Evidence map›Paper›PMID 39987021›Full record

Trial reportBMC musculoskeletal disorders2025

Postoperative outcomes in patients operated for extra- and intracapsular hip fractures - a secondary analysis of two randomized controlled trials.

Shams Dakhil, Ane Djuv, Ingvild Saltvedt, Torgeir Bruun Wyller, Frede Frihagen, Lars Gunnar Johnsen, Kristin Taraldsen, Jorunn L Helbostad, Leiv Otto Watne, Aksel Paulsen

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Shams DakhilInstitute of Clinical Medicine, University of Oslo, Campus Ahus, Oslo, Norway.ORCID http://orcid.org/0000-0003-3549-4568
Ane DjuvDepartment of Orthopaedic Surgery, Stavanger University Hospital, Stavanger, Norway.
Ingvild SaltvedtDepartment of Geriatric Medicine, St. Olav University Hospital, Trondheim, Norway.
Torgeir Bruun WyllerInstitute of Clinical Medicine, University of Oslo, Campus Ahus, Oslo, Norway.
Frede FrihagenInstitute of Clinical Medicine, University of Oslo, Campus Ahus, Oslo, Norway.
Lars Gunnar JohnsenDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Kristin TaraldsenDepartment of Rehabilitation Science and Health Technology, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Jorunn L HelbostadDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Leiv Otto WatneInstitute of Clinical Medicine, University of Oslo, Campus Ahus, Oslo, Norway.
Aksel PaulsenDepartment of Orthopaedic Surgery, Stavanger University Hospital, Stavanger, Norway. aksel.paulsen@sus.no.ORCID http://orcid.org/0000-0003-1292-4983

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip fractures are among the most common and serious injuries in older adults. There has been a perception that extracapsular hip fractures have worse outcome than intracapsular hip fractures. We aimed to examine postoperative outcomes in patients operated for extra- and intracapsular hip fractures.

methodsThis is a secondary analysis of data from two randomized controlled trials evaluating the effect of orthogeriatric care. Bivariate analyses were conducted, comparing patients with extracapsular fracture to patients with intracapsular fracture. Mortality, length of hospital stay (LOS), new nursing home admissions, operative data and measures of functional and cognitive performance were assessed as endpoints.

resultsThe primary analysis included 711 patients; 283 patients had an extracapsular fracture and 428 an intracapsular fracture. At four months follow-up, the intracapsular fracture group had significantly better Short Physical Performance Battery (SPPB) (5.0 vs. 4.0, p = 0.007), personal Activities of Daily Living (p-ADL) (17.0 vs. 16.0, p = 0.007) and instrumental ADL (i-ADL) (32.5 vs. 28.0, p = 0.049). There were no statistically significant differences between the groups at 12 months.

conclusionsPatients with an extracapsular fracture had worse mobility and ADL levels four months postoperatively, but there were no clinically relevant differences at 12 months postoperatively.

Indexed as

Hip FracturesActivities of Daily LivingAgedAged, 80 and overFemaleFollow-Up StudiesHumansLength of StayMaleRandomized Controlled Trials as TopicRecovery of FunctionTreatment OutcomeExtracapsular hip fractureHip fractureIntracapsular hip fractureMortalityProximal femoral hip fracture

Identifiers

PMID39987021
PMCPMC11846164

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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.