Observational studyBMJ quality & safety2023
Days alive and at home after hip fracture: a cross-sectional validation of a patient-centred outcome measure using routinely collected data.
Observational study in BMJ quality & safety, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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
25 citing papers in PubMed, 31 citations in OpenAlex.
- Valid Standard Errors for Bayesian Quantile Regression With Clustered and Independent Data.Journal of educational and behavioral statistics : a quarterly publication sponsored by the American Educational Research Association and the American Statistical Association · 2026Article
- Patterns of patient worry following major emergency abdominal surgery: a 180-day follow-up study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Days at Home After Hip Fracture Among Older Adults With and Without Dementia.JAMA network open · 2026Article
- Days at Home After Serious Health Events Among Community-Living Older Persons.Journal of the American Geriatrics Society · 2026Article
- Article
- Long-Term Outcomes Associated With Peripheral Nerve Blocks for Hip Fracture Surgery: A Retrospective Comparison of Medicare Data.Journal of the American Geriatrics Society · 2026Article
- A novel patient-centered outcome in cancer care, days at home: a scoping review and guide for its future use.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Impact of treatment strategy after malignant bowel obstruction in stage IV gastrointestinal cancer: population-based cohort study.BJS open · 2025Article
- Description and validation of the Postoperative Discharge Recovery State outcome: a patient-partnered population-based cohort study.British journal of anaesthesia · 2025Article
- Days at home after treatment of spinal metastases: measurement and validation of a novel patient centered outcome.Journal of neuro-oncology · 2025Article
- The Impact of Cardiovascular Diseases on Postoperative Complications in Orthopedic Trauma Patients.Diagnostics (Basel, Switzerland) · 2025Article
- Article
- Days at home after surgery as a perioperative outcome: scoping review and recommendations for use in health services research.The British journal of surgery · 2024Article
- Association between pre-hip fracture depression and days at home after fracture and assessing sex differences.Journal of the American Geriatrics Society · 2024Article
- Association Between Surgeon Sex and Days Alive at Home Following Surgery: A Population-Based Cohort Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- A quasi-experimental evaluation of the association between implementation of Quality-Based Procedures funding for hip fractures and improvements in processes and outcomes for hip fracture patients in Ontario: an interrupted time series analysis.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Article
- Utilising patient-reported outcomes for goal-directed therapy of hip fracture patients: a sequential controlled trial.BMJ open quality · 2023Article
- Associations of Days Spent at Home Before Hip Fracture With Postfracture Days at Home and 1-Year Mortality Among Medicare Beneficiaries Living With Alzheimer's Disease or Related Dementias.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Associations of sex, Alzheimer's disease and related dementias, and days alive and at home among older Medicare beneficiaries recovering from hip fracture.Journal of the American Geriatrics Society · 2023Article
- Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundDays alive and at home (DAH) is a patient centered outcome measureable in routinely collected health data. The validity and minimally important difference (MID) in hip fracture have not been evaluated.
objectiveWe assessed construct and predictive validity and estimated a MID for the patient-centred outcome of DAH after hip fracture admission.
methodsThis is a cross-sectional observational study using linked health administrative data in Ontario, Canada. DAH was calculated as the number of days alive within 90 days of admission minus the number of days hospitalised or institutionalised. All hospital admissions (2012-2018) for hip fracture in adults aged >50 years were included. Construct validity analyses used Bayesian quantile regression to estimate the associations of postulated patient, admission and process-related variables with DAH. The predictive validity assessed was the correlation of DAH in 90 days with the value from 91 to 365 days; and the association and discrimination of DAH in 90 days predicting subsequent mortality. MID was estimated by averaging distribution-based and clinical anchor-based estimates.
resultsWe identified 63 778 patients with hip fracture. The median number of DAH was 43 (range 0-87). In the 90 days after admission, 8050 (12.6%) people died; a further 6366 (10.0%) died from days 91 to 365. Associations between patient-level and admission-level factors with the median DAH (lower with greater age, frailty and comorbidity, lower if admitted to intensive care or having had a complication) supported construct validity. DAH in 90 days after admission was strongly correlated with DAH in 365 days after admission (r=0.922). An 11-day MID was estimated.
conclusionDAH has face, construct and predictive validity as a patient-centred outcome in patients with hip fracture, with an estimated MID of 11 days. Future research is required to include direct patient perspectives in confirming MID.
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