Why the study?
Does operative management reduce 30-day and 1-year mortality compared to nonoperative management in elderly people with hip fractures?
Does operative management reduce 30-day and 1-year mortality compared to nonoperative management in elderly people with hip fractures?
Nonoperative management of hip fractures in elderly patients is associated with significantly higher 30-day and 1-year mortality compared to surgical intervention.
Operative management should be prioritized to lower 30-day and 1-year mortality when feasible; extends pooled data across 82 studies.
This systematic review and meta-analysis demonstrated that only a few studies with small number of patients comparing NOM with OM were published. A significantly higher 30-day and 1-year mortality was revealed in nonoperatively treated hip fracture patients. No data were found examining (HR)QOL and costs. Further work is needed to enable shared decision-making and to initiate NOM in frail elderly patients with advanced comorbidity and limited life expectancy.
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Ree et al. (2017) studied this question.
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