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Treatment of Hip Fractures in the Elderly
Robert H Quinn1, Pekka A Mooar, Jayson N Murray
1From the University of Texas Health Science Center, San Antonio, TX (Dr. Quinn), Temple University Health System, Philadelphia, PA (Dr. Mooar), and the American Academy of Orthopaedic Surgeons, Rosemont, IL (Mr. Murray, Mr. Pezold, and Ms. Sevarino).
Abstract:
Evidence-based information, in conjunction with the clinical expertise of physicians, was used to develop the Appropriate Use Criteria (AUC) document Treatment of Hip Fractures in the Elderly to improve patient care and obtain optimal outcomes while considering the subtleties and distinctions necessary in making clinical decisions. The AUC clinical patient scenarios were derived from indications typical of patients commonly presenting with hip fractures in clinical practice, as well as from current evidence-based clinical practice guidelines and supporting literature. The 30 patient scenarios and 6 treatments were developed by the Writing Panel, a group of clinicians who are specialists in this AUC topic. A separate, multidisciplinary Voting Panel made up of specialists and nonspecialists rated the appropriateness of treatment of each patient scenario using a 9-point scale to designate a treatment as Appropriate (median rating, 7 to 9), May Be Appropriate (median rating, 4 to 6), or Rarely Appropriate (median rating, 1 to 3).