Evidence map›Paper›PMID 40658238›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2025

Clinical and health-economic impact of orthogeriatric care models in Belgium: A population-based data registry study.

Sigrid Janssens, Jeroen Luyten, Mieke Deschodt, An Sermon, Johan Flamaing, Marian Dejaeger

Abstract read
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In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 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. Trial
  2. Article
  3. 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

6 authors.

Sigrid JanssensDepartment of Public Health and Primary Care, Division of Gerontology and Geriatrics, KU Leuven, Herestraat 49, 3000, Louvain, Belgium.ORCID http://orcid.org/0000-0003-2652-2336
Jeroen LuytenDepartment of Public Health and Primary Care, Leuven Institute for Healthcare Policy, KU Leuven, Louvain, Belgium.
Mieke DeschodtDepartment of Public Health and Primary Care, Division of Gerontology and Geriatrics, KU Leuven, Herestraat 49, 3000, Louvain, Belgium.
An SermonDepartment of Development and Regeneration, KU Leuven, Louvain, KU, Belgium.
Johan FlamaingDepartment of Public Health and Primary Care, Division of Gerontology and Geriatrics, KU Leuven, Herestraat 49, 3000, Louvain, Belgium.
Marian DejaegerDepartment of Public Health and Primary Care, Division of Gerontology and Geriatrics, KU Leuven, Herestraat 49, 3000, Louvain, Belgium. marian.dejaeger@uzleuven.be.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluated six orthogeriatric care models for older fracture patients in Belgium. Integrated care on surgical wards reduced emergency department visits, while consultation on request on geriatric wards yielded the highest survival. All models had comparable costs except for integrated care on a geriatric ward, which was more expensive. PURPOSE: This study assessed the (cost-)effectiveness of systematic collaboration (systematic consultation or integrated care) between surgical and geriatric teams compared to consultation on request in Belgium.

methodsThis registry-based study included patients aged ≥ 75 years admitted with hip, pelvis, wrist, shoulder, or vertebral fractures in 2019. We compared six care models: consultation on request, systematic consultation, or integrated care, on either surgical or geriatric wards. The primary outcome was 1-year mortality. Secondary outcomes included 30- and 90-day mortality, 1-year survival time, length of stay (LOS), 30- and 90-day emergency department (ED) visits and unplanned readmissions, and 1-year institutionalization. Cost-effectiveness was assessed using survival time and total direct costs within one year.

resultsWe analyzed 8,302 patients across 60 hospitals. LOS was shortest for consultation on request on surgical (10 days) and geriatric wards (12 days), and for integrated care on a surgical ward (11 days). ED visits at 30 (5.9%) and 90 days (11.0%) were lowest for integrated care on a surgical ward. Survival time was highest for consultation on request on a geriatric ward. Mortality, institutionalization, and unplanned readmissions were similar across models. Costs were mostly comparable (€16,445-€17,829) except for integrated care on a geriatric ward, which was more expensive (€18,726).

conclusionIntegrated care on a surgical ward reduced ED visits without compromising outcomes. While consultation on request on a geriatric ward showed the highest survival time at similar cost, absolute differences were minimal, thereby emphasizing the overall health-economic comparability across models.

Indexed as

Health Services for the AgedOsteoporotic FracturesAgedAged, 80 and overBelgiumCost-Benefit AnalysisDelivery of Health Care, IntegratedEmergency Service, HospitalFemaleHealth Care CostsHumansInstitutionalizationLength of StayMalePatient ReadmissionReferral and ConsultationBelgiumCost-effectiveness analysisOrthogeriatric co-managementOsteoporotic fractures

Identifiers

PMID40658238

What OpenQuestion holds

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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.