Why the study?
Decision-making for proximal femoral fractures in frail patients with limited life expectancy is challenging to prevent surgical overtreatment, and current literature provides limited insight into outcomes of nonoperative versus operative management.
Does nonoperative management provide noninferior quality of life compared to operative management in frail institutionalized older patients with proximal femoral fractures?
Population
172 frail institutionalized patients aged 70 years or older with proximal femoral fractures
Comparison
Nonoperative management vs operative management after shared decision-making
Design
Multicenter cohort study
Follow-up
6-month follow-up period
Authors
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May support nonoperative management in frail patients; leaves open confirmation in randomized trials.
Does nonoperative management provide noninferior quality of life compared to operative management in frail institutionalized older patients with proximal femoral fractures?
Nonoperative management of proximal femoral fractures is a viable option for frail institutionalized patients with limited life expectancy, offering noninferior quality of life compared to surgery.
Loggers et al. (2022) studied this question.
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