AHRQ publishes hip fracture evidence report
Research Activities, October 2009
According to a new report by the Agency for Healthcare Research and Quality (AHRQ), the types of devices that orthopedic surgeons use to repair different types of hip fractures in patients over the age of 50 do not appear to affect their outcomes. The authors, who are with the AHRQ-funded Minnesota Evidence-based Practice Center in Minneapolis, reviewed an extensive international body of research. However, due to inconsistencies in the studies, the strength of currently available evidence is limited to fair or poor to fair.
The authors reviewed studies on the outcomes of elderly patients who were treated for femoral neck, intertrochanteric, and subtrochanteric types of fractures. Their recommendations for improving the quality of this type of research include more collaboration between epidemiologists and surgeon researchers, including nursing home or dementia patients in studies, making consistent use of validated outcome measures, and pooling data.
The review, which was requested by the American Academy of Orthopaedic Surgeons, was led by Mary Butler, Ph.D. For details, go to Treatment of Common Hip Fractures at .