Observational studyThe bone & joint journal2021
Does performance-based remuneration improve outcomes in the treatment of hip fracture?
Observational study in The bone & joint journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 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.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Interventions to improve hip fracture guideline adherence for time to surgery and early mobilization: a systematic review and meta-analysis.BMC geriatrics · 2025Pooled it
- Long-term outcome collection after hip fracture in Ireland: a systematic review of traditional and grey literature.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023Pooled it
- The RELIEF feasibility trial: topical lidocaine patches in older adults with rib fractures.Emergency medicine journal : EMJ · 2024Trial
- Population-based incidence rate of in-hospital delirium in older adults in Norway-a HUNT study.Age and ageing · 2026Article
- Article
- Three-year trends in early hip fracture surgery surrounding a national reimbursement policy in Japan.Journal of bone and mineral metabolism · 2025Article
- Hip fracture care in Zimbabwe : a cohort-based health economic analysis.Bone & joint open · 2025Article
- Enhanced recovery following neck of femur fractures - improving outcomes : a survey of current perioperative practice.Bone & joint open · 2025Article
- The influence of socioeconomic position on patient-reported outcome measures following hip fractures - a register-based observational study on 35,206 patients from the Norwegian hip fracture register 2014-2018.Health and quality of life outcomes · 2025Observational
- Article
- The World Hip Trauma Evaluation (WHiTE) platform trial: a framework for randomized comparisons of interventions for fragility hip fracture.Bone & joint open · 2025Article
- Oral Nutritional Supplementation in Older Adults with a Hip Fracture-Findings from a Bi-National Clinical Audit.Healthcare (Basel, Switzerland) · 2024Article
- Delirium and Cognitive Screening in National Hip Fracture Registries: Scoping Review Protocol.HRB open research · 2024Article
- Inter-departmental variation in surgical treatment of proximal femoral fractures: A nationwide observational cohort study.PloS one · 2023Observational
- Developing a minimum common dataset for hip fracture audit to help countries set up national audits that can support international comparisons.The bone & joint journal · 2022Article
- Fragility Fracture Systems: International Perspectives - Asia & Australia.OTA international : the open access journal of orthopaedic trauma · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsThe aim of this study was to determine whether national standards of best practice are associated with improved health-related quality of life (HRQoL) outcomes in hip fracture patients.
methodsThis was a multicentre cohort study conducted in 20 acute UK NHS hospitals treating hip fracture patients. Patients aged ≥ 60 years treated operatively for a hip fracture were eligible for inclusion. Regression models were fitted to each of the "Best Practice Tariff" indicators and overall attainment. The impact of attainment on HRQoL was assessed by quantifying improvement in EuroQol five-dimension five-level questionnaire (EQ-5D-5L) from estimated regression model coefficients.
resultsA total of 6,532 patients provided both baseline and four-month EQ-5D-5L, of whom 1,060 participants had died at follow-up. Best practice was achieved in the care of 57% of participants; there was no difference in age, cognitive ability, and mobility at baseline for the overall attainment and non-attainment groups. Attaining at least 'joint care by surgeon and orthogeriatrician', 'delirium assessment', and 'falls assessment' was associated with a large, clinically relevant increase in four months EQ-5D-5L of 0.094 (bootstrapped 95% confidence interval (CI) 0.046 to 0.146).
conclusionNational standards with enhanced remuneration in hip fracture care results in improvement in individual patients' HRQoL. Cite this article:
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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.