ArticleBMJ open2025
Experience with hip denervation in non-operative hip fracture care for frail older patients in the Netherlands: an interview study.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Reliability of a rating rubric to assess quality of preoperative goals of care notes.American journal of surgery · 2026Article
- Attitudes of anesthesiologists towards implementation of PENG block in non-operative treatment of hip fractures in the Netherlands: a national survey study.BMC anesthesiology · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective was to explore treatment experience of hip denervation via PEricapsular Nerve Group block with phenol in non-operative management and end-of-life (EOL) care after hip fractures.
designA qualitative study was conducted with semistructured interviews. The interviews were analysed using thematic discourse analysis. SETTING AND
participantsThe study was conducted in a large regional hospital in the Netherlands. Proxies (first-contact person, often a first-degree or second-degree relative) of frail older adults treated between January 2022 and June 2023 were included, as patients had either cognitive impairment or were deceased.
resultsThe process surrounding hip denervation was emotionally charged due to the EOL setting and preceding discussion on whether or not to operate. The EOL setting impaired information uptake in participants and complicated communication. Hip denervation was experienced as a partial source of comfort. Logistics and aftercare were described as suboptimal. Participants emphasised the importance of a dignified and autonomous EOL phase.
conclusionsThis study describes treatment experience from the patient-proxy perspective. It highlights the importance of a provider setting attuned to EOL care needs. Adequate pain management, effective communication and realistic autonomy for patients and proxies are warranted.
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