Evidence map›Paper›PMID 40249401›Full record

ArticleEuropean geriatric medicine2025

Weight-bearing and mobilisation timing after hip fracture surgery in older adults: an international survey of clinicians' perspectives.

Ruqayyah Y Turabi, Matthew D L O'Connell, David Wyatt, Chris Bretherton, Simon Cannon, Celia L Gregson, Iain Moppett, Lynn McNicoll, Katie Jane Sheehan

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In one paragraph

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

9 authors.

Ruqayyah Y TurabiDepartment of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK. Ruqayyah.turabi@kcl.ac.uk.ORCID http://orcid.org/0000-0001-6439-6276
Matthew D L O'ConnellDepartment of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK.
David WyattDepartment of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK.
Chris BrethertonBone and Joint Health, Blizard Institute, Queen Mary University of London, London, UK.
Simon CannonBarts Health NHS Trust, London, UK.
Celia L GregsonMusculoskeletal Research Unit, Bristol Medical School, University of Bristol, Bristol, UK.
Iain MoppettAnaesthesia and Critical Care, Injury, Recovery and Inflammation Sciences, Queen's Medical Centre, The University of Nottingham, Nottingham, UK.
Lynn McNicollDivision of Geriatrics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Katie Jane SheehanBone and Joint Health, Blizard Institute, Queen Mary University of London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis exploratory study aimed to describe international variations in mobilisation timing and weight-bearing after hip fracture surgery, focusing on differences between high-income countries (HICs) and low- and middle-income countries (LMICs) and identify the possible reasons for these variations.

methodsThis international cross-sectional study was administered through an online, English-language, self-reported questionnaire. Healthcare professionals from various multidisciplinary teams were invited to participate via professional organisations, including the Fragility Fracture Network, social media, and through snowballing from key individual stakeholders.

resultsA total of 389 healthcare professionals from 71 countries participated in the survey. Among them, 72.5% prescribed mobilisation the day after surgery, higher in HICs (79.1%) than LMICs (56.3%). Of those who prescribed early mobilisation, 38.3% achieved it 76-100% of the time, more frequently in HICs (42.9%) than LMICs (21.9%). Additionally, 73.5% prescribed unrestricted weight-bearing, also more common in HICs (86.3%) than LMICs (41%). For those who prescribed unrestricted weight-bearing, 50.4% achieved it 76-100% of the time, with HICs at 54.0% and LMICs at 31.9%. Multiple patient-related, process-related, and structure-related barriers were reported, with structure-related barriers more common in LMICs than HICs, underscoring the global complexities in implementing these practices.

conclusionThis study offers insights into global variations in the timing of mobilisation and weight-bearing after hip fracture surgery in older adults. It reveals disparities in postoperative services and resources between HICs and LMICs. Additionally, it establishes a foundation for future research and underscores the importance of international collaboration and knowledge sharing in enhancing postoperative care services.

Indexed as

Early AmbulationHip FracturesPractice Patterns, Physicians'Weight-BearingAgedCross-Sectional StudiesDeveloped CountriesDeveloping CountriesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesTime FactorsInternationalMobilization timingNeck of femur fractureOrthogeriatricRehabilitationWeight-bearing

Identifiers

PMID40249401
PMCPMC12174268

What OpenQuestion holds

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LicenceCC BY
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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.