Evidence map›Paper›PMID 39937317›Full record

ArticleArchives of osteoporosis2025

The positive impact of a quality improvement collaborative on process indicators for geriatric hip fracture care.

Ellen Coeckelberghs, Deborah Seys, Charlotte Lens, Kris Vanhaecht, Fien Claessens, Caroline Weltens, Dirk De Ridder, Eline Depuydt, Wim De Weerdt, Thierry De Baets and 17 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Archives of osteoporosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

27 authors.

Ellen CoeckelberghsLeuven Institute for Healthcare Policy, KU Louvain, KU Leuven University of Leuven, Louvain, Flanders, Belgium. ellen.coeckelberghs@kuleuven.be.
Deborah SeysLeuven Institute for Healthcare Policy, KU Louvain, KU Leuven University of Leuven, Louvain, Flanders, Belgium.
Charlotte LensLeuven Institute for Healthcare Policy, KU Louvain, KU Leuven University of Leuven, Louvain, Flanders, Belgium.
Kris VanhaechtLeuven Institute for Healthcare Policy, KU Louvain, KU Leuven University of Leuven, Louvain, Flanders, Belgium.
Fien ClaessensLeuven Institute for Healthcare Policy, KU Louvain, KU Leuven University of Leuven, Louvain, Flanders, Belgium.
Caroline WeltensFlemish Hospital Network, Flanders, Belgium.
Dirk De RidderLeuven Institute for Healthcare Policy, KU Louvain, KU Leuven University of Leuven, Louvain, Flanders, Belgium.
Eline DepuydtAZ Groeninge, Kortrijk, Belgium.
Wim De WeerdtSint-Trudo Hospital, Sint-Truiden, Belgium.
Thierry De BaetsAZ Turnhout, Turnhout, Belgium.
Jessy EysackersZNA, Antwerp, Belgium.
Stijn HermansDepartment of Orthopedics, AZ Diest, Diest, Belgium.
Michiel HerteleerDepartment of Traumatology, University Hospitals Leuven, Louvain, Belgium.
Geert LeirsDepartment of Orthopedic Surgery, Noorderhart, Pelt, Belgium.
Sofie LynenJessa Hospital, Hasselt, Belgium.
Frederik MatthysMaria Middelares Hospital, Ghent, Belgium.
Ben MolenaersDepartment of Orthopedics, Ziekenhuis Oost-Limburg, Genk, Belgium.
Alexander MulliezOLV Hospital Aalst, Aalst, Belgium.
Christophe PattynDepartment of Orthopedics, UZ Gent, Ghent, Belgium.
Jan SomersJan Yperman Hospital, Ypres, Belgium.
Mike TengrootenhuysenDepartment of Orthopedic Surgery AZ Herentals, Herentals, Belgium.
Maxence VanderkerckhoveAZ Sint Jan Brugge, Brugge, Belgium.
Marleen Van EsbroeckAZ Sint-Maarten, Mechelen, Belgium.
Kyri Van HeckeAZ Alma, Eeklo, Belgium.
Eline Van HoveRZ Tienen, Tienen, Belgium.
Stefaan NijsDivision Surgical Specialties, Department Trauma Surgery, UMC Utrecht, Utrecht, The Netherlands.
An SermonDepartment of Traumatology, University Hospitals Leuven, Louvain, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adherence to guidelines for geriatric patients with a hip fracture is challenging. With this study, adherence to important quality indicators in geriatric hip fracture care was improved. A quality improvement collaborative including benchmarking and knowledge sharing showed to be effective in improving quality of care.

backgroundAdherence to guidelines for geriatric patients with an osteoporotic hip fracture is challenging. Therefore, the aim of this study was to improve the adherence to quality indicators (QIs) for these patients using benchmarking and knowledge sharing.

methodA prospective multicenter study was initiated throughout 19 hospitals in Flanders, Belgium. Adherence to 23 QIs was measured. Two retrospective audits (based on patient record analyses) were conducted in 2018-2019 (measurement period (MP) 1) and 2021 (MP 2). Between both audits, anonymous benchmarking was provided to the participating centers and three educative sessions on specific topics were performed.

resultsA total of 1044 patients were included in the study. At MP 1, QIs showing the lowest adherence rates were the administration of nerve blocks, steroids, and tranexamic acid, applied in only 8.0%, 9.7% and 22.2% of the patients, respectively. At MP 2, these adherence rates significantly improved up to 25.4%, 26.4% and 30.7%, respectively (p < 0.001). The indication of the start of discharge planning also significantly improved between both periods (89.3% in MP 1 vs. 93.7% in MP 2, p = 0.043), while the avoidance of intra-operative hypotension was less well realized (56.2% in MP 1 vs. 52% in MP2, p = 0.026). Overall adherence significantly increased from 61.7 to 64.5% (p < 0.001). Delirium was significantly reduced (from 22.1% in MP 1 to 17.4% in MP 2, p = 0.030).

conclusionBenchmarking in combination with a peer-reviewed and knowledge sharing intervention increases the adherence to quality indicators for patients with a geriatric hip fracture.

Indexed as

Guideline AdherenceHip FracturesOsteoporotic FracturesQuality ImprovementQuality Indicators, Health CareAgedAged, 80 and overBelgiumBenchmarkingFemaleHumansMaleProspective StudiesRetrospective StudiesCare pathwayHip fractureQuality improvementQuality of care

Identifiers

PMID39937317

What OpenQuestion holds

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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.