Evidence map›Paper›PMID 41131507›Full record

SynthesisBMC geriatrics2025

Interventions to improve hip fracture guideline adherence for time to surgery and early mobilization: a systematic review and meta-analysis.

Mitchell Sarkies, Luke Testa, Morag E Taylor, Rebecca Ivers, Jacqueline C T Close, Ian D Cameron, Lara A Harvey

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Observational
  5. 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

7 authors.

Mitchell SarkiesCentre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia. mitchell.sarkies@sydney.edu.au.
Luke TestaCentre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.
Morag E TaylorFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia.
Rebecca IversSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, Sydney, NSW, Australia.
Jacqueline C T CloseFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia.
Ian D CameronJohn Walsh Centre for Rehabilitation Research, Northern Sydney Local Health District and Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Lara A HarveyFalls, Balance and Injury Research Centre, Neuroscience Research Australia, Sydney, NSW, Australia.

Funding

NHMRC Investigator Grant CIA Sarkies 2007970
6 · The paper itself

Abstract

backgroundClinical quality registries indicate that adherence to clinical practice guidelines for the management of hip fracture patients is often not as recommended. The aim of this systematic review is to evaluate interventions that improve adherence to hip fracture guideline recommendations for time to surgery and early mobilization.

methodsA systematic review and meta-analysis of English language studies published between 1st January 2000 and 12th March 2025, available from Ovid MEDLINE, CINAHL, Embase, Scopus and Web of Science was conducted. Two reviewers independently screened studies for inclusion, extracted data, and assessed methodological quality. Studies were included if they reported on interventions designed to improve time to surgery or early mobilization in the acute care period for patients aged 50 years and older admitted to hospital with a proximal femoral fracture.

resultsTen studies met inclusion criteria. Interventions to improve time to surgery and early mobilization included care pathways (n = 5), orthogeriatric models of care (n = 2), audit and feedback (n = 1), clinical supervision (n = 1), and pay for performance (n = 1). Interventions were associated with an overall small to moderate positive effect on time to surgery (n = 6, SMD 0.47, 95% CI 0.14 to 0.80, I

conclusionInterventions to improve adherence to hip fracture clinical guidelines recommendations for time to surgery and early mobilization have the potential to yield small to moderate improvements in both time to surgery and early mobilization after surgery. However, caution should be exercised when interpreting these findings due to the presence of heterogeneity between studies.

Indexed as

Early AmbulationGuideline AdherenceHip FracturesPractice Guidelines as TopicTime-to-TreatmentAgedHumansClinical practice guidelinesImplementation scienceOrthopedicsOsteoporosisQuality improvement

Identifiers

PMID41131507
PMCPMC12548137

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.