Evidence map›Paper›PMID 32181049›Full record

ReviewGeriatric orthopaedic surgery & rehabilitation2020

The "Hip Fracture" Bundle-Experiences, Challenges, and Opportunities.

Azeem Tariq Malik, Safdar N Khan, Thuan V Ly, Laura Phieffer, Carmen E Quatman

Abstract readReview
In one paragraph

Review in Geriatric orthopaedic surgery & rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Implementation of a geriatric care bundle for older adults with acute burns.Burns : journal of the International Society for Burn Injuries · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Risk Factors Associated With Extended Length of Hospital Stay After Geriatric Hip Fracture.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021
    Article
  10. Article
  11. 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.

Azeem Tariq MalikDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Safdar N KhanDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Thuan V LyDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Laura PhiefferDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Carmen E QuatmanDepartment of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, USA.ORCID https://orcid.org/0000-0002-9945-7953

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWith growing popularity and success of alternative-payment models (APMs) in elective total joint arthroplasties, there has been recent discussion on the probability of implementing APMs for geriatric hip fractures as well. SIGNIFICANCE: Despite the growing interest, little is known about the drawbacks and challenges that will be faced in a stipulated "hip fracture" bundle.

resultsGiven the varying intricacies and complexities of hip fractures, a "one-size-fits-all" bundled payment may not be an amenable way of ensuring equitable reimbursement for participating physicians and hospitals.

conclusionsHealth-policy makers need to advocate for better risk-adjustment methods to prevent the creation of financial disincentives for hospitals taking care of complex, sicker patients. Hospitals participating in bundled care also need to voice concerns regarding the grouping of hip fractures undergoing total hip arthroplasty to ensure that trauma centers are not unfairly penalized due to higher readmission rates associated with hip fractures skewing quality metrics. Physicians also need to consider the launch of better risk-stratification protocols and promote geriatric comanagement of these patients to prevent occurrences of costly adverse events.

Indexed as

adult reconstructive surgeryeconomics of medicinefracturesfragilitygeriatric traumatrauma surgery

Identifiers

PMID32181049
PMCPMC7059231

What OpenQuestion holds

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LicenceCC BY-NC
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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.