Evidence map›Paper›PMID 36869882›Full record

SynthesisOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2023

Long-term outcome collection after hip fracture in Ireland: a systematic review of traditional and grey literature.

Mary E Walsh, Caitriona Cunningham, Louise Brent, Bibiana Savin, Michelle Fitzgerald, Catherine Blake

Abstract readSystematic Review
In one paragraph

Synthesis in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. 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 · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Benefits of an advanced nurse practitioner led hip fracture clinic in an Irish Orthopaedic Trauma Service.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  7. Review
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  9. 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

6 authors.

Mary E WalshSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin 4, Ireland. m.walsh@ucd.ie.ORCID http://orcid.org/0000-0001-8920-7419
Caitriona CunninghamSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin 4, Ireland.ORCID http://orcid.org/0000-0002-8916-9499
Louise BrentNational Office of Clinical Audit, Royal College of Surgeons in Ireland, Dublin 2, Ireland.ORCID http://orcid.org/0000-0002-5850-4637
Bibiana SavinSage Advocacy, Dublin 7, Ireland.
Michelle FitzgeraldPeamount Healthcare, County Dublin, Ireland.
Catherine BlakeSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin 4, Ireland.ORCID http://orcid.org/0000-0002-0600-629X

Funding

Health Research Board ARPP-2020-004
6 · The paper itself

Abstract

This review aimed to describe the methods and results from recent Irish research about post-acute hip fracture outcomes. Meta-analyses estimate the 30-day and 1-year mortality rate at 5% and 24% respectively. There is a need for standardised recommendations about which data should be recorded to aid national and international comparisons. PURPOSE: Over 3700 older adults experience hip fracture in Ireland annually. The Irish Hip Fracture Database national audit records acute hospital data but lacks longer-term outcomes. This systematic review aimed to summarise and appraise recent Irish studies that collected long-term hip fracture outcomes and to generate pooled estimates where appropriate.

methodsElectronic databases and grey literature were searched in April 2022 for articles, abstracts, and theses published from 2005 to 2022. Eligible studies were appraised by two authors and outcome collection details summarised. Meta-analyses of studies with common outcomes were conducted where the sample was generalisable to the broad hip fracture population.

resultsIn total, 84 studies were identified from 20 clinical sites. Outcomes commonly recorded were mortality (n = 48 studies; 57%), function (n = 24; 29%), residence (n = 20; 24%), bone-related outcomes (n = 20; 24%), and mobility (n = 17; 20%). One year post-fracture was the most frequent time point, and patient telephone contact was the most common collection method used. Most studies did not report follow-up rates. Two meta-analyses were performed. The pooled estimate for one-year mortality was 24.2% (95% CI = 19.1-29.8%, I

conclusionHip fracture long-term outcomes collected in Irish research are broadly in line with international recommendations. Heterogeneity of measures and poor reporting of methods and findings limits collation of results. Recommendations for standard outcome definitions nationally are warranted. Further research should explore the feasibility of recording long-term outcomes during routine hip fracture care in Ireland to enhance national audit.

Indexed as

Gray LiteratureHip FracturesAgedHumansIrelandFemoral fractureHip fractureIrelandMortalityPatient-reported outcomesSystematic review

Identifiers

PMID36869882
PMCPMC10281894

What OpenQuestion holds

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Registered trials

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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.