Miliaan L Zeelenberg, Paulieke C Oosterwijk, Hanna C Willems, Taco Gosens, Dennis Den Hartog, Pieter Joosse, Sverre A I Loggers, Thomas Mp Nijdam, Ruth E Pel-Littel, Suzanne Polinder, Henk Jan Schuijt, Hugo H Wijnen, Detlef Van der Velde, Esther M M Van Lieshout, Michael H J Verhofstad
BACKGROUND AND PURPOSE: Recent research has highlighted non-operative management (NOM) as a viable alternative for frail older adults with hip fractures in the final phase of life. This study aims to guide Dutch physicians and hospitals nationwide in a standardised implementation of shared decision-making regarding surgery or NOM in selected frail older adults with a hip fracture. METHODS AND ANALYSIS: The patient population for implementation includes frail older adults aged ≥70 years with an acute proximal femoral fracture, nursing home care or a similar level of care elsewhere and at least one additional criterion (ie, malnutrition, severe mobility impairment or ASA≥4)...
April 17, 2024: BMJ Open