ArticleEuropean geriatric medicine2025
Defining optimal orthogeriatric hip fracture care: a delphi consensus approach.
Article in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Current practices and challenges in orthogeriatrics: findings from a European six-center survey.European geriatric medicine · 2026Article
- When evidence is not the barrier: bridging the implementation gap in orthogeriatric care.European geriatric medicine · 2026Article
- Management and optimisation in the preoperative phase for patients with a fractured hip.EFORT open reviews · 2026Review
- Factors influencing the implementation of best clinical practices for hip fracture management in resource-constrained hospitals in China and co-design of quality improvement interventions: a qualitative study.The Lancet regional health. Western Pacific · 2026Article
- Harnessing psychological resilience in hip fracture recovery: The overlooked role of sense of coherence.World journal of psychiatry · 2026Article
- Early oral nutritional supplementation and postoperative recovery after hip arthroplasty in malnourished older adults with femoral neck fracture.Frontiers in nutrition · 2026Article
- Early versus delayed hip arthroplasty for femoral neck fractures in the elderly: a comparative study on multidimensional recovery.Frontiers in medicine · 2026Article
- Difference in discharge disposition, adherence to clinical care standards and functional outcomes of older hip fracture patients receiving an orthogeriatric model of care versus routine care.Journal of orthopaedic surgery and research · 2025Article
- Hip Fracture as a Systemic Disease in Older Adults: A Narrative Review on Multisystem Implications and Management.Medical sciences (Basel, Switzerland) · 2025Review
- Variability in Care Pathways for Hip Fracture Patients in The Netherlands.Journal of clinical medicine · 2024Article
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6 authors.
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Abstract
purposeDevelopment of consensus-based recommendations on core and optimal elements of orthogeriatric hip-fracture care.
methodsAn online Delphi survey was performed in the Netherlands. A total of 72 statements were derived from a framework encompassing all phases of care for older patients with a hip fracture. These statements were presented to the panelists in two rounds to identify elements for minimal and optimal orthogeriatric care. Panelists included professionals with experience in hip-fracture care and patient representatives. The level of agreement was measured using a 5-point Likert scale. Consensus was considered if > 75% of the panelists agreed or disagreed.
resultsNinety-two persons were invited to participate in the survey; 63 participated in the first round and 55 in the second round. One statement was added in the second round. Most participants had a background in geriatrics (36% in the second round) or trauma surgery/orthopaedics (20% in the second round). Consensus was reached on 48 statements for minimal orthogeriatric care and 60 statements for optimal orthogeriatric care.
conclusionThis study supports previously established recommendations for older adults with hip fractures. In addition, it offers practical recommendations for implementation of orthogeriatric care regarding both core and optimal care elements for hospitals at every different level of maturity and at every step in the care process. This may decrease the intra- and inter-hospital variability of clinical management of hip-fracture patients. Organizational and logistical elements present a barrier to overcoming the gap between the current practice and the optimal situation.
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