[Orthogeriatrics: supportive evidence for the process].

Area of Science:

• Geriatric Medicine
• Orthopedics
• Health Services Research

Context:

• Aging population leads to increased hip fracture incidence.
• Frail older adults require specialized, comprehensive care.
• Existing models for geriatric assessment are effective for non-orthopedic conditions.

Purpose:

• To review innovative care models for older adults with hip fractures.
• To analyze models based on healthcare professional roles and responsibilities.
• To guide the selection of appropriate care models based on evidence and resources.

Summary:

• Hip fracture management models are heterogeneous, often combining different approaches.
• Co-managed care, integrating geriatric and orthopedic teams, shows a trend toward better patient outcomes.
• Implementing a care model requires considering evidence level, available resources, and team collaboration.

Impact:

• Highlights the need for comprehensive management of geriatric syndromes in hip fracture patients.
• Suggests co-managed care as a beneficial approach for improving outcomes.
• Acknowledges challenges in standardizing care due to model, intervention, and population heterogeneity.