Evidence map›Paper›PMID 41180943›Full record

ArticleGeriatric orthopaedic surgery & rehabilitation2025

Is the Timing of Surgery Associated With the Risk of Mortality Among Older Adults Undergoing Operative Hip Fracture Repair?

Michael Akodu, Diviya Rajesh, Amy Steele, Naing Aung, Cancan Zhang, Michael McTague, Catherine DesRoches, John Wixted, Kiran Agarwal-Harding, Paul Appleton and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Geriatric orthopaedic surgery & rehabilitation, 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. Beyond the Clock: Understanding Delays in Hip Fracture Surgery.Geriatric orthopaedic surgery & rehabilitation · 2026
    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

13 authors.

Michael AkoduCarl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID https://orcid.org/0009-0008-9166-8677
Diviya RajeshHarvard Medical School, Boston, MA, USA.
Amy SteeleCarl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Naing AungDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Cancan ZhangDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Michael McTagueCarl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID https://orcid.org/0000-0003-0897-2042
Catherine DesRochesDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
John WixtedCarl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Kiran Agarwal-HardingCarl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Paul AppletonCarl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Edward RodriguezCarl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID https://orcid.org/0000-0002-8217-0593
Karen ChahalCarl J. Shapiro Department of Orthopaedics, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Daniele OlveczkyDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Hip fractures are common among older adults; and while urgent fracture fixation is recommended, it is often weighed against preoperative optimization needs. Previous studies have reported conflicting findings on the association between time to surgery and mortality risk. In this study, we investigated the association between surgical timing and mortality. We also explored the relationship between time to surgery and secondary outcomes, including length of stay and hospital readmission. Methods: We conducted a retrospective cross-sectional study of 967 adults aged Results: For 30-day, 90-day, and 365-day mortality, each additional day of delay in surgery was associated with an increased risk of mortality, with adjusted hazard ratios (HR) of 1.15 (95% CI [1.02, 1.30], Conclusion: Delaying surgery in older adults increases the risk of mortality, along with a potential elevated risk of prolonged hospital stays and readmission. We recommend that, when safe, surgery should be performed promptly for these patients.

Indexed as

femoral neck fractureship fracturesintertrochanteric fractures

Identifiers

PMID41180943
PMCPMC12572600

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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.