Evidence map›Paper›PMID 35407459›Full record

ArticleJournal of clinical medicine2022

Ethical Dilemmas with Regard to Elderly Patients with Hip Fracture: The Problem of Nonagenarians and Centenarians.

Mario Herrera-Pérez, David González-Martín, Emilio J Sanz, José L Pais-Brito

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06439537 (Improving Consent In Trauma), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
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.

NCT06439537 completednot on this mapstarted 2023, after this paper: background citation

Improving Consent In Trauma: Recall (ICIT: Recall) A Multicentre Study of Consent For Hip Fractures

TypeobservationalSponsorNHS LothianRan2023 to 2024Enrolled40ConditionsHip Fractures, Hip InjuriesArmsSemi-structured questionnaire, Post-operative interview
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. 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

4 authors at 2 institutions in 1 country.

Mario Herrera-PérezDepartment of Orthopaedics, University Hospital of Canary Islands, 38320 Tenerife, Spain.ORCID 0000-0001-6188-5269
David González-MartínDepartment of Orthopaedics, University Hospital of Canary Islands, 38320 Tenerife, Spain.ORCID 0000-0002-4891-515X
Emilio J SanzDepartment of Pharmacology, School of Medicine, Universidad de La Laguna, 38320 Tenerife, Spain.ORCID 0000-0001-6788-4435
José L Pais-BritoDepartment of Orthopaedics, University Hospital of Canary Islands, 38320 Tenerife, Spain.ORCID 0000-0001-5196-6225
Universidad de La Laguna · ESHospital Universitario de Canarias · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hip fracture is the most feared complication of osteoporosis, producing up to 30% mortality at the first year. With the aging of society, it is increasingly common to deal with ethical dilemmas that involve decision making in the elderly patient with a hip fracture. The objectives of the present work are to describe the main bioethical dilemmas in this group of patients and their relationship with surgical delay. We conducted a retrospective descriptive study that studied an elderly population admitted to a University Hospital with a diagnosis of hip fracture. In total, 415 patients were analyzed. The majority received surgical treatment, a correct application of the principles of justice, non-maleficence and beneficence is verified, but a possible violation of the principle of autonomy is confirmed. Based on the results of this study, the elderly population may somehow lose their principle of autonomy when they enter a hospital due to a hip fracture. On the other hand, the so-called ageism due to ignorance can influence the surgical delay and therefore the mortality of these patients.

Indexed as

autonomycapacityclinical ethicsinformed consentlegal aspects

Identifiers

PMID35407459
PMCPMC8999872
OpenAlexW4220912178

What OpenQuestion holds

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Registered trials

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.