Evidence map›Paper›PMID 34287785›Full record

ReviewAging clinical and experimental research2021

Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus.

Antonio De Vincentis, Astrid Ursula Behr, Giuseppe Bellelli, Marco Bravi, Anna Castaldo, Lucia Galluzzo, Giovanni Iolascon, Stefania Maggi, Emilio Martini, Alberto Momoli and 22 more

Abstract readReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Aging clinical and experimental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  6. Association between geriatric co-management and receipt of rehabilitation services in the inpatient postoperative period among older adults with cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

32 authors.

Antonio De VincentisUnit of Internal Medicine and Geriatrics, Università Campus Bio-Medico di Roma, 00128, Rome, Italy.
Astrid Ursula BehrOperative Unit of Anesthesia and Resuscitation, Hospital of Camposampiero, Padua, Italy.
Giuseppe BellelliAcute Geriatric and Orthogeriatric Unit, S. Gerardo Hospital, Monza, Italy.
Marco BraviPhysical and Rehabilitation Medicine Department, Campus Bio-Medico University of Rome, Rome, Italy.
Anna CastaldoBachelor of Nursing, IRCCS SMN Fondazione Don Gnocchi, University of Milan, Milano, Italy.
Lucia GalluzzoDepartment of Cardiovascular, Endocrine-Metabolic Diseases and Ageing, Istituto Superiore di Sanità, Rome, Italy.
Giovanni IolasconDepartment of Medical and Surgical Specialties and Dentistry, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Stefania MaggiInstitute of Neuroscience, Aging Branch, CNR, Padua, Italy.
Emilio MartiniOrthogeriatric Unit, Azienda Ospedaliero Universitaria di Modena, Ospedale Civile di Baggiovara, Modena, Italy.
Alberto MomoliOrthopedic and Traumatology Unit, San Bortolo Hospital, Vicenza, Italy.
Graziano OnderDepartment of Cardiovascular, Endocrine-Metabolic Diseases and Ageing, Istituto Superiore di Sanità, Rome, Italy.
Marco PaolettaDepartment of Medical and Surgical Specialties and Dentistry, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Luca PietrograndeOrthopedy and Traumatology, Department of Health Sciences, San Paolo University Hospital, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, University of Milan Medical School, Milan, Italy.
Mauro RoselliOrthopedic and Traumatology Unit, 'Maria Vittoria' Hospital, Torino, Italy.
Mauro RuggeriSocietà Italiana di Medicina Generale (SIMG), Firenze, Italy.
Carmelinda RuggieroOrthogeriatric Unit, Geriatric Unit, Section of Gerontology and Geriatrics, Department of Medicine and Surgery, University of Perugia, S. Maria della Misericordia Hospital, S. Andrea delle Fratte, Perugia, Italy.
Fabio SantacaterinaPhysical and Rehabilitation Medicine Department, Campus Bio-Medico University of Rome, Rome, Italy.
Luigi TritapepeOperative Unit of Anesthesia and Intensive Care Medicine, San Camillo-Forlanini Hospital, Rome, Italy.
Amedeo ZurloGeriatric and Orthogeriatric Unit, Arcispedale S. Anna, University of Ferrara, Ferrara, Italy.
Raffaele Antonelli IncalziUnit of Internal Medicine and Geriatrics, Università Campus Bio-Medico di Roma, 00128, Rome, Italy. r.antonelli@unicampus.it.
Società Italiana Geriatria e Gerontologia (SIGG),
Associazione Italiana di Psicogeriatria (AIP),
Società Italiana di Geriatria Ospedale e Territorio (SIGOT),
Società Italiana di Medicina Generale (SIMG),
Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI),
Società Italiana di Ortopedia e Traumatologia (SIOT),
Fragility Fracture Network-Italia (FFN-I),
Società Italiana di Medicina Fisica e Riabilitativa (SIMFER),
Società Italiana di Fisioterapia (SIF),
Consiglio Nazionale delle Ricerche (CNR),
Associazione Italiana di Fisioterapia (AIFI),
Istituto Superiore Sanità (ISS)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth outcomes of older subjects with hip fracture (HF) may be negatively influenced by multiple comorbidities and frailty. An integrated multidisciplinary approach (i.e. the orthogeriatric model) is, therefore, highly recommended, but its implementation in clinical practice suffers from the lack of shared management protocols and poor awareness of the problem. The present consensus document has been implemented to address these issues.

aimTo develop evidence-based recommendations for the orthogeriatric co-management of older subjects with HF.

methodsA 20-member Expert Task Force of geriatricians, orthopaedics, anaesthesiologists, physiatrists, physiotherapists and general practitioners was established to develop evidence-based recommendations for the pre-, peri-, intra- and postoperative care of older in-patients (≥ 65 years) with HF. A modified Delphi approach was used to achieve consensus, and the U.S. Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence.

resultsA total of 120 recommendations were proposed, covering 32 clinical topics and concerning preoperative evaluation (11 topics), perioperative (8 topics) and intraoperative (3 topics) management, and postoperative care (10 topics).

conclusionThese recommendations should ease and promote the multidisciplinary management of older subjects with HF by integrating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities.

Indexed as

Health Services for the AgedHip FracturesAgedGeriatriciansHumansItalyConsensusFemur fractureHip fractureOlderOrthogeriatric management

Identifiers

What OpenQuestion holds

Textmetadata
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.