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Updated: Feb 10, 2026
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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
Published on: August 17, 2017
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Quality indicators for hip fracture care, a systematic review
S C Voeten1,2, P Krijnen3, D M Voeten4
1Department of Trauma Surgery, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333ZA, The Netherlands. s.voeten@lumc.nl.
Summary
This study identified 97 hip fracture quality indicators from literature, audits, and guidelines. A validated set of nine indicators is recommended for future clinical research on hip fracture care quality.
Area of Science:
- Orthopedics
- Healthcare Quality Management
- Evidence-Based Medicine
Background:
- Quality indicators (QIs) are crucial for measuring and benchmarking healthcare quality.
- A comprehensive overview of existing hip fracture care QIs is currently lacking in the literature.
Purpose of the Study:
- To identify hip fracture care quality indicators reported in scientific literature, audits, and clinical guidelines.
- To develop a methodologically sound set of QIs for evaluating hip fracture care in clinical practice.
Main Methods:
- Conducted a systematic literature search adhering to PRISMA guidelines and an internet search to identify QIs.
- Classified identified QIs into structure, process, and outcome categories.
- Attempted to assess methodological quality using the Appraisal of Indicators through Research and Evaluation (AIRE) instrument.
Main Results:
- Identified a total of 97 unique hip fracture quality indicators (9 structure, 63 process, 25 outcome).
- Detailed methodological information was insufficient to apply the AIRE instrument to most indicators.
- Seven indicators demonstrated correlation with outcome measures.
- Extracted a recommended set of nine quality indicators for further research.
Conclusions:
- Numerous hip fracture quality indicators exist, but many lack methodological assessment and outcome correlation.
- The extracted set of nine indicators serves as a foundation for future research into hip fracture care quality.
- Further research is needed to evaluate the clinimetric properties of existing hip fracture QIs.
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