 2024
    Pooled it
  3. Pooled it
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  6. Health-related quality of life after hip fracture: effects of a 12-month home-based exercise intervention-secondary analyses of an RCT.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024
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20 more citing papers are in PubMed but not listed here.

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

8 authors at 3 institutions in 1 country.

Francisco Javier Amarilla-DonosoDepartment of Nursing, Hospital Campo Arañuelo de Navalmoral de la Mata, Cáceres, Spain.
Fidel López-EspuelaNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avda. De la Universidad S/N. CP: 10003, Caceres, Spain. fidel.lopez.es@gmail.com.
Raúl Roncero-MartínNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avda. De la Universidad S/N. CP: 10003, Caceres, Spain.
Olga Leal-HernandezNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avda. De la Universidad S/N. CP: 10003, Caceres, Spain.
Luis Manuel Puerto-ParejoNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avda. De la Universidad S/N. CP: 10003, Caceres, Spain.
Ignacio Aliaga-VeraDepartment of Stomatology II, University of Madrid, Complutense, Madrid, Spain.
Rosaura Toribio-FelipeDepartment of Nursing, Hospital Virgen del Puerto, Plasencia, Plasencia, Spain.
Jesús María Lavado-GarcíaNursing Department, Nursing and Occupational Therapy College, University of Extremadura, Avda. De la Universidad S/N. CP: 10003, Caceres, Spain.
Universidad de Extremadura · ESHospital Virgen del Puerto · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip fracture is an important social and medical problem due to its increasing prevalence, the consequences for health and the economic impact on the health care system, but there is no doubt that it also has repercussions on health-related quality of life (HRQoL). Hence the importance of understanding and determining the impact of the condition on everyday life from the perspective of the patient's physical, emotional and social well-being. PURPOSE: To determine the impact of hip fracture on HRQoL of people over the age of 65 1 month after surgery, related factors and the effects on functional ability and mood.

methodsProspective observational study conducted in the traumatology units of two university hospitals in the province of Cáceres with consecutive sampling of all patients over the age of 65 admitted for hip fracture surgery during the study period. Sociodemographic and clinical data were recorded at the time of admission and prospectively at the follow-up visit 1 month later. Clinical, social, quality of life (EQ-5D-), basic functional and instrumental capacity (Barthel Index (BI) and Lawton & Brody Scale), and geriatric depression (Yesavage) variables were collected.

resultsThe study included 224 patients with a median age of 84.6 years (SD ± 6.1), 76.3% were female. Charlson's comorbidity was 5.3 (SD ± 1.2). The EQ-5D index decreased from 0.62 (SD ± 0.35) to 0.16 at 1 month follow up (SD ± 0.20) p <  0.001. The mean Visual Analog Scale (VAS) score of EQ-5D decreased from 72.8 (SD ±15.8) to 48.3 (SD ± 17.2) p <  0.001. All dimensions of EQ-5D showed a significant reduction from the time of pre-fracture status to 1 month after surgery. Independent factors associated with HRQoL 1 month after surgery were pre-fracture status Barthel Index score, Lawton and Brody scale, presence of depression, and type of surgery.

conclusionsAfter a hip fracture, patients experience considerable deterioration in their HRQoL, especially in self-care, daily activities, and mobility. There is also a significant decline in functional capacity for both the basic and instrumental activities of daily living. One month after surgery, HRQoL is a long way from pre-fracture levels.

Indexed as

Quality of LifeActivities of Daily LivingAgedAged, 80 and overComorbidityDepressionFemaleFollow-Up StudiesHip FracturesHumansMaleProspective StudiesTime FactorsGeriatric careHealth-related quality of lifeHip fracture

Identifiers

PMID32171319
PMCPMC7071575
OpenAlexW3012162999

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.