Evidence map›Paper›PMID 33688974›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

Efficacy of two integrated geriatric care pathways for the treatment of hip fractures: a cross-cultural comparison.

Jip Quirijn Kusen, Puck Constance Ryanne van der Vet, Franciscus Jasper Gerardus Wijdicks, Egbertus Johannes Johannes Maria Verleisdonk, Bjorn Christian Link, Roderick Marijn Houwert, Matthias Knobe, Detlef van der Velde, Reto Babst, Frank Joseph Paulus Beeres

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Geriatric Models of Surgical Care: A Scoping Review.Journal of advanced nursing · 2026
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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

10 authors.

Jip Quirijn Kusen *Department of Surgery, Diakonessenhuis Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-1543-4840
Puck Constance Ryanne van der Vet *Department of Surgery, Diakonessenhuis Utrecht, Utrecht, The Netherlands.
Franciscus Jasper Gerardus WijdicksDepartment of Surgery, Diakonessenhuis Utrecht, Utrecht, The Netherlands.
Egbertus Johannes Johannes Maria VerleisdonkDepartment of Surgery, Diakonessenhuis Utrecht, Utrecht, The Netherlands.
Bjorn Christian LinkDepartment of Orthopaedic Trauma, Lucerne Cantonal Hospital, Spitalstrasse, CH-6000, Luzern, Switzerland.
Roderick Marijn HouwertDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Matthias KnobeDepartment of Orthopaedic Trauma, Lucerne Cantonal Hospital, Spitalstrasse, CH-6000, Luzern, Switzerland.
Detlef van der VeldeDepartment of Surgery, Sint Antoniusziekenhuis Nieuwegein, Nieuwegein, The Netherlands.
Reto BabstDepartment of Orthopaedic Trauma, Lucerne Cantonal Hospital, Spitalstrasse, CH-6000, Luzern, Switzerland.
Frank Joseph Paulus BeeresDepartment of Orthopaedic Trauma, Lucerne Cantonal Hospital, Spitalstrasse, CH-6000, Luzern, Switzerland. frank.beeres@luks.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMany studies have focussed on the implementation and outcomes of geriatric care pathways (GCPs); however, little is known about the possible impact of clinical practices on these pathways. A comparison was made between two traumageriatric care models, one Swiss (CH) and one Dutch (NL), to assess whether these models would perform similarly despite the possible differences in local clinical practices. MATERIALS AND

methodsThis cohort study included all patients aged 70 years or older with a unilateral hip fracture who underwent surgery in 2014 and 2015. The primary outcomes were mortality and complications. Secondary outcomes were time to surgical intervention, hospital length of stay (HLOS), differences in surgical treatment and the number of patients who needed secondary surgical intervention.

resultsA total of 752 patients were included. No differences were seen in mortality at 30 days, 90 days and 1 year post-operatively. In CH, fewer patients had a complicated course (43.5% vs. 51.3%; p = 0.048) and fewer patients were diagnosed with delirium (7.9% vs. 18.3%; p < 0.01). More myocardial infarctions (3.8% vs. 0.4%; p < 0.01) and red blood cell transfusions (27.2% vs. 13.3%; p < 0.01) were observed in CH and HLOS in CH was longer (Mdn difference: - 2; 95% CI - 3 to - 2). Furthermore, a difference in anaesthetic technique was found, CH performed more open reductions and augmentations than NL and surgeons in CH operated more often during out-of-office hours. Also, surgery time was significantly longer in CH (Mdn difference: - 62; 95% CI - 67 to - 58). No differences were seen in the number of patients who needed secondary surgical interventions.

conclusionsThis cross-cultural comparison of GCPs for geriatric hip fracture patients showed that quality of care in terms of mortality was equal. The difference in complicated course was mainly caused by a difference in delirium diagnosis. Differences were seen in surgical techniques, operation duration and timing. These clinical practices did not influence the outcome.

Indexed as

DeliriumHip FracturesAgedCohort StudiesCritical PathwaysCross-Cultural ComparisonHumansLength of StayPostoperative ComplicationsRetrospective StudiesClinical pathwayCross-cultural comparisonGeriatricianHip fractureTrauma surgeon

Identifiers

PMID33688974

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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.