Skip to main content
Top
Published in: Archives of Orthopaedic and Trauma Surgery 2/2014

01-02-2014 | Trauma Surgery

Literature review of outcome parameters used in studies of geriatric fracture centers

Authors: I. S. L. Liem, C. Kammerlander, N. Suhm, S. L. Kates, M. Blauth

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 2/2014

Login to get access

Abstract

Introduction

A variety of multidisciplinary treatment models have been described to improve outcome after osteoporotic hip fractures. There is a tendency toward better outcomes after implementation of the most sophisticated model with a shared leadership for orthopedic surgeons and geriatricians; the Geriatric Fracture Center. The purpose of this review is to evaluate the use of outcome parameters in published literature on the Geriatric Fracture Center evaluation studies.

Materials and methods

A literature search was performed using Medline and the Cochrane Library to identify Geriatric Fracture Center evaluation studies. The outcome parameters used in the included studies were evaluated.

Results

A total of 16 outcome parameters were used in 11 studies to evaluate patient outcome in 8 different Geriatric Fracture Centers. Two of these outcome parameters are patient-reported outcome measures and 14 outcome parameters were objective measures.

Conclusion

In-hospital mortality, length of stay, time to surgery, place of residence and complication rate are the most frequently used outcome parameters. The patient-reported outcomes included activities of daily living and mobility scores. There is a need for generally agreed upon outcome measures to facilitate comparison of different care models.
Literature
1.
go back to reference Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17(12):1726–1733PubMedCrossRef Johnell O, Kanis JA (2006) An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. Osteoporos Int 17(12):1726–1733PubMedCrossRef
2.
go back to reference Kanis JA, Johnell O (2004) Requirements for DXA for the management of osteoporosis in Europe. Osteoporos Int 16(3):229–238PubMedCrossRef Kanis JA, Johnell O (2004) Requirements for DXA for the management of osteoporosis in Europe. Osteoporos Int 16(3):229–238PubMedCrossRef
3.
go back to reference Kanis JA et al (2000) Long-term risk of osteoporotic fracture in malmö. Osteoporos Int 11:669–674PubMedCrossRef Kanis JA et al (2000) Long-term risk of osteoporotic fracture in malmö. Osteoporos Int 11:669–674PubMedCrossRef
4.
go back to reference Giusti A et al (2011) Optimal setting and care organization in the management of older adults with hip fracture. Eur J Phys Rehabil Med 47(2):281–296PubMed Giusti A et al (2011) Optimal setting and care organization in the management of older adults with hip fracture. Eur J Phys Rehabil Med 47(2):281–296PubMed
5.
go back to reference Kammerlander C et al (2010) Ortho-geriatric service-a literature review comparing different models. Osteoporos Int 21(Suppl 4):637–646CrossRef Kammerlander C et al (2010) Ortho-geriatric service-a literature review comparing different models. Osteoporos Int 21(Suppl 4):637–646CrossRef
6.
go back to reference Friedman SM et al (2009) Impact of a comanaged geriatric fracture center on short-term hip fracture outcomes. Arch Intern Med 169(18):1712–1717PubMedCrossRef Friedman SM et al (2009) Impact of a comanaged geriatric fracture center on short-term hip fracture outcomes. Arch Intern Med 169(18):1712–1717PubMedCrossRef
7.
go back to reference Friedman SM et al (2008) Geriatric co-management of proximal femur fractures: total quality management and protocol-driven care result in better outcomes for a frail patient population. J Am Geriatr Soc 56:1349–1356PubMedCrossRef Friedman SM et al (2008) Geriatric co-management of proximal femur fractures: total quality management and protocol-driven care result in better outcomes for a frail patient population. J Am Geriatr Soc 56:1349–1356PubMedCrossRef
8.
go back to reference Kates SL, Mendelson DA, Friedman SM (2011) The value of an organized fracture program for the elderly: early results. J Orthop Trauma 25:233–237PubMedCrossRef Kates SL, Mendelson DA, Friedman SM (2011) The value of an organized fracture program for the elderly: early results. J Orthop Trauma 25:233–237PubMedCrossRef
9.
go back to reference Kates SL, Mendelson DA, Friedman SM (2010) Co-managed care for fragility hip fractures (Rochester model). Osteoporos Int 21(Suppl 4):S621–S625PubMedCrossRef Kates SL, Mendelson DA, Friedman SM (2010) Co-managed care for fragility hip fractures (Rochester model). Osteoporos Int 21(Suppl 4):S621–S625PubMedCrossRef
10.
go back to reference Gonzalez-Montalvo JI et al (2010) The orthogeriatric unit for acute patients: a new model of care that improves efficiency in the management of patients with hip fracture. Hip Int 20(2):229–235PubMed Gonzalez-Montalvo JI et al (2010) The orthogeriatric unit for acute patients: a new model of care that improves efficiency in the management of patients with hip fracture. Hip Int 20(2):229–235PubMed
11.
go back to reference Vidán M et al (2005) Efficacy of a comprehensive geriatric intervention in older patients hospitalized for hip fracture: a randomized, controlled trial. J Am Geriatr Soc 53(9):1476–1482PubMedCrossRef Vidán M et al (2005) Efficacy of a comprehensive geriatric intervention in older patients hospitalized for hip fracture: a randomized, controlled trial. J Am Geriatr Soc 53(9):1476–1482PubMedCrossRef
12.
go back to reference Gregersen M et al (2011) Geriatric intervention in elderly patients with hip fracture in an orthopedic ward. J Inj Violence Res 4(2):45–51PubMed Gregersen M et al (2011) Geriatric intervention in elderly patients with hip fracture in an orthopedic ward. J Inj Violence Res 4(2):45–51PubMed
13.
go back to reference Dy CJ et al (2011) The medical orthopaedic trauma service: an innovative multidisciplinary team model that decreases in-hospital complications in patients with hip fractures. J Orthop Trauma 26(6):379–383CrossRef Dy CJ et al (2011) The medical orthopaedic trauma service: an innovative multidisciplinary team model that decreases in-hospital complications in patients with hip fractures. J Orthop Trauma 26(6):379–383CrossRef
14.
go back to reference Singler K et al (2011) “N-active”: a new comanaged, orthogeriatric ward: observations and prospects. Z Gerontol Geriatr 44(6):368–374PubMedCrossRef Singler K et al (2011) “N-active”: a new comanaged, orthogeriatric ward: observations and prospects. Z Gerontol Geriatr 44(6):368–374PubMedCrossRef
15.
go back to reference Kammerlander C et al (2011) The tyrolean geriatric fracture center: an orthogeriatric co-management model. Z Gerontol Geriatr 44(6):363–367PubMedCrossRef Kammerlander C et al (2011) The tyrolean geriatric fracture center: an orthogeriatric co-management model. Z Gerontol Geriatr 44(6):363–367PubMedCrossRef
16.
go back to reference Khasraghi FA et al (2005) Effectiveness of a multidisciplinary team approach to hip fracture management. Journal of Surgical Orthopaedic Advances 14(1):27–31PubMed Khasraghi FA et al (2005) Effectiveness of a multidisciplinary team approach to hip fracture management. Journal of Surgical Orthopaedic Advances 14(1):27–31PubMed
17.
go back to reference Holden MK et al (1984) Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Phys Ther 64(1):35–40 Holden MK et al (1984) Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Phys Ther 64(1):35–40
18.
go back to reference Katz S et al (1963) Studies of illness in the aged. The Index of ADL: a standardized measure of biological and psychosocial function. JAMA 185:914–919PubMedCrossRef Katz S et al (1963) Studies of illness in the aged. The Index of ADL: a standardized measure of biological and psychosocial function. JAMA 185:914–919PubMedCrossRef
19.
go back to reference Mahoney FI, Barthel DW (1965) Functional evaluation: the Barthel Index. MD State Med J 14:61–65PubMed Mahoney FI, Barthel DW (1965) Functional evaluation: the Barthel Index. MD State Med J 14:61–65PubMed
20.
go back to reference Lawrence, T.M., et al., The current hospital costs of treating hip fractures. Injury, 2005. 36(1): p. 88–91; discussion 92 Lawrence, T.M., et al., The current hospital costs of treating hip fractures. Injury, 2005. 36(1): p. 88–91; discussion 92
21.
go back to reference Khan SK et al (2009) Timing of surgery for hip fractures: a systematic review of 52 published studies involving 291.413 patients. Injury 40:692–697PubMedCrossRef Khan SK et al (2009) Timing of surgery for hip fractures: a systematic review of 52 published studies involving 291.413 patients. Injury 40:692–697PubMedCrossRef
22.
go back to reference Shiga T, Wajima Z, Ohe Y (2008) Is operative delay associated with increased mortality of hip fracture patients? Systematic review, meta-analysis, and meta-regression. Can J Anaesth 55(3):146–154PubMedCrossRef Shiga T, Wajima Z, Ohe Y (2008) Is operative delay associated with increased mortality of hip fracture patients? Systematic review, meta-analysis, and meta-regression. Can J Anaesth 55(3):146–154PubMedCrossRef
23.
go back to reference Hutchings L, Fox R, Chesser T (2011) Proximal femoral fractures in the elderly: how are we measuring outcome? Injury 42(11):1205–1213PubMedCrossRef Hutchings L, Fox R, Chesser T (2011) Proximal femoral fractures in the elderly: how are we measuring outcome? Injury 42(11):1205–1213PubMedCrossRef
24.
go back to reference Benbassat J, Taragin M (2000) Hospital readmissions as a measure of quality of health care. Arch Intern Med 160:1074–1081PubMedCrossRef Benbassat J, Taragin M (2000) Hospital readmissions as a measure of quality of health care. Arch Intern Med 160:1074–1081PubMedCrossRef
25.
go back to reference Rumball-Smith J, Hider P (2009) The validity of readmission rate as a marker of the quality of hospital care, and a recommendation for its definition. N Z Med J 122(1289):63–70PubMed Rumball-Smith J, Hider P (2009) The validity of readmission rate as a marker of the quality of hospital care, and a recommendation for its definition. N Z Med J 122(1289):63–70PubMed
26.
go back to reference Goldhahn S et al (2009) Complicaiton Reporting in Orthopaedic Trials. A Systematic Review of Randomized Controlled Trials. J Bone Joint Surg Am 91:1847–1853PubMedCrossRef Goldhahn S et al (2009) Complicaiton Reporting in Orthopaedic Trials. A Systematic Review of Randomized Controlled Trials. J Bone Joint Surg Am 91:1847–1853PubMedCrossRef
27.
go back to reference Kates SL et al (2010) Comparison of an organized geriatric fracture program to United States government data. GOS 1(1):15–21 Kates SL et al (2010) Comparison of an organized geriatric fracture program to United States government data. GOS 1(1):15–21
Metadata
Title
Literature review of outcome parameters used in studies of geriatric fracture centers
Authors
I. S. L. Liem
C. Kammerlander
N. Suhm
S. L. Kates
M. Blauth
Publication date
01-02-2014
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 2/2014
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-012-1594-4

Other articles of this Issue 2/2014

Archives of Orthopaedic and Trauma Surgery 2/2014 Go to the issue