Evidence map›Paper›PMID 37977867›Full record

Trial reportBMJ open2023

Perspectives of informal caregivers who support people following hip fracture surgery: a qualitative study embedded within the HIP HELPER feasibility trial.

Allie Welsh, Sarah Hanson, Klaus Pfeiffer, Reema Khoury, Allan Clark, Polly-Anna Ashford, Sally Hopewell, Pip Logan, Maria Crotty, Matthew Costa and 3 more

Open access · goldAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. "Don't tell me I'm going to feel joy": The emotional burden of informal caregivers of patients with a fragility fracture discharged from a rehabilitation hospital.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  3. Article
  4. Article
  5. [Factors associated with physical dependency in adults with hip fracture].Revista medica del Instituto Mexicano del Seguro Social · 2024
    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

13 authors at 6 institutions in 3 countries.

Allie WelshSchool of Health Sciences, University of East Anglia, Norwich, UK a.welsh@uea.ac.uk.ORCID 0000-0001-8278-6673
Sarah HansonSchool of Health Sciences, University of East Anglia, Norwich, UK.ORCID 0000-0003-4751-8248
Klaus PfeifferDepartment of Clinical Gerontology and Geriatric Rehabilitation, Robert Bosch Hospital, Stuttgart, Germany.
Reema KhouryNorwich Clinical Trials Unit, University of East Anglia, Norwich, UK.
Allan ClarkNorwich Medical School, University of East Anglia, Norwich, UK.ORCID 0000-0003-2965-8941
Polly-Anna AshfordNorwich Clinical Trials Unit, University of East Anglia, Norwich, UK.
Sally HopewellNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-6881-6984
Pip LoganCommunity Health Sciences, University of Nottingham, Nottingham, UK.ORCID 0000-0002-6657-2381
Maria CrottyRehabilitation, Aged and Extended Care, Flinders University, Adelaide, South Australia, Australia.ORCID 0000-0002-2996-5135
Matthew CostaNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0003-3644-1388
Sallie LambCollege of Medicine and Health, University of Exeter, Exeter, UK.
Toby SmithSchool of Health Sciences, University of East Anglia, Norwich, UK.ORCID 0000-0003-1673-2954
Collaborators Hip Helper StudySchool of Health Sciences, University of East Anglia, Norwich, UK.
University of East Anglia · GBNuffield Orthopaedic Centre · GBFlinders University · AURobert Bosch Hospital · DEUniversity of Exeter · GBUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aims to illuminate the perspectives of informal caregivers who support people following hip fracture surgery.

designA qualitative study embedded within a now completed multicentre, feasibility randomised controlled trial (HIP HELPER).

settingFive English National Health Service hospitals.

participantsWe interviewed 20 participants (10 informal caregivers and 10 people with hip fracture), following hip fracture surgery. This included one male and nine females who experienced a hip fracture; and seven male and three female informal caregivers. The median age was 72.5 years (range: 65-96 years), 71.0 years (range: 43-81 years) for people with hip fracture and informal caregivers, respectively.

methodsSemistructured, virtual interviews were undertaken between November 2021 and March 2022, with caregiver dyads (person with hip fracture and their informal caregiver). Data were analysed thematically.

findingsWe identified two main themes: expectations of the informal caregiver role and reality of being an informal caregiver; and subthemes: expectations of care and services; responsibility and advocacy; profile of people with hip fracture; decision to be a caregiver; transition from hospital to home.

conclusionFindings suggest informal caregivers do not feel empowered to advocate for a person's recovery or navigate the care system, leading to increased and unnecessary stress, anxiety and frustration when supporting the person with hip fracture. We suggest that a tailored information giving on the recovery pathway, which is responsive to the caregiving population (ie, considering the needs of male, younger and more active informal caregivers and people with hip fracture) would smooth the transition from hospital to home. TRIAL REGISTRATION NUMBER: ISRCTN13270387.Cite Now.

Indexed as

CaregiversHip FracturesAgedFeasibility StudiesFemaleHumansMaleQualitative ResearchState MedicineHipQUALITATIVE RESEARCHREHABILITATION MEDICINE

Identifiers

PMID37977867
PMCPMC10660837
OpenAlexW4388783754

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.