Observational studyBMJ open2026
Satisfaction regarding shared decision-making for operative and non-operative hip fracture treatment in frail older adults from a proxy-perspective: a mixed methods study.
Observational study in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06079905 (Palliative NonOperative Management), which is not on this map. Not yet cited in PubMed.
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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.
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.
Palliative NonOperative Management (PNOM) in Selected Elderly With a Limited Life Expectancy Who Sustained a Proximal Femoral Fracture (PNOM-Implementation); an Implementation Study
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesShared decision-making (SDM) is essential in hip fracture treatment, as both operative and non-operative management are viable options in a select group of frail older adults with a very limited life expectancy. The aim of this study is to evaluate patient and proxy satisfaction with SDM and their final decision and to gain insight into their experiences.
designA multicentre study with a concurrent mixed methods design.
settingThe study was conducted in 14 hospitals across the Netherlands.
participantsProxies from a select group of frail older adults, with a limited life expectancy, with a hip fracture. Of the 167 patients and proxies who engaged in SDM, 1 patient and 79 proxies were interviewed.
interventionsSDM regarding operative and non-operative hip fracture treatment. PRIMARY AND SECONDARY OUTCOME MEASURES: Patient-specific and treatment-specific characteristics were collected from the Dutch Hip Fracture Audit. Semistructured interviews provided quantitative and qualitative data regarding satisfaction, information and attention for patients wishes.
resultsThe median age was 87 years (P
conclusionsAfter SDM with frail older hip fracture patients and their proxies, most participants were satisfied with the final decision. However, there are several considerations to improve SDM. This study describes practical insights and recommendations to guide healthcare providers during the SDM process. TRIAL REGISTRATION NUMBER: NCT06079905.
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