title: Hip fracture programs: are they effective?
abstract: This manuscript will evaluate the published evidence on efficacy of organized hip fracture programs to determine if they improve patient outcomes. A detailed literature search was conducted to find manuscripts published in the past 20 years about organized hip fracture care programs. Seventeen programs with published results were identified from this detailed search and these were evaluated and synthesized in the following manuscript. Organized hip fracture programs offer significant benefits to patients, care providers and health systems. The more complex program designs have a more profound effect on improvement in outcomes for hip fracture patients. Most programs have reported reduced length of stay, reduced in-hospital mortality rates, and reduced complications. Some programs have reported reduced costs and reduced readmission rates after implementing an organized hip fracture program.
authors.affiliation: Department of Orthopaedic Surgery, Virginia Commonwealth University, Richmond, VA, USA. Electronic address: Stephen_Kates@URMC.Rochester.edu.
authors.forename: Stephen L
authors.initials: SL
authors.lastname: Kates
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003362:Cost-Benefit Analysis; D015577:Geriatric Assessment; D006620:Hip Fractures / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team / Q000191:economics / Q000592:standards; D015995:Prevalence; D015397:Program Evaluation; D058996:Quality Improvement; D015996:Survival Rate; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology
keywords: fragility fracture program; geriatric fracture center; hip fracture; hip fracture outcomes; systems of care