ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
The goals of care in acute setting for geriatric patients in case of a hip fracture.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effects of in-hospital orthogeriatric care on health-related quality of life: a systematic review and meta-analysis.Age and ageing · 2025Pooled it
- Observational
- Beyond pain relief: a thematic exploration of informal caregiver experiences and needs following SPING block treatment in geriatric hip fracture patients.European geriatric medicine · 2026Article
- PALLIHIP-study: Spinal Phenol IN Glycerol (SPING-block) in palliative, frail, older adults with a hip fracture: a study protocol.BMC geriatrics · 2026Article
- Construct validity of real-world digital mobility outcomes in patients after proximal femoral fracture: a cross-sectional observational study.Scientific reports · 2026Observational
- Goals and expectations of older persons recovering from a hip fracture during geriatric rehabilitation: a qualitative study.European geriatric medicine · 2026Article
- Health Outcomes of Older Adults in Long-Term Care Homes Following Hospitalization for Hip Fracture Surgery: A Retrospective Observational Cohort Study in Ontario, Canada.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Evaluating the Accuracy and Reliability of Real-World Digital Mobility Outcomes in Older Adults After Hip Fracture: Cross-Sectional Observational Study.JMIR formative research · 2025Observational
- Experience with hip denervation in non-operative hip fracture care for frail older patients in the Netherlands: an interview study.BMJ open · 2025Article
- Exploring the role of systemic inflammation in guiding clinical decision making for geriatric patients with a hip fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Satisfaction and quality of dying with nonoperative end-of-life care for hospitalized and non-hospitalized frail older patients with (suspected) hip fractures: a combined cohort study.Acta orthopaedica · 2025Article
- A qualitative study regarding older people's goals of care in relation to frailty status: finding meaning in 'smaller things' in life.Age and ageing · 2025Article
- SPING Block Analgesia in Non-Operative Management of Proximal Femur Fractures in Older Adults Living with Frailty: A Retrospective Cohort Study.Geriatrics (Basel, Switzerland) · 2025Article
- Patient and proxy perspectives in decision-making for geriatric hip fracture management in the Netherlands: a qualitative study.BMJ open · 2024Article
- Beyond Mortality: Severely Frail Femur Fracture Patients Can Regain Independence after Surgery.Journal of clinical medicine · 2024Article
- Article
- What matters most to older adults: Racial and ethnic considerations in values for current healthcare planning.Journal of the American Geriatrics Society · 2023Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFor geriatric hip fracture patients, the decision between surgery and palliative, non-operative management is made through shared decision making (SDM). For this conversation, a physician must be familiar with the patient's goals of care (GOC). These are predominantly unknown for hip fracture patients and challenging to assess in acute setting. The objective was to explore these GOC of geriatric patients in case of a hip fracture.
methodsAn expert panel gathered possible outcomes after a hip fracture, which were transformed into statements where participants indicated their relative importance on a 100-point scoring scale during interviews. These GOC were ranked using medians and deemed important if the median score was 90 or above. Patients were aged 70 years or older with a hip contusion due to similarities with the hip fracture population. Three cohorts based on frailty criteria and the diagnosis of dementia were made.
resultsPreserving cognitive function, being with family and being with partner scored in all groups among the most important GOC. Both non-frail and frail geriatric patients scored return to pre-fracture mobility and maintaining independence among the most important GOC, where proxies of patients with a diagnosis of dementia scored not experiencing pain as the most important GOC.
conclusionAll groups scored preserving cognitive function, being with family and being with partner among the most important GOC. The most important GOC should be discussed when a patient is presented with a hip fracture. Since patients preferences vary, a patient-centered assessment of the GOC remains essential.
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