Evidence map›Paper›PMID 37403839›Full record

ArticleThe American journal of hospice & palliative care2024

The Quality of Dying in Frail Institutionalized Older Patients After Nonoperative and Operative Management of a Proximal Femoral Fracture: An In-Depth Analysis.

Sverre A I Loggers, Romke Van Balen, Hanna C Willems, Taco Gosens, Suzanne Polinder, Kornelis J Ponsen, Cornelis L P Van de Ree, Jeroen Steens, Michael H J Verhofstad, Rutger G Zuurmond and 2 more

Abstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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

12 authors.

Sverre A I LoggersDepartment of Surgery, Northwest Clinics Alkmaar, Alkmaar, the Netherlands.
Romke Van BalenDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands.
Hanna C WillemsGeriatrics Section, Department of Internal Medicine, Amsterdam UMC Location AMC, Amsterdam, the Netherlands.
Taco GosensDepartment of Orthopaedic Surgery, Elisabeth-TweeSteden Ziekenhuis, Tilburg, the Netherlands.
Suzanne PolinderDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Kornelis J PonsenDepartment of Surgery, Northwest Clinics Alkmaar, Alkmaar, the Netherlands.
Cornelis L P Van de ReeDepartment Trauma TopCare, Elisabeth-TweeSteden Ziekenhuis, Tilburg, the Netherlands.
Jeroen SteensDepartment of Orthopaedic Surgery, Dijklander Ziekenhuis, Hoorn, the Netherlands.
Michael H J VerhofstadTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Rutger G ZuurmondDepartment of Orthopaedic Surgery, Isala, Zwolle, the Netherlands.
Pieter JoosseDepartment of Surgery, Northwest Clinics Alkmaar, Alkmaar, the Netherlands.
Esther M M Van LieshoutTrauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0002-2597-7948

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Proximal femoral fractures in frail patients have a poor prognosis. Despite the high mortality, little is known about the quality of dying (QoD) while this is an integral part of palliative care and could influence decision making on nonoperative- (NOM) or operative management (OM). To identify the QoD in frail patients with a proximal femoral fracture. Data from the prospective FRAIL-HIP study, that studied the outcomes of NOM and OM in institutionalized older patients ≥70 years with a limited life expectancy who sustained a proximal femoral fracture, was analyzed. This study included patients who died within the 6-month study period and whose proxies evaluated the QoD. The QoD was evaluated with the Quality of Dying and Death (QODD) questionnaire resulting in an overall score and 4 subcategory scores (Symptom control, Preparation, Connectedness, and Transcendence). In total 52 (64% of NOM) and 21 (53% of OM) of the proxies responded to the QODD. The overall QODD score was 6.8 (P

Indexed as

Proximal Femoral FracturesAgedDeathFrail ElderlyHumansPalliative CareProspective Studieship fracturenonoperativepalliative careproximal femoral fracturequality of dyingquality of dying and death

Identifiers

PMID37403839
PMCPMC11032625

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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.